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.
The retrospective chart review (RCR), also known as a medical record review, is a type of research design in which pre-recorded, patient-centered data are used to answer one or more research questions [1].