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 is the evaluation of work by one or more people of similar competence to the producers of the work (peers). It constitutes a form of self-regulation by qualified members of a profession within the relevant field.