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OFFICE OF INSPECTOR GENERAL TEXAS HEALTH AND HUMAN SERVICES COMMISSION ACUTE CARE UTILIZATION MANAGEMENT IN MANAGED CARE ORGANIZATIONS Informational Report August 16, 2016, IG Report No. IG16060 August

How to fill out acute care utilization management

How to fill out acute care utilization management?

1. Obtain the necessary forms and documents required for acute care utilization management.
2. Fill in the patient's personal information accurately, including name, address, contact information, and insurance details.
3. Provide details of the referring healthcare provider, including their name, address, and contact information.
4. Document the patient's medical history, including any relevant diagnoses, previous treatments, and current medications.
5. Include a comprehensive description of the patient's current condition and the reason for acute care utilization management.
6. Provide any supporting documentation, such as medical records, test results, or referral letters.
7. Follow any specific guidelines or instructions provided by the utilization management program.
8. Submit the completed form and any supporting documents to the appropriate entity for review and approval.

Who needs acute care utilization management?

1. Healthcare providers who want to ensure appropriate and efficient use of acute care services for their patients.
2. Insurance companies and payers who need to manage costs and ensure the appropriateness of acute care services being utilized.
3. Patients who can benefit from a coordinated approach to their healthcare needs and access to the most appropriate and cost-effective acute care services.

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