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Back  RFI # 1235: 5010 278X217 Admission Review

Formal vs. Informal Help Informal Formal

Submitter

Minnie White

Description

In the event an Admission Review has been certified for a specific number of days, what Certification Type is used to request additional days before the service is rendered (prior to admission)?
What Certification Type is used to request additional days after the service is rendered (patient is already admitted)?

Submitter Assigned Keywords

Admission Review 5020 278X217 Certification Type

Response

1. The note on the S - Revised value of UM02 specifically states "use if the requester is revising the specifics of a certification for which services have not been rendered".

2. The note on the 4 - Extension value of UM02 specifically states "Indicates that this is an extension request to a prior approved service".
Submission 2/9/2011
Status Date 3/21/2011
Status F - Final
Primary References
Document 005010X217
Section2.4
Page155
Set IDHSD02
Table1
Loop2000E
Segment PositionHSD02