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Psychiatric UR worksheet.

H Barnes

    Journal of Quality Assurance : a Publication of the National Association of Quality Assurance Professionals
    |January 4, 1989
    PubMed
    Summary
    This summary is machine-generated.

    This worksheet aids healthcare providers in gathering essential patient information for insurance reviews. It streamlines the process, ensuring smoother approvals for hospital admission and continued stay.

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    Area of Science:

    • Healthcare Administration
    • Clinical Documentation

    Background:

    • Increasing demands from third and fourth-party payors for admission and concurrent reviews.
    • Need for efficient information gathering to facilitate these reviews.

    Purpose of the Study:

    • To develop a worksheet that assists in information gathering for payor reviews.
    • To streamline the process of obtaining certification for patient admission and continued stay.

    Main Methods:

    • Development of a worksheet with specific left-margin headings.
    • Headings derived from common queries by psychiatric nurse reviewers.

    Main Results:

    • The worksheet serves as an aid for information gathering.
    • Addressing all information in the worksheet facilitates obtaining certification for admission or continued stay.

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    Conclusions:

    • The developed worksheet is effective in simplifying payor reviews.
    • Utilizing the worksheet improves the efficiency of securing patient care certifications.