Critics of utilization review frequently are concerned that many of those persons participating in a utilization review are in fact practicing medicine. Although UR is conducted prospectively, it is used to authorize or refuse proposed treatments, referrals, and even hospital admissions.
1. Does UR constitute "practicing medicine" and if so should UR be limited to only those medical professionals licensed to practice medicine?
2. Discuss who you think should head the utilization review program and justify your answer.
The response should include a reference list. Double-space, using Times New Roman 12 pnt font, one-inch margins, and APA style of writing and citations.