42 C.F.R. § 456.132

Current through September 30, 2024
Section 456.132 - Evaluation criteria for continued stay

The UR plan must provide that-

(a) The committee develops written medical care criteria to assess the need for continued stay.
(b) The committee develops more extensive written criteria for cases that its experience shows are-
(1) Associated with high costs;
(2) Associated with the frequent furnishing of excessive services; or
(3) Attended by physicians whose patterns of care are frequently found to be questionable.

42 C.F.R. §456.132