Ama Policy

Hospital Preadmission Review/Certification H-320.991

U.R. Criteria

The AMA believes that the following principle should be applied in evaluating any preadmission review program, so as to minimize any detrimental impacts on quality or accessibility of care: There should be direct and continuing communications to physicians and insureds regarding prior authorization requirements.

Policy Timeline

CMS Rep. B, A-86 Amended by Sunset Report, I-96 Reaffirmed: CMS Rep. 8, A-06 Reaffirmed: CMS Rep. 01, A-16