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ProviderAlert
November 17, 2015
 
Communication Regarding Inpatient Services
The elimination of the 72 hour pass through has been in effect for about 6 weeks and providers have asked questions and for clarification of some items. Here are some points that may answer some of those questions:
  • Service Authorization Requests (SARs) should be submitted on the last day of the current authorized time-frame or on the first day service is rendered of the concurrent request. Continued stay SARs will not be reviewed retroactively.  
  • Ask for authorization of days as needed. Do not include date of discharge on the request.
     
  • Since Partners has Utilization Management staff available seven days a week from 8 a.m.-12 a.m., requests for four days for admissions and/or concurrent authorizations that come in on Thursdays to cover through the weekend or a holiday will not be processed. However, providers may request a minimum of one day.  No more than three days can be requested on one SAR.   
  • It is suggested if there is a request submitted that {ends} on a Saturday, Sunday or holiday, the provider can submit the auth request to end on Friday or the day prior to the holiday. The provider could then submit a new request on Friday (or day prior to the holiday) with new {updated} clinical information requesting three days that could cover through the weekend (and holidays).   
  • All requests are reviewed for medical necessity and could be approved, denied or partially approved. 
If you have further questions, please contact the UM Hospital Admissions Team at 704-842-6434.

 
About Partners Behavioral Health Management
Partners Behavioral Health Management (Partners) provides local management of publicly-funded behavioral health services in Burke, Catawba, Cleveland, Gaston, Lincoln, Iredell, Surry, and Yadkin counties. Offices are located in Elkin, Hickory, and Gastonia. Individuals in need of behavioral health services can call our Customer Service call center 24 hours a day, seven days a week at 1-888-235-HOPE (4673).
  
Want to learn more about Partners? Visit www.PartnersBHM.org.

 


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