Secondary Review for Medically Necessity Hospital Admission
- Issuer: El Paso County Hospital District (University Medical Center)
- What they’re seeking: A vendor/physician advisor service to perform second-level reviews on inpatient cases that failed the hospital’s first-level InterQual review.
- Purpose: Determine if an inpatient admission is medically necessary and defensible, help reduce denials, and support hospital Case Manager…
El Paso County Hospital District d/b/a University Medical Center is seeking proposals to assist hospital Case Managers after a first level review is performed utilizing Inter Qual criteria. The hospital desires a second level review of the failed inpatient cases by a physician advisor and accom…
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