Ama Policy

Utilization Review Standards: Local Considerations H-320.988

U.R. Criteria

Our AMA urges utilization review entities, when rendering determinations of appropriateness and necessity, to (1) maintain focus and emphasis on quality, and not cost, and (2) take into consideration the entire system of alternative facilities and services, with close attention as to their availability and accessibility.Policy Timeline

Res. 73, I-86 Reaffirmed: Sunset Report, I-96 Reaffirmation I-04 Reaffirmed: CMS Rep. 1, A-14 Reaffirmation: A-18