Transcription of Quality Improvement Organization Manual
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Quality Improvement Organization Manual Chapter 4 - Case Review Table Of Contents (Rev. 18, 10-10-14) Transmittals for Chapter 4 MANDATORY CASE REVIEW REQUIREMENTS 4000 - Introduction 4010 - Anti-dumping Violations 4020 - Assistants at Cataract Surgery 4030 - Beneficiary Complaints 4040 - Hospital and Medicare + Choice Organization (M+CO) Notices of Non-coverage 4050 - Hospital-requested Higher-weighted Diagnosis Related Groups (DRG) Assignments 4060 - Potential Concerns Identified During Project Data Collection (PDC) 4070 - Referrals BASIC CASE REVIEW ACTIVITIES 4100 - Introduction 4105 - Quality Review 4110 - Admission/Discharge Review 4115 - Invasive Procedure Review 4120 - Length-of-Stay Review 4125 - Coverage Review 4130 - DRG Validation Review ADDITIONAL CASE REVIEW ACTIVITIES 4200 - Introduction 4210 - Outlier Review 4230 - Limitation on Liability Determinations 4240 - Readmission Review 4250 - Transfer Review 4255 - Circumvention of Prospective Payment System (PPS) 4260 - Onsite Review INTEGRATED CASE REVIEW/PHYSICIAN REVIEWER ASSESSMENT FORMAT (PRAF) 4300 - Introduction 4305 - Non-physician Review 4310 - First Level Physician Review 4312 - Action Following Opportunity for Discussion 4315 - Sec
Quality Improvement Organization Manual . Chapter 4 - Case Review . Table Of Contents (Rev. 18, 10-10-14) Transmittals for Chapter 4. MANDATORY CASE REVIEW REQUIREMENTS
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CONTINUOUS QUALITY IMPROVEMENT, Quality, Chapter 11 QUALITY IMPROVEMENT QI, QUALITY IMPROVEMENT Chapter 11 QUALITY IMPROVEMENT QI, QUALITY IMPROVEMENT, Achieving Adult Education Program Quality, Systematic Approaches to Program Improvement, Continual Improvement Auditing, The Health Care Quality Improvement Act, World Health Organization