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RESOURCE GUIDE TO CASE MANAGEMENT - Optum

RESOURCE GUIDE TO CASE MANAGEMENT - Optum

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Jan 01, 2016 · the patient requires inpatient hospital care. • based solely on the basis of the expected or Post January 1, 2016, a claim should no longer be denied solely on the basis that the documentation did not support a reasonable expectation of a hospital stay lasting greater than two midnights. • Per regulation, claims review should now be

  Patients, Hospital, Claim, Stay, Hospital stay

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