What type of review occurs before the administration of healthcare services?

The correct answer, which is prospective review, refers to an evaluation process that occurs prior to the delivery of healthcare services. This type of review is essential for assessing the medical necessity and appropriateness of planned services or procedures, allowing for potential adjustments or authorizations before care is delivered.

Prospective review is valuable for healthcare providers and payers alike, as it helps to ensure that the services provided align with clinical guidelines and patient needs, ultimately managing healthcare costs and ensuring quality of care. By establishing criteria and benchmarks beforehand, providers can streamline the process and minimize the occurrence of unnecessary procedures.

In contrast, concurrent review takes place during the ongoing care of a patient, evaluating the necessity and appropriateness of services as they are provided. This type of review tracks the clinical progress and appropriateness of care in real-time but does not take place before services are rendered.

Retrospective review occurs after healthcare services have been delivered. It involves reviewing records and claims to evaluate the appropriateness of the care given, which can assist in identifying patterns of care, but it does not influence decisions before the services are administered.

Preadmission review is a specific type of prospective review that focuses solely on services needed before a patient is admitted, making it a narrower approach compared to