Utilization Review User Guide - CPSI Application Documentation

Table of ContentsITable of ContentsChapter 1 IntroductionOverview ............................................................................................................... 1............................................................................................................... 1What's NewChapter 2 System Log On / OffOverview ............................................................................................................... 3............................................................................................................... 3Log On / Log Off............................................................................................................... 4Employee Sign On / Sign OffSigning On ......................................................................................................... To The System4Signing Off ......................................................................................................... The System5Chapter 3 Application AccessOverview ............................................................................................................... 7............................................................................................................... 7Accessing Utilization ReviewChapter 4 Form Maintenance............................................................................................................... 11Overview............................................................................................................... 11Accessing Form Maintenance............................................................................................................... 12Financial Class Category File............................................................................................................... 13Financial Class Criteria File Set UpGuidelines ......................................................................................................... For Creating A New Criteria File14Financial ......................................................................................................... Class Criteria File Maintenance16Utilization ......................................................................................................... Review Criteria Form (Sample)17Cross Reference ............................................................................................................... File18Commercial ......................................................................................................... Name Box18Financial ......................................................................................................... Class Cross Reference19Financial ............................................................................................................... Class Help File20Chapter 5 Patient Selection............................................................................................................... 21Overview............................................................................................................... 21Patient Selection Options............................................................................................................... 21Alphabetic Sequence Lookup............................................................................................................... 23Numeric Selection............................................................................................................... 24Numeric Sequence of Admissions............................................................................................................... 26Numeric Sequence Uncertified Patients............................................................................................................... 27Date Sequence Uncertified By Reviewer............................................................................................................... 28Date Sequence All Uncertified............................................................................................................... 30Denial Letter File