Subchapter C - UTILIZATION REVIEW
- § 371.200 - Inpatient Hospital Utilization Review Program
- § 371.201 - Case Selection Process
- § 371.203 - TMRP Review Process
- § 371.204 - Hospital Screening Criteria for TMRP, TEFRA, and Facility-Specific Per Diem Methodology Reviews
- § 371.206 - Denials and Recoupments for TMRP, TEFRA Hospitals, and Facility-Specific Per Diem Methodology Reviews
- § 371.208 - Appeals Related to Utilization Review Department Review Decisions
- § 371.210 - Inpatient Utilization Review for Hospitals Reimbursed Under TMRP and TEFRA Principles of Reimbursement and Facility-Specific Per Diem Methodology Reviews
- § 371.212 - Utilization Review of Nursing Facilities
- § 371.214 - HHSC-Approved Online RUG or Other HHSC-Required Training Course
- § 371.216 - Nursing Facility Clinical Records
- § 371.218 - Onsite and Desk Utilization Reviews of Nursing Facilities
- § 371.220 - Exit Conferences
- § 371.222 - Reconsideration of Utilization Review Results
- § 371.224 - Appeals of Reconsideration Results
- § 371.226 - Calculation of Overpayments and Underpayments
- § 371.228 - Recoveries
- § 371.230 - Waiver of Extrapolation
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.