After care has been provided, which review process is utilized?

The review process that is utilized after care has been provided is known as Retrospective Review. This type of review involves evaluating the services provided to patients after the fact, assessing their appropriateness and the necessity of care based on the clinical information available at that time.

In a Retrospective Review, healthcare professionals analyze the documentation, treatment outcomes, and billing details to ensure that the care provided was justified and aligned with the established treatment guidelines. This process helps in identifying patterns of care, assessing the quality of services, and can highlight areas for improvement within the healthcare system.

On the other hand, Concurrent Review occurs during the course of treatment, where decisions are made about the ongoing care being provided. Utilization Review involves a broader assessment of the necessity and efficiency of services, which can be applied at various stages, including both concurrent and retrospective evaluations. Prospective Review takes place before care is delivered, focusing on pre-authorization and ensuring that planned services meet established criteria before they occur.

In summary, the Retrospective Review process is specifically focused on the evaluation of care provided after it has been delivered, making it the correct choice in this context.