Definitions for "Prospective Review"
See prior authorization.
Review conducted before an admission or a course of treatment. prospective review includes pre- authorization and pre-certification requirements that may be needed before a patient can be admitted to a hospital or obtain certain health care. NCGS 58-50-61(a)(17)(f).
Review of a proposed schedule of treatment which could include patient care or discharge plans and any policies and procedures that specify how care is or will be provided. back to the top
Data-gathering technique that uses projected figures or current data to determine future costs or services.