[Code of Federal Regulations]

[Title 42, Volume 4]

[Revised as of October 1, 2006]

From the U.S. Government Printing Office via GPO Access

[CITE: 42CFR456.143]



[Page 349]

 

                         TITLE 42--PUBLIC HEALTH

 

  CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF 

                  HEALTH AND HUMAN SERVICES (CONTINUED)

 

PART 456_UTILIZATION CONTROL--Table of Contents

 

                Subpart C_Utilization Control: Hospitals

 

Sec.  456.143  Content of medical care evaluation studies.



    Each medical care evaluation study must--

    (a) Identify and analyze medical or administrative factors related 

to the hospital's patient care;

    (b) Include analysis of at least the following:

    (1) Admissions;

    (2) Durations of stay;

    (3) Ancillary services furnished, including drugs and biologicals;

    (4) Professional services performed in the hospital; and

    (c) If indicated, contain recommendations for changes beneficial to 

patients, staff, the hospital, and the community.