What is the specifications manual for national hospital inpatient?

Specifications Manual for National Hospital Inpatient Quality Measures Discharges 07-01-19 (3Q19) through 12-31-19 (4Q19) Last Updated: Version 3.3 ACKNOWLEDGEMENT

When to use Asam as medical necessity criteria?

If no CMS criteria exists for Medicare members and for all non-Medicare members, identify relevant custom Medical Necessity Criteria. If no custom criteria exists for the applicable level of care and the treatment is substance use related, the American Society of Addiction Medicine (ASAM) criteria would be appropriate.

What are the medical necessity criteria for Beacon Health?

* Exception: Substance Use Lab Testing Criteria is in InterQual® Behavioral Health Criteria. If the level of care is not substance use related, Change Healthcare’s Interqual ® Behavioral Health Criteria would be appropriate. If 1-4 above are not met, Beacon’s National Medical Necessity Criteria would be appropriate.

When did the National Hospital Quality measures come out?

Specifications Manual for National Hospital Inpatient Quality Measures Discharges 07-01-19 (3Q19) through 12-31-19 (4Q19) Last Updated: Version 3.3 ACKNOWLEDGEMENT The Specifications Manual for National Hospital Inpatient Quality Measures (Specifications Manual)

Which is the specifications manual for Joint Commission?

Specifications Manual for Joint Commission National Quality Measures (v2021A1) Discharges 01-01-21 (1Q21) through 06-30-21 (2Q21) LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION (“CPT®”)

Where can I find the Medicare specifications manual?

[Version xx, Month, Year] is the collaborative work of the Centers for Medicare & Medicaid Services and The Joint Commission. The Specifications Manual is periodically updated by the Centers for Medicare & Medicaid Services and The Joint Commission. Users of the