With whom should UR policies and procedures be filed?

• A. Administrative director
• B. Medical director
• C. Workers compensation appeals board
• D. Director of Industrial relations

Answer: (A)

Filing Utilization Review (UR) policies and procedures with the administrative director is crucial because this role typically oversees the operational and regulatory compliance aspects of an organization. The administrative director is responsible for ensuring that the procedures align with legal requirements and organizational standards. By filing UR policies with this individual, you help facilitate proper governance, monitoring, and implementation of the UR process within the company, promoting accountability and effective management.

The administrative director’s position usually encompasses a broad understanding of the organizational framework and its compliance obligations, positioning them as the ideal person to handle these policies. This distinction is vital in ensuring that all procedural guidelines are not only created but also monitored, revised, and applied consistently across the organization, which contributes to a more effective utilization review process.