Introduction for Health Care Providers and Administrators ...
{"Image DocumentName": "Utilization Management (UM) \u2013 Post-Acute Care", "Image ImageDescription": "PPO Medicare Advantage plans require preauthorizations for post- acute care for: Skilled nursing facilities, (SNF) Long-term acute care hospitals (LTACH) Inpatient rehabilitation facilities (IRF) Humana nurses review admission requests using InterQual criteria. Regional medical directors review 100% of LTACH and IRF admissions. Clinical associates review SNF cases for admission and continued stay review. UM helps facilitate the right care for right member in the right setting. UM helps prevent unnecessary long lengths-of-stay.", "Image XResolution": "37", "Image YResolution": "37", "Image ResolutionUnit": "Pixels/Centimeter", "Image Software": "SlidePlayer", "Image YCbCrPositioning": "Centered"}