42 C.F.R. § 456.143   Content of medical care evaluation studies.


Title 42 - Public Health


Title 42: Public Health
PART 456—UTILIZATION CONTROL
Subpart C—Utilization Control: Hospitals
UR Plan: Medical Care Evaluation Studies

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§ 456.143   Content of medical care evaluation studies.

Each medical care evaluation study must—

(a) Identify and analyze medical or administrative factors related to the hospital's patient care;

(b) Include analysis of at least the following:

(1) Admissions;

(2) Durations of stay;

(3) Ancillary services furnished, including drugs and biologicals;

(4) Professional services performed in the hospital; and

(c) If indicated, contain recommendations for changes beneficial to patients, staff, the hospital, and the community.

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