...be provided on an inpatient basis could, consistent with the provision of appropriate medical care, be effectively provided on an outpatient basis or...inpatient health care facility of a different type. (2) Section 1155(e) of the Act allows PSROs to use the services, and accept the findings, of hospital...

...inpatient basis, such services and items could, consistent with the provision of appropriate medical care, be effectively provided on an outpatient basis or...in, an inpatient health care facility of a different tvpe. "(2) Each Professional Standards Review Organization shall have the authority to determine, in...

...In the case of inpatient services, could, consistent with the provision of appropriate medical care, be effectively provided on an outpatient basis, or...inpatient health care facility of a different type. The decisions made by PSRO's with respect to these three issues are binding on Medicare intermediaries...

...and services cannot, consistent with professionally recognized health care standards, effectively be provided on an outpatient basis or more economically...inpatient health care facility of a different type, as determined in the exercise of reasonable limits of professional discretion ; or " ' (F) to determine...

...health care needs of such Individual cannot, consistent with the provision of appropriate medical care, be effectively provided on an outpatient basis or more economically In an Inpatlent health care facility of a different type ; "(B) Costs of or charges for services by physicians...

...inpatient basis, such services and items could, consistent with the provision of appropriate medical care, be effectively provided on an outpatient basis or...inpatient health care facility of a different type. "(2) Each Professional Standards Review Organization shall have the authority to determine, in advance,...

...inpatienl basis, such services and items could, consistent with the provision of appropriate medical care, be effectively provided on an outpatient basis or more economically in an inpatienl health care facility of a different type. "(2) Each Professional Standards Review Organization...

...inpatient basis, such services and items could, consistent with the provision of appropriate medical care, be effectively provided on an outpatient basis or...inpatient health care facility of a different type." It is argued that the doctor is not compelled to adhere to these prefabricated norms of care, diagnosis,...

...inpatient basis, such services and items could, consistent with the provision of appropriate medical care, be effectively provided on an outpatient basis or...inpatient health care facility of a different type." 42 USCA 1320C-4. Health care practitioners and providers of health care services also have specific...

...such services cannot, consistent with professionally recognized health care standards, effectively be provided on an outpatient basis or more economically...inpatient health care facility of a different type, as determined in the exercise of reasonable limits of professional discretion." The implication here...