Utilization management is one of the most important and effective tools for quality care and patient satisfaction. This presentation highlights the importance of including physical exam basics and the types of imaging and labs that must be included to streamline approval for a consult request. Specific examples include neurology, neurosurgery, orthopedics, and rheumatology.

• Discuss how collaborative utilization management can improve outcomes
• Describe the dynamics that drive consult decisions
• Review next steps after receiving an alternative treatment plan/denial

Level: Intermediate