42 CFR 456.122 - Evaluation criteria for admission review.

§ 456.122 Evaluation criteria for admission review.
The UR plan must provide that—
(a) The committee develops written medical care criteria to assess the need for admission; and
(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.

Title 42 published on 2013-10-01

no entries appear in the Federal Register after this date.

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