What does concurrent review by an insurer monitor?

Concurrent review by an insurer is a process that involves monitoring the ongoing care and treatment of patients during their hospital stay. This review typically focuses on assessing the medical necessity of the patient’s continued hospitalization and the appropriateness of the length of stay.

Insurers use concurrent reviews to determine if the treatment being provided is appropriate according to established guidelines and whether the patient still requires the level of care being provided. By evaluating the patient's condition and treatment plan while they are still in the hospital, the insurer can ensure that care remains necessary and that resources are being utilized efficiently.

The other options, such as monitoring the patient’s rehabilitation progress, medication prescribed during hospitalization, or insurance claim filing procedures, are not the primary focus of concurrent review. While these areas are important in the overall health care process, they do not specifically pertain to the ongoing evaluation of the need for continued hospitalization, which is what concurrent review emphasizes.