Overutilization or "underutilization" means the use of a drug in such quantities that the desired therapeutic goal is not achieved.
Overutilization means the use of a drug in quantities or for durations that put the recipient at risk of an adverse medical result.
Overutilization means the utilization or the furnishing of and billing for Medicaid care, goods, or services that are in excess of those that reasonably would be expected to benefit the health of a recipient based on the recipient's disease or diagnosis and on generally accepted professional standards of health care.
Examples of Overutilization in a sentence
Utilization Management Vendor: The Contractor shall establish a relationship and communication channels with the Department’s utilization management (UM) vendor to leverage Member programs and services, such the Nurse Advice Line and the Client Overutilization Program (COUP).
Overutilization for commercial, recreational, scientific, or educational purposes.
Overutilization, or attempted overutilization, of the TennCare Pharmacy Program which justifies placement on lock-in status for all enrollees involved.
Waste — Overutilization or inappropriate utilization of services and misuse of resources, and typically is not a criminal or intentional act.
Overutilization for Commercial, Recreational, Scientific, or Educational PurposesC.
More Definitions of Overutilization
Overutilization means the use of a drug in quantities or for durations that put the
Overutilization means the Customer using the maximum available allocated Bandwidth on their Dedicated Access Circuit/Broadband Access Circuit;
Overutilization means to use medical services at a frequency or amount that is more than customary.
Overutilization or "underutilization" means the use of a drug in such quantities that
Overutilization means the use of a drug in quantities or for durations that put the recipient at risk
Overutilization means provision of services that were not clearly indicated, or provision of services that were indicated in either excessive amounts or in a higher-level setting than appropriate.
Overutilization means use of a drug in quantities, or for duration that puts the recipient at risk of an adverse medical result.