Question
Is there additional paperwork required for an expedited review?
Yes Answer
Correct!
There is a separate form in the external review paperwork that your physician needs to sign to verify that your condition does require an expedited review.
Expedited external review takes no longer than 72 hours and is available if:
- Your doctor can certify that you need expedited review in urgent situations, when waiting 45 days would jeopardize your life or health, or if waiting 45 days would jeopardize your ability to regain maximum function; or
- You are appealing a decision about admission, availability of care, continued stay, or health care service for which you received emergency services, but have not been discharged from a facility.
No Answer
Incorrect!
There is a separate form in the external review paperwork that your physician needs to sign to verify that your condition does require an expedited review.
Expedited external review takes no longer than 72 hours and is available if:
- Your doctor can certify that you need expedited review in urgent situations, when waiting 45 days would jeopardize your life or health, or if waiting 45 days would jeopardize your ability to regain maximum function; or
- You are appealing a decision about admission, availability of care, continued stay, or health care service for which you received emergency services, but have not been discharged from a facility.
