The Record - for physicians and other health care providers to share with their office staffs Forward to a friend  |  Subscribe  |  The Record Archive  |  Contacts  |  bcbsm.com  |  Print this article
March 2015

BCBSM’s Utilization Review department schedules June clinical review audits

Starting in June 2015, Blue Cross Blue Shield of Michigan’s Utilization Review department will begin scheduling and conducting retrospective clinical review audits for hospitals with inpatient rehabilitation services.

These audits will focus on the level of care using InterQual® Rehabilitation Adult and Pediatric Criteria. For more information, refer to the "Audits and Other Post-Services" chapter in the Hospital Inpatient Provider Manual, beginning in April 2015.

No portion of this publication may be copied without the express written permission of Blue Cross Blue Shield of Michigan, except that BCBSM participating health care providers may make copies for their personal use. In no event may any portion of this publication be copied or reprinted and used for commercial purposes by any party other than BCBSM.

*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2014 American Medical Association. All rights reserved.
Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and
independent licensees of the Blue Cross and Blue Shield Association.