What type of review approves healthcare services prior to their delivery?

The type of review that approves healthcare services prior to their delivery is known as Prospective Review. This process involves evaluating the necessity and appropriateness of proposed medical services before they are performed. The primary goal is to ensure that the services provided are in alignment with established guidelines and that they are likely to lead to optimal patient outcomes.

Prospective reviews are crucial for managing costs and resources effectively within the healthcare system, as they help prevent unnecessary procedures and ensure that patients receive the appropriate care based on their specific medical needs. This approach not only helps healthcare providers justify the services rendered but also protects patients from undergoing treatments that may not be beneficial.

In contrast, a Retrospective Review occurs after services have been delivered, typically analyzing the appropriateness of care and the billing after the fact. Concurrent Review involves ongoing evaluation of services as they are being delivered, while Utilization Management is a broader practice that encompasses various strategies, including both prospective and concurrent reviews, to ensure efficient and appropriate healthcare service delivery.