Acute Day Services: Those services provided by a hospital to beneficiaries for whom the facilities, services, and equipment are medically necessary for diagnosis or treatment of a mental disorder meeting the medical necessity criteria. Administrative Day Services: Means psychiatric inpatient hospital services provided to a patient who has been admitted for acute psychiatric inpatient hospital services and the patient's stay must be continued beyond the patient's need for acute services due to a temporary lack of residential placement options. 1. During the hospital stay, the patient previously has met medical necessity criteria for acute psychiatric inpatient hospital services. 2. There is no appropriate, non-acute treatment facility in a reasonable geographic area and the hospital documents contacts with a minimum of five appropriate, non-acute treatment facilities per week subject to the following: a. CAT may waive the five contact requirements if there are fewer than five appropriate non-acute treatment facilities available, for instance, cardura lawsuit.
Guidelines An administrative database is any automated data used by the health plan or PO to manage delivery of health care services to members. This may include clinical registries or databases of electronic health records. When collecting data from an administrative database, the PO should adhere to the following guidelines. Information from an automated appointment scheduler used for measure reporting must be able to distinguish between scheduled and kept appointments; only kept appointments count toward measures The date of service is required for all services rendered All data elements specified in the measure e.g., dates of service, procedures, prescriptions ; must be identified as having been rendered by the time frame specified in the measure e.g., a mammogram during the measurement year or the year prior to the measurement year for the Breast Cancer Screening measure.

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