Where are the written UR policies and procedures filed?

• A. With the medical director
• B. With the administrative director
• C. With the board secretary
• D. With the hospital administrator

Answer: (B)

Written UR policies and procedures are administrative documents that guide how utilization review is conducted across the organization. They belong in the administrative policy manual overseen by the administrative director, who is responsible for maintaining, updating, and distributing policies to staff. This keeps clinical decision-making guided by medical standards under the medical director, while policy management and compliance remain with administration. The board secretary holds governance records, not day-to-day procedures, and the hospital administrator is the executive leader, but the specific owner for policy manuals is the administrative director.