Utilization Review
 

Annual Meeting &
OTO EXPO

Annual Meeting & OTO EXPO September 26-29, 2010, Boston, MA

Save the date: Annual Meeting & OTO EXPO September 26-29, 2010, Boston, MA
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Utilization Review

Utilization review companies must be registered in the state in which the review will be done. Guidelines used for making reviews should be available to those physicians. Individuals conducting reviews should be board certified in those specialties they are reviewing, and practice within the same community. If a difference of opinion still exists between the reviewer and the practicing physician, a second-opinion examination should be required by a board certified otolaryngologist in active practice or board certified surgeon in a related and appropriate discipline and in active practice.

Adopted 2/27/93
Reviewed 9/16/95
Revised 9/16/95

Guidelines are not a substitute for the experience and judgment of a physician and are developed to enhance the physicians' ability to practice evidence-based medicine.

Important Notice

The American Academy of Otolaryngology-Head and Neck Surgery, Inc. and Foundation (AAO-HNS/F) Policy Statements are guidelines only. In no sense do they represent a standard of care. The applicability of an indicator for a procedure, and/or of the process or outcome criteria, must be determined by the responsible physician in light of all the circumstances presented by the individual patient. Adherence to these guidelines will not ensure successful treatment in every situation. The AAO-HNS emphasizes that these policies should not be deemed inclusive of all proper treatment decisions or methods of care, nor exclusive of other treatment decisions or methods of care reasonably directed to obtaining the same results.

 

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Copyright 2009. American Academy of Otolaryngology — Head and Neck Surgery

American Academy of Otolaryngology — Head and Neck Surgery

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Phone: 1-703-836-4444