Which term describes the insurer's monitoring of inpatient care to ensure discharge occurs on schedule?

• A. Prospective review
• B. Retrospective review
• C. Concurrent review
• D. Case management

Answer: (C)

Concurrent review is the process used to monitor a patient’s inpatient care while they are in the hospital, with the goal of ensuring the stay is appropriate and discharge occurs on schedule. It allows the insurer to track progress, authorize continued inpatient days as needed, and coordinate discharge planning and related services. Prospective review happens before admission to determine necessity, retrospective review happens after discharge to evaluate care, and case management is broader care coordination that can include discharge planning but is not limited to monitoring inpatient discharge timing.