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Inpatient Surgical Care & Case Management Guidelines | MCG
Goal Length of StayOptimal Recovery CourseEvidence Summaries, References, and FootnotesExtended StayPediatric GuidanceBenchmarks and Data WebsiteAdditional Criteria and InformationThe condition or diagnosis-specific length of stay reasonable for a substantial number of patients, assuming optimal recovery, decision-making, and health system design and performance.See more on mcg
Care Guidelines for Evidence-Based Medicine | MCG Health
Industry-Leading Evidence-Based Care Guidelines. Informed care leads to the best patient outcomes, avoiding underuse or overuse of medical resources. Evidence-based care guidelines from MCG help providers and health plans drive informed care in their own work and through the conversations that connect them.
Documentation of medical necessity | ACP Hospitalist
Dec 01, 2012These guidelines are intended to be used as screening tools, so clinical judgment with supporting documentation of medical necessity should take precedence. They are not intended as clinical practice standards of care or replacements for physician judgment and [PDF]
2016 NIA Clinical Guidelines for Medical Necessity Review
Guidelines for Clinical Review Determination Preamble NIA is committed to the philosophy of supporting safe and effective treatment for patients. The medical necessity criteria that follow are guidelines for the provision of diagnostic imaging. These criteria are designed to guide both providers and reviewers to the most appropriate diagnostic[PDF]
Acute Stroke Practice Guidelines for Inpatient Management
Acute Stroke Practice Guidelines for Inpatient Management of Ischemic Stroke and Transient Ischemic Attack (TIA), PS 01 Last Reviewed Date: 5/5/2010 Statement of Standard OHSU Hospitals and Clinics have adopted these practice guidelines in order to delineate a consistent,
Milliman or Interqual Criteria (standard recognized guidelines) to help determine if a patient will meet inpatient or observation status and can advise the physician Nurse case managers and social workers work with nursing, patients, ancillary staff, and physicians to [PDF]
Guidelines for the Prevention of Stroke in Patients With
experience a transient ischemic attack (TIA). 2 Although a TIA leaves no immediate impairment, affected individuals have a Abstract —The aim of this updated guideline is to provide comprehensive and timely evidence-based recommendations on the prevention of future stroke among survivors of ischemic stroke or transient ischemic attack.Cited by: 4636Publish Year: 2011Author: Walter N. Kernan, Bruce Ovbiagele, Henry R. Black, Dawn M. Bravata, Marc I. Chimowitz, Michael D. Ez..
Federal Guidelines or Milliman Care Guidelines Time for
Nov 23, 2011I received a heads up a little over a month ago that Milliman Care Guidelines had been adopted by CMS to determine appropriate level of care. I scoffed at the concept because federal guidelines that you and I get to review as proposed rule before they become final would certainly not be overridden with private company standards without little or no warning.
Transient Ischemic Attack Treatment & Management: Approach
TreatmentHealthDiagnosisPreventionRapid transport to hospital is essential to evaluate the patient who may have fleeting or stuttering symptoms. Fingerstick glucose testing can quickly rule out hypoglycemia. Intravenous (IV) access can be established, though transport should not be delayed for this. Collect all the patients prescription bottles.See more on emedicinecape
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