§ 456.132 - Evaluation criteria for continued stay.  


Latest version.
  • § 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.