Who typically makes up a Utilization Review Committee?

The Utilization Review Committee is primarily responsible for assessing the appropriateness and necessity of healthcare services provided to patients. To fulfill this role effectively, the committee must consist of individuals with a blend of medical expertise and administrative oversight. This generally includes at least two physicians or practitioners who can provide clinical insights and make judgments based on medical necessity, along with leadership personnel from various departments who understand operational guidelines, compliance, and quality control.

This diverse composition ensures that the reviews conducted by the committee are well-informed from multiple perspectives, balancing clinical judgment with organizational policies and efficiency. Such collaborative input helps the committee in making decisions that improve patient care while also managing health care costs effectively.

The other groups mentioned, such as administrative staff alone, medical students and interns, or government officials and board members, do not bring the necessary combination of clinical expertise and departmental leadership needed for a comprehensive review process. Therefore, option B reflects the best practice for forming a Utilization Review Committee, making it the correct choice.