Long-term Care Facility Administration: Case Study Manual

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Lois A. Crooks
Division of Health Resources, Nursing Home Branch, 1970 - 216 pages
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Page 14 - ... with one or more hospitals which have entered into agreements with the Secretary to participate in the program. (See paragraph (e) of this section where facility attempted to enter into a transfer agreement.) (a) Standard; patient transfer. The transfer agreement provides reasonable assurance that transfer of patients will be effected between the hospital and the extended care facility whenever such .transfer is medically appropriate as determined by the attending physician. The factors explaining...
Page 20 - ... meetings ; (3) The type of records to be kept; (4) The method to be used in selecting cases on a sample or other basis ; (5) The definition of what constitutes the period or periods of extended duration; (6) The relationship of the utilization review plan to claims administration by a third party; (7) Arrangements for committee reports and their dissemination; (8) Responsibilities of the hospital's administrative staff.
Page 20 - ... which is established by the local medical society and some or all of the hospitals and extended care facilities in the locality, or...
Page 36 - ... (2) has policies, which are developed with the advice of (and with provision of review of such policies from time to time by) a group of professional personnel, including one or more physicians and one or more registered professional nurses...
Page 36 - ... approved by the Council on Medical Education of the American Medical Association in collaboration with the American Physical Therapy Association or its equivalent.
Page 20 - Costs incurred in connection with the implementation of the utilization review plan are includable in reasonable costs and are reimbursable to the hospital to the extent that such costs relate to health insurance program beneficiaries.
Page 8 - NOV. 22, 1966] 405.426 Compensation of owners. (a) Principle. A reasonable allowance of compensation for services of owners is an allowable cost, provided the services are actually performed in a necessary function.
Page 14 - In witness whereof the parties hereto have executed this Agreement, the day and year first above written.
Page 14 - Interchange of medical and other information necessary or useful In the care and treatment of individuals transferred between...

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