Pre-Admission Certification-Continued Stay Review (PAC-CSR): The process through which the reviewer evaluates the attending physician's request for admission to an acute care hospital and length of stay. Medical necessity is determined using established criteria. If PAC/CSR is part of the health benefit plan, the admission or continued stay must be certified for full payment of a claim.

 

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Pre-Admission Certification-Continued Stay Review (PAC-CSR): The process through which the reviewer evaluates the attending physician's request for admission to an acute care hospital and length of stay. Medical necessity is determined using establish . . . View Full Definition

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