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this is dr daniel paul with easy orthopedics and in this video im going to talk about what is a medical record review so you may have heard of what this before um some peoples job you may know may even be medical record review so what is it well theres two basic types theres one which is utilization review thats when a hospital or insurance company wants to make sure that whatever gets ordered or whatever the doctors ordering is appropriate and that has to do with reimbursement when theyll have someone usually not a doctor its usually a nurse or it can be someone with a high school education go through and approve or deny services thats not what i do thats one type theres a lot of controversy about it doctors will order imaging studies and other sorts of things theyd be medically necessary and you know the insurance will deny it or retroactively deny it so thats one type and thats really a whole industry another type of medical record review is more on the medical legal s
