preadmission certification

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[prē′ədmish′ən]

a system whereby physicians are required to obtain advance approval for nonemergency admission of Medicare, Medicaid, and managed care patients to hospitals, as well as most third-party payers. The system is intended to determine whether the patient can be treated as an outpatient or in another, less expensive manner than hospitalization. Emergency admissions require post hoc approval. Also called precertification.

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precertification			For example, techniques such as preadmission certification and second surgical opinions are widespread among indemnity plans. When Doctors Join Unions by Diaz, Iris S. / Monthly Labor Review The insurer usually charges the employer for utilization management services, including preadmission certification, concurrent review, and retrospective analysis of claims, to "manage" providers and control their tendencies to treat patients with too many services. Informatics for the transition from managed care to organized care by Ruffin, Marshall / Physician Executive We also introduced utilization management programs like preadmission certification and mandatory second surgical opinions. How to launch a managed-care effort by Hennessy, Edward L., Jr. / Directors & Boards			prayer Prayer Warrior praying posture prazepam praziquantel prazosin prazosin HCl prazosin hydrochloride PRB PRD PRE Pre Code Pre Med pre- pre-beta-lipoprotein Pre-eclampsia and eclampsia pre-ejection period pre-embryo pre-excitation pre-implantation diagnosis pre-mRNA pre-op pre-op time pre-operative autologous donation pre-procedure readiness preadmission certification preadmission testing preadolescence preadult preagonal preagonal ascites prealbumin prealbumin test preameloblast preanal preanesthesia preanesthetic preanesthetic medication preantiseptic preaortic node preaseptic preauricular preauricular lymph nodes preauthorization preautomatic pause preaxial prebetalipoprotein prebetalipoproteinemia prebiotic prebiotics prebloom			Preacquaintance preacquisition profit PREACS Preact Preaction Preaction Calibration preaction sprinkler system Preadamic Preadamite Preadamitic preadapt preadapt preadaptation preadaptation preadaptations preadaptations preadapted preadapted preadapting preadapting preadapts preadapts Preadipocytes Preadipocytes Preadipocytes Preadjustment Preadministration Preadmission Preadmission and Concurrent Review Service Preadmission Autologous Blood Donation preadmission certification preadmission testing Preadmonish Preadmonition preadolescence preadolescence preadolescent preadolescent Preadolesent Preadolesent preadult preadult Preadvertise preagonal preagonal ascites preagricultural Preah Bat Samdech Preah Norodom Sihanouk Preah Bat Samdech Preah Norodom Sihanouk Preah Seihanu Preah Sihanouk Preakness Preakness Preakness Stakes Preakness Stakes PREAL Prealbumin prealbumin test prealbumin test prealpine facies preamble preamble

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