Inpatient admission criteria

    • [DOC File]BHCP Eating Disorders Medical Necessity Criteria

      https://info.5y1.org/inpatient-admission-criteria_1_6d63f7.html

      Admission Criteria - Adult Protocol Level of Care (Must meet 4 out of 6 dimensions in each level of care. Check all boxes that apply in all dimensions) Client Name: Client ID# Date: Level I-A: Non-Intensive Outpatient Treatment Level I-B: Intensive Outpatient Treatment Level II-A: Non-Medical Commun.

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    • [DOCX File]Inpatient Utilization Management

      https://info.5y1.org/inpatient-admission-criteria_1_45a5a7.html

      To provide guidelines for review of rehabilitation facility admissions and define the criteria for authorization of rehabilitation services at either a long-term care (LTC) facility or an acute care facility to ensure that services that are delivered are medically appropriate and consistent with diagnosis and level of care required for each individual.

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    • [DOC File]Admission Criteria for Patients with Heart Failure ...

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      Inpatient Utilization Management ... a determination of medical necessity and appropriateness will be included in the prior authorization of the proposed admission. Using established criteria, most confinements can be pre-approved by the Nurse Coordinator. If a less expensive but equally effective care alternative is available and the patient's ...

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    • [DOCX File]Rehabilitation Guidelines for Acute and Skilled Nursing ...

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      A determination of clinical suitably for formal voluntary admission shall be based on one of the following criteria: a) The individual has a condition that the hospital director determines can benefit from the inpatient treatment that is offered by the hospital;

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    • Inpatient Admissions | Lindner Center of HOPE

      I. Admission Criteria for Patients with Heart Failure Presenting to the ED. or Ambulatory Clinics. A) All patients with ADHF who do not meet criteria for Intensive Care services should be admitted to the Internal Medicine or Family Medicine Hospitalist team on call. This includes both newly identified and previously diagnosed HF patients.

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    • [DOC File]Inpatient Psychiatric Services for Under Age 21 Section II

      https://info.5y1.org/inpatient-admission-criteria_1_bacc3a.html

      Services requesting reimbursement for an outpatient or emergency service that is separately reimbursable according to their contract when performed during an inpatient stay. A statement also will be required for outpatient or emergency services rendered more than 24 hours prior to the inpatient admission on the calendar day prior to admission.

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    • [DOC File]Contracted and Non-Contracted Inpatient Services (cont ip)

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      INPATIENT REHABILITATION. Initial Request. Required . Service Authorization. Information. Provider contact name: Provider contact number: Out of state providers, located close to the proximity of the VA State line and who are enrolled with Virginia Medicaid as a provider class type 085 (Out of State Rehab Hospital) need to determine and document evidence that one of the following items are met ...

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    • [DOC File]Adult Diagnostic Assessment.cdr - ADAMHSCC

      https://info.5y1.org/inpatient-admission-criteria_1_d9ec59.html

      Inpatient Admission Following Outpatient Services—for Discharge Date on or after October 1, 2015 . Include outpatient services provided immediately before an inpatient admission on the inpatient claim regardless of discharge date; however, the definition of covered days changed as of October 1, 2015.

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    • Formal Voluntary Admission Application - Adult

      Acute Inpatient Level of Care. Medical Necessity Criteria for Admission: 1. There is a DSM-IV diagnosis of Anorexia Nervosa (307.1) or Bulimia Nervosa, Purging Type (307.51) or Eating Disorder NOS (307.5).

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    • Inpatient-Hospital-Services_dhs16_176452

      If the beneficiary meets criteria of medical necessity and need for inpatient treatment, the Independent CON Review Team clinician and psychiatrist will issue an approval of the admission and an initial length of stay not to exceed thirty (30) days.

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