Intersection of http://terminology.hl7.org/CodeSystem/medical-management-type and http://terminology.hl7.org/CodeSystem/medical-management-type

This is the CodeSystem that contains codes in both Medical Management Type (http://terminology.hl7.org/CodeSystem/medical-management-type) and Medical Management Type (http://terminology.hl7.org/CodeSystem/medical-management-type).

Structure

Generated Narrative: CodeSystem 8b15b299-cfe0-4522-854e-5be847352001-564

This code system http://hl7.org/fhir/comparison/CodeSystem/8b15b299-cfe0-4522-854e-5be847352001-564 defines codes, but no codes are represented here

CodeDisplayDefinition
concurrent-review Concurrent ReviewReview of medical necessity while the patient is actively receiving treatment.
prior-auth Prior AuthorizationReview of medical necessity prior to receiving treatment.
step-therapy Step Therapy (Fail First)Requirement that lower cost or preferred treatments be tried, or perhaps contra-indicated, before alternatives are utilized. This policy is sometimes referred to as 'fail first'.