Commission for Case Manager Certification (CCMC) Practice Exam 2025 - Free Case Manager Certification Practice Questions and Study Guide

Utilization review plays a crucial role in safeguarding a patient's rights by employing a methodical approach to evaluating past treatment decisions. This process involves a thorough analysis of the appropriateness, necessity, and efficiency of healthcare services that were provided to patients. By examining historical data and treatment outcomes, utilization review ensures that care aligns with established standards and guidelines. It helps identify any discrepancies or areas of concern regarding patient care, thereby reinforcing the commitment to patient rights and the quality of care delivered.

This systematic evaluation ensures that patients receive the appropriate care based on clinical evidence, while also providing a framework to address any potential issues. By focusing on past treatment decisions, utilization review fosters accountability and transparency within healthcare practices, thus supporting patient autonomy, informed consent, and the right to receive care that meets their unique needs.