What Bert Has To Say About Fresno Metro Area. Fresno is an agricultural and minor banking and financial center for the San Joaquin Valley, the southern half of Californiaâs famed agricultural Central Valley. Agriculture and some light manufacturing round out the private employment picture.
Retrospective Review. Utilization management may occur after care is provided, and usually after payment is made on the claim. This process, known as retrospective review, validates various aspects of a claim against the medical records, and the difference between the payment made and the correct payment is calculated for recovery.
A retrospective study is a study that looks backwards in time. For example, we find people that are already dead and try to figure out why they died. A retrospective study is fast. Since the subjects are already dead; we just have to tabulate all the results. The one problem is that it's hard to interview a dead person. In contrast, a prospective study looks forward in time. For example, we select a group of subjects and sit around and watch them for a decade.