What Bert Has To Say About Fresno Metro Area. Fresno is an agricultural and minor banking and financial center for the San Joaquin Valley, the southern half of Californiaâs famed agricultural Central Valley. Agriculture and some light manufacturing round out the private employment picture.
Retrospective Review. Utilization management may occur after care is provided, and usually after payment is made on the claim. This process, known as retrospective review, validates various aspects of a claim against the medical records, and the difference between the payment made and the correct payment is calculated for recovery.
Peer Review Definition. Peer review is the evaluation of creative work or performance by other people in the same field in order to maintain or enhance the quality of the work or performance in that field 1._______. 1 The word peer is often defined as a person of equal standing. However, in the context of peer review it is generally used in a broader sense to refer to people in the same profession who are of the same or higher ranking.