Continued stay review definition

Continued stay review means a review of a client's functioning to determine the need for further services to achieve or maintain service goals and objectives.
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Continued stay review means a periodic, supplemental, or interim review of a resident performed by a Department health care professional either by telephone or on-site review.
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Continued stay review means the process required for Title XIX funding by which stays in inpatient hospitals (42 CFR
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Examples of Continued stay review in a sentence

  • Continued stay review may be required for any subsequent days, but not more frequently than at two-week intervals.

  • When a resident leaves the facility during the month, any unused portion of the resident’s income shall be refunded.This rule is intended to implement Iowa Code section 249A.12.[ARC 8207B, IAB 10/7/09, effective 12/1/09; ARC 8446B, IAB 1/13/10, effective 2/17/10; ARC 0582C, IAB 2/6/13, effective 4/1/13]441—82.11(249A) Continued stay review.

  • Continued stay review requests are received and processed by nurse reviewers.

  • When a resident leaves the facility during the month, any unused portion of the resident’s income shall be refunded.This rule is intended to implement Iowa Code section 249A.12.[ARC 8207B, IAB 10/7/09, effective 12/1/09; ARC 8446B, IAB 1/13/10, effective 2/17/10] 441—82.11(249A) Continued stay review.

  • Utilization Management(1) Prior authorization is not required.(2) Continued stay review not required.

  • Continued stay review can be performed telephonically.Concurrent review is performed prior to the expiration of the assigned length of stay.

  • Yin, Rusheng, Jiantao Xu, Zhou Li, and Can Liu, “China’s Ecological Rehabilitation: The Unprecedented Efforts and Dramatic Impacts of Reforestation and Slope Protection in Western China,” China Environment Series, Issue 7 (Washington, DC: Woodrow Wilson Center, 2005), 17-32.

  • Continued stay review" means a review of aclient's child/adolescent's functioning to determine the need for further services to achieve or maintain service goals and objectives.

  • Continued stay review for OB / normal newborn will be required when the patient stays past the global days of 2 after vaginal delivery or 4 days after C-section delivery.

  • When a resident leaves the facility during the month, any unused portion of the resident’s income shall be refunded.This rule is intended to implement Iowa Code section 249A.12.[ARC 8207B, IAB 10/7/09, effective 12/1/09; ARC 8446B, IAB 1/13/10, effective 2/17/10; ARC 0582C, IAB 2/6/13, effective 4/1/13] 441—82.11(249A) Continued stay review.


More Definitions of Continued stay review

Continued stay review means a review used to determine that a members stay in a service is medically necessary and that care is being rendered at the appropriate level.
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Continued stay review means the review of a Hospital admission to determine if it is Medically Necessary to continue to be a bed patient.
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Continued stay review means a reassessment by the case manager to determine the Client’s
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Continued stay review means a review used to determine that a member’s continued stay in a service is medically necessary and that care is being rendered at the appropriate level of care or service intensity.
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Continued stay review means a periodic, supplemental, or interim review of clinical information for an LTAC member.
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Continued stay review means the process required for Title XIX funding by which stays in inpatient hospitals (42 CFR 456.128 to 132), inpatient psychiatric facilities inclusive of residential treatment centers and subacute facilities (42 CFR 441.155(c), and mental hospitals (42 CFR 456.233 to 238) are reviewed to determine the medical necessity and appropriateness of continuation of the member's stay at an inpatient level of care.
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Related to Continued stay review

  • Expedited review means an examination, in accordance with

  • Drug utilization review means an evaluation of a prescription drug order and patient records for

  • Independent testing laboratory means an independent organization, accepted by the Contracting Officer, engaged to perform specific inspections or tests of the work, either at the site or elsewhere, and report the results of these inspections or tests.

  • Independent educational evaluation means an evaluation conducted by a qualified examiner who is not employed by the public agency responsible for the education of the child in question.

  • Medical Review Officer (MRO means a licensed M.D. or D.O. with knowledge of drug abuse disorders, employed or used by the City to review drug results in accordance with this procedure.

  • Chemical dependency professional means a person certified as a chemical dependency professional by the department of health under chapter 18.205 RCW.

  • Independent review organization means an entity that is accredited to conduct independent external reviews of adverse benefit determinations.

  • Medical examination means the preliminary assessment of a person by an authorized health worker or by a person under the direct supervision of the competent authority, to determine the person’s health status and potential public health risk to others, and may include the scrutiny of health documents, and a physical examination when justified by the circumstances of the individual case;

  • Free appropriate public education means special education and related services that:

  • Medical Review Officer (MRO) means a licensed physician responsible for receiving and reviewing laboratory results generated by the school district’s drug testing program and for evaluating medical explanations for certain drug tests.

  • Utilization review means the prospective (prior to), concurrent (during) or retrospective (after) review of any service to determine whether such service was properly authorized, constitutes a medically necessary service for purposes of benefit payment, and is a covered healthcare service under this plan. WE, US, and OUR means Blue Cross & Blue Shield of Rhode Island. WE, US, or OUR will have the same meaning whether italicized or not. YOU and YOUR means the subscriber or member enrolled for coverage under this agreement. YOU and YOUR will have the same meaning whether italicized or not.

  • Outpatient status means, with respect to a covered servicemember who is a current member of the Armed Forces, the status of a member of the Armed Forces assigned to:

  • Participating Certified Nurse-Midwife means a Certified Nurse-Midwife who has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.

  • Supervisory Review means ongoing clinical case reviews in accordance with procedures developed by ADMINISTRATOR, to determine the appropriateness of Diagnosis and treatment and to monitor compliance to the minimum ADMINISTRATOR and Medi-Cal charting standards. Supervisory review is conducted by the program/clinic director or designee.

  • psychiatric emergency medical condition means a Mental Disorder that manifests itself by acute symptoms of sufficient severity that it renders the patient as being either of the following:

  • Peer-reviewed medical literature means a scientific study published only after having been critically

  • Utilization review organization means an entity that conducts utilization review, other than a health carrier performing a review for its own health benefit plans.

  • Designated chemical dependency specialist means a person

  • Participating Clinical Professional Counselor means a Clinical Professional Counselor who has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.

  • Specific learning disability (SLD) means a heterogeneous group of conditions wherein there is a deficit in processing language, spoken or written, that may manifest itself as a difficulty to comprehend, speak, read, write, spell, or to do mathematical calculations and includes such conditions as perceptual disabilities, dyslexia, dysgraphia, dyscalculia, dyspraxia and developmental aphasia.

  • Adult abuse means the willful infliction of physical pain, injury or mental anguish or unreasonable

  • Utilization review plan or "plan" means a written procedure for performing review.

  • Participating Certified Clinical Nurse Specialist means a Certified Clinical Nurse Specialist who has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.

  • Dependent adult means a person 18 years of age or older who is unable to protect the person’s own interests or unable to adequately perform or obtain services necessary to meet essential human needs, as a result of a physical or mental condition which requires assistance from another.

  • Medicaid Notification of Termination Requirements Any Contractor accessing payments for services under the Global Commitment to Health Waiver and Medicaid programs who terminates their practice will follow the Department of Vermont Health Access, Managed Care Organization enrollee notification requirements.

  • Emergency medical condition means a medical condition manifesting itself by acute symptoms of recent onset and sufficient severity (including severe pain), such that a prudent layperson, who possesses an average knowledge of health and medicine, could reasonably expect the absence of immediate medical care could result in: