What is the purpose of concurrent review in healthcare?

The purpose of concurrent review in healthcare is primarily to monitor length of stays for medical necessity. This process takes place while a patient is still receiving care, allowing healthcare providers and payers to evaluate whether the medical treatment and services being provided are necessary for the patient's condition. By analyzing the appropriateness of the continued care in real-time, concurrent review plays a crucial role in ensuring that patients do not remain hospitalized longer than necessary, which can help in managing costs and improving overall patient care.

This review process supports the healthcare system's goal of providing necessary and effective treatment while preventing unnecessary expenditures, as it allows for expeditious decision-making regarding the continuation of care based on current clinical data and guidelines.