What service management task is an occupational therapist performing when reviewing the department’s resources for medical necessity and cost efficiency?

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The task of reviewing the department’s resources for medical necessity and cost efficiency is best categorized as a utilization review. This process involves evaluating the appropriateness and necessity of the services provided, ensuring they meet established guidelines and regulations for patient care while also considering the costs involved.

In the context of healthcare, utilization review is crucial for optimizing resource allocation, controlling costs, and ensuring that patient care remains effective and evidence-based. By conducting a utilization review, an occupational therapist contributes to making informed decisions that benefit not only the clients but also the healthcare provider by maintaining financial viability.

Quality assurance focuses more on the processes and outcomes of care delivery rather than specifically analyzing resource use for cost efficiency. Financial forecasting pertains to predicting future financial outcomes based on historical data and various economic indicators, which is not about reviewing current resources. Client satisfaction assessment directly investigates how well services meet patient needs and expectations, rather than evaluating the costs or necessity of those services.

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