Patient Stay definition
Examples of Patient Stay in a sentence
The IRO shall review the Patient Stay and all Paid Claims associated with each selected Patient Stay.
If the IRO accepts any supplemental documentation or materials from Diversicare after the IRO has completed its initial review of a Patient Stay selected as part of the Claims Review Samples (Supplemental Materials), the IRO shall identify in the Claims Review Report the Supplemental Materials, the date the Supplemental Materials were accepted, and the relative weight the IRO gave to the Supplemental Materials in its review.
The IRO shall request all documentation and materials required for its review of each Paid Claims associated with each Patient Stay selected as part of the Claims Review Sample and Diversicare shall furnish such documentation and materials for each Paid Claim associated with each Patient Stay selected as part of the Claims Review Sample to the IRO prior to the IRO initiating its review of a specific Patient Stay in the Claims Review Sample.
If the IRO accepts any supplemental documentation or materials from Guardian after the IRO has completed its initial review of a Patient Stay selected as part of the Claims Review Samples (Supplemental Materials), the IRO shall identify in the Claims Review Report the Supplemental Materials, the date the Supplemental Materials were accepted, and the relative weight the IRO gave to the Supplemental Materials in its review.
If the IRO accepts any supplemental documentation or materials from LCCA after the IRO has completed its initial review of the Rehab Therapy Services in a particular Patient Stay selected as part of the Rehab Review Samples (Supplemental Materials), the IRO shall identify in the Rehab Review Report the Supplemental Materials, the date the Supplemental Materials were accepted, and the relative weight the IRO gave to the Supplemental Materials in its review.
The IRO shall request all documentation and materials required for its review of each Paid Claims associated with each Patient Stay selected as part of the Claims Review Sample and FHS shall furnish such documentation and materials for each Paid Claim associated with each Patient Stay selected as part of the Claims Review Sample to the IRO prior to the IRO initiating its review of a specific Patient Stay in the Claims Review Sample.
The IRO shall request all documentation and materials required for its review of each Paid Claim associated with each Patient Stay selected as part of the Claims Review Sample and Essex shall furnish such documentation and materials for each Paid Claim associated with each Patient Stay selected as part of the Claims Review Sample to the IRO prior to the IRO initiating its review of a specific Patient Stay in the Claims Review Sample.
A narrative explanation of the IRO’s findings regarding factors noted Section A.4 above and supporting rationale (including adequacy of documentation, patterns noted, etc.) regarding whether the Rehab Therapy Services in each Patient Stay reviewed by the IRO were medically necessary and appropriate.
The IRO shall request all documentation and materials required for its review of each Paid Claim associated with each Patient Stay selected as part of the Claims Review Sample and NAHC shall furnish such documentation and materials for each Paid Claim associated with each Patient Stay selected as part of the Claims Review Sample to the IRO prior to the IRO initiating its review of a specific Patient Stay in the Claims Review Sample.
If the IRO accepts any supplemental documentation or materials from Whittier after the IRO has completed its initial review of a Patient Stay selected as part of the Claims Review Samples (Supplemental Materials), the IRO shall identify in the Claims Review Report the Supplemental Materials, the date the Supplemental Materials were accepted, and the relative weight the IRO gave to the Supplemental Materials in its review.