Admission review definition

Admission review means the evaluation of an individual's need for institutional care, goods, or services in accordance with established medical care and related criteria, including a determination of whether community based care is a viable alternative to institutionalization.
Admission review to determine whether an unscheduled inpatient admission, or admission not subject to Pre-Admission Review, is Medically Necessary.

Examples of Admission review in a sentence

  • Admission review is performed within one (1) business day of knowledge of admission.

  • Admission, review, and dismissal committee meetings [see EHBAB];3.

  • The Covered Person is responsible for ensuring that Pre- Admission review or Prior Authorization has occurred.

  • When you call the Mental Health Unit, a case manager may be assigned to you for the duration of your care.S Emergency Mental Illness Admission and Substance Use Disorder ReviewEmergency Mental Illness Admission review is not a guarantee of benefits.

  • Admission, review, and dismissal committee members shall meet in conjunction with language proficiency assessment committee members to review the educational needs of each English language learner who qualifies for services in the special education program.

  • Admission review is required for admissions; you pay a $300 penalty for covered facility services if not obtained.

  • Admission review is required when a patient is transferred to NICU and will conduct continued stay reviews for NICU as per the payer requirements.

  • Students must submit a new application that is subject to the Director of Admission review.

  • Admission review of patient records for the purpose of determining appropriate level of care, certifying admissions and making initial assignment of appropriate lengths of stay using established criteria.

  • Admission review involves the determination of the type of admission, either emergency or urgent, and documentation that acute care is the appropriate level of care for the patient’s illness or condition.

Related to Admission review

  • Evaluation Team means the team appointed by the City; “Information Meeting” has the meaning set out in section 2.2;

  • Peer review means evaluation of professional services rendered by a professional practitioner.

  • Clinical review criteria means the written screening procedures, decision abstracts, clinical protocols, and practice guidelines used by a health carrier to determine the necessity and appropriateness of health care services.

  • 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.

  • Finalist means an Offeror who meets all the mandatory specifications of this Request for Proposals and whose score on evaluation factors is sufficiently high to merit further consideration by the Evaluation Committee.

  • RFP means Request for Proposal.

  • Evaluation Report means a report on the evaluation of tenders prepared under CSO 12