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Utilization review and management: a primer.

URM, HIS, HMRI, DRG's, CMG'S, RIW's, etc. At the fall 1990 National Congress on Utilization Review and Management in Edmonton, Dennis Psutka referred to these as "alphabet soup". It is probable that many front line managers find many of these terms and abbreviations confusing, if not overwhelming. Intended as a primer, this manuscript will: define the key terms and concepts in utilization review and management; explain their interrelationships; and discuss why it is important for nurse managers to understand and use them, as the entire health care system struggles to achieve more with fewer resources.