Medical record review the clinical service quality review csqr program is a continuous quality improvement program that measures and evaluates medical record documentation of care as well as timeliness and quality of service. Utilization management may be performed by contracted vendors who may request medical records for review based on the members plan if the vendors request for medical records does not receive a response the claim may not be paid. Medical record review guidelines california department of health services medi cal managed care division purpose medical record survey guidelines provide standards directions instructions rules regulations perimeters or indicators for the medical record survey and shall used as a gauge or touchstone for measuring evaluating assessing and making decisions. Record organization using a systematic and structured approach we retrieve and organize medical records and chronologically categorize them into required groups thus making it easy to analyze and review. When medical records are used for research irb prior review and approval are required collection of clinical data associated with human specimens to be used in research
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