Utilization Management

Inpatient Reviews

Notice of Admission Review
Admission to a facility for medical care.

Inpatient Request to Admit Review
Initial clinical review for admission from home to a long term acute care facility, acute inpatient rehab facility, or skilled nursing facility

Inpatient Admission Review
Initial clinical review for admission to inpatient acute medical hospital.

Inpatient Transfer Request
Transfer from an inpatient acute medical hospital to another facility including acute, long term acute care facility, acute inpatient rehab facility, or skilled nursing facility.

Inpatient Concurrent Review
Continued stay requests at an inpatient acute medical hospital including long term acute care facility, acute inpatient rehab facility, or skilled nursing facility located within a hospital.

Inpatient Retro Review
Request retrospective review for inpatient acute medical hospital, long term acute care facility, inpatient acute rehab, or skilled nursing facility.

Concurrent Review (LTAC/Rehab/SNF)
Continued stay requests at a long term acute care facility, acute inpatient rehab facility, or skilled nursing facility not located within a hospital.

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