What type of review is performed during a patient's treatment?

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Prepare for the Wisconsin Accident and Health Insurance Exam. Study with interactive questions, including hints and explanations. Optimize your chances of success and achieve your certification!

Concurrent review is conducted during a patient's ongoing treatment to assess the necessity and appropriateness of the care being provided. This type of review allows the insurer or healthcare provider to ensure that the patient is receiving treatment that is effective and aligned with their health care needs. It involves real-time monitoring to determine if the treatment plan should be continued, adjusted, or discontinued based on the patient's current condition and response to treatment.

This process helps in managing healthcare costs by preventing unnecessary procedures or extended hospital stays, promoting efficient use of resources while still ensuring that the patient receives adequate care. It's a proactive approach that applies to patients undergoing hospitalization or any ongoing treatment plan, distinguishing it from other types of reviews that occur either before the treatment begins or after it has concluded.

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