Examples of Continued stay review in a sentence
In the case of a Participant's Hospital admission and/or course of treatment where there is an admission for Emergency Care (including Maternity and Maternity-related conditions), a Continued Stay Review shall be initiated by or on behalf of the Participant within 48 hours of such admission.
The Continued Stay Review shall establish the appropriate length of stay for the admission.
The purpose of the Continued Stay Review shall be to determine the Medical Necessity of such admission, as well as the Medical Necessity of any continued hospitalization.
Pre-Admission Certification and Continued Stay Review (PAC/CSR) is a process performed through a utilization review program that is used to certify the medical necessity and length of any inpatient hospital confinement.
The term Medical Plan" means the benefits specifically described in Articles 3 and 7 and Section 2.07, subject to the applicable Copayments, Deductibles, Coinsurance, Annual Out-of-Pocket Limits, Pre-admission Review, Continued Stay Review and Case Management rules and other limits, exclusions, terms and conditions set out in this Plan.