Section 456.432 - Evaluation criteria for continued stayThe UR plan must provide that-
(a) The group performing UR develops written criteria to assess the need for continued stay.(b) The group 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.