Utilization Review Certification Test

The Utilization Review Certification Test is a free intermediate-level, 20-minute skill test from Science of Apps. It tests utilization review and management knowledge — medical necessity criteria such as InterQual and MCG, levels of care and Medicare rules like the two-midnight rule, review processes, denials and appeals, and documentation, communication and compliance — as used by UR nurses and case managers in 2026 and 2027. Score 70% or more on its 20 questions to earn a verifiable Utilization Review certificate (SOA-UR). Every question is based on published standards and research — including CCM Certification and exam content (Commission for Case Manager Certification), Medicare Benefit Policy and Conditions of Participation (Centers for Medicare & Medicaid Services), InterQual criteria for medical necessity (Optum) — and each answer is explained with its source.

Take the free Utilization Review Certification Test on Science of Apps. It tests medical necessity criteria (InterQual and MCG), levels of care, and appeals against a 2026–2027 syllabus, and passing earns a verifiable certificate you can add to LinkedIn.

Read the four skill areas on this page, then take the 20-minute test online — no fee, course or sign-up. You see every answer explained when you finish. Score 70% or more and you get a Utilization Review certificate straight away, on screen, as a PDF and by email, with a credential ID anyone can verify.

Yes. The questions are original scenarios written by Science of Apps, and each one is based on a public source you can read: CCM Certification and exam content (Commission for Case Manager Certification); Medicare Benefit Policy and Conditions of Participation (Centers for Medicare & Medicaid Services); InterQual criteria for medical necessity (Optum); Medicare appeals process (Centers for Medicare & Medicaid Services); Standards of Practice for Case Management (Case Management Society of America); MCG care guidelines (MCG Health (Hearst Health)). The source is shown under each question and linked in the answer review. Science of Apps doesn't copy questions from other tests.

Four skill areas with five questions each, drawn from a bank of 10 per area so a retake brings new questions: Medical Necessity and Criteria (InterQual and MCG, Clinical judgement and Documentation needs); Levels of Care and Medicare Rules (Inpatient vs observation, Post-acute levels and Two-midnight rule); Denials, Appeals and Compliance (Denials, Appeals process and Regulations and accreditation); Communication, Discharge Planning and Documentation (Communicating with teams, Discharge planning and Reviewer documentation). Every question is an original scenario written to the 2026–2027 standard, with the published source named under it.

Utilization review nurse, Utilization management specialist, Case manager, Clinical documentation specialist and Payer clinical reviewer. It suits anyone who wants a quick, verifiable way to show Utilization Review knowledge in 2026 and 2027, from students and career switchers to experienced professionals.

Several exist, such as McKesson/Change Healthcare InterQual credentials, ABQAURP's HCQM and URAC-aligned training. This independent test checks the shared knowledge — criteria, levels of care, appeals and compliance.

Yes. Most roles require an RN or LPN licence plus acute-care experience, because reviewers apply clinical judgement alongside criteria.

Yes. The test is online, in English and free everywhere — people take it from India, the US, the UK, Europe, Africa, Latin America and Asia-Pacific. Your certificate is dated with your own local date and can be verified from anywhere at scienceofapps.com/certification/verify/.

20 questions — 5 from each of 4 skill areas — with a 20-minute limit. You need 70% (14 of 20) to pass and 90% for distinction.

We rate it Intermediate: assumes hands-on experience in the role. It has 20 scenario questions — 5 from each of 4 skill areas — and a 20-minute limit. You need 70% (14 of 20) to pass and 90% for distinction.

Nothing. There is no fee to take a test, to receive the certificate, to have it emailed or to verify it, and no sign-up.

On our server, not in your browser. The answers never reach the page until you submit, so a certificate can only be earned by passing. Each certificate gets a unique credential ID stored by Science of Apps.

You see your score for each area and every question with the correct answer and why, with the published source behind it. You can retake after 30 minutes, and the retake draws questions you haven't seen yet.

No. Every certificate is dated, so it always shows when you passed. Retake a test any time for a newer date or a higher score.

Yes. After you pass, Add to LinkedIn opens the Licenses & certifications form with the certificate name, Science of Apps as the issuer, the issue date, your credential ID and the verification link filled in. You can also download it as a PDF or PNG, and it's emailed to you as a PDF.

Every certificate has a credential ID and a QR code. Scanning it, or entering the ID at scienceofapps.com/certification/verify/, shows the holder's name, the certification, the score and the issue date from our records.

No. They are Science of Apps' own assessments of applied skill. They aren't issued by a university or standards body, and they work best alongside a portfolio that shows the skills in real work.