Transcription of Inpatient, Outpatient and Observation: Medicare …
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Inpatient, Outpatient and Observation: Medicare …
KY-TN ACMA. Franklin, TN. Sept 6, 2012. inpatient , Outpatient and observation : Medicare Rules and Regs in Practice (Part 1). Steven J. Meyerson, , Vice President, Regulations and Education Group Accretive Physician Advisory Service Confidential and Proprietary. Any use or disclosure to non-clients is not authorized. RAC Regions 2. Medicare Requires Screening of Admissions screening criteria must be used by the UM. staff to screen admissions . The criteria used should screen both severity of illness (condition) and intensity of service (treatment). Cases that fail the criteria [for admission] should be referred to physicians for review. Medicare Hospital Payment Monitoring Program Workbook Confidential and Proprietary 3. Condition of Participation: UR Plan Required The hospital must have in effect a utilization review (UR) plan that provides for review of services furnished by the institution and by members of the medical staff to patients entitled to benefits under the Medicare and Medicaid programs.
Inpatient, Outpatient and Observation: Medicare Rules and Regs in Practice (Part 1) Confidential and Proprietary. Any use or disclosure to non-clients is not authorized.
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