1. Further inpatient stay not medically necessary

Official source

If, in the review of a continued stay case, the physician members of the UR committee decide, after an opportunity for consultation is given the attending physician, that further inpatient stay is not medically necessary, notice in writing must be given to the attending physician, the institution, and the patient (or where appropriate, their next of kin) no later than 2 days after the final decision is made. In a hospital, written notice of the finding must in no event be given later than 2 working days after the continued stay review date. In an SNF, written notices of the finding must in no event be given later than 3 working days after the continued stay review date.

While the attending physician may, if they wish, advise the patient personally of the UR committee's decision, it is still necessary for the committee to give timely written notice of its decision to the patient or where appropriate, their next of kin.

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1. Further inpatient stay not medically necessary

Official source

If, in the review of a continued stay case, the physician members of the UR committee decide, after an opportunity for consultation is given the attending physician, that further inpatient stay is not medically necessary, notice in writing must be given to the attending physician, the institution, and the patient (or where appropriate, their next of kin) no later than 2 days after the final decision is made. In a hospital, written notice of the finding must in no event be given later than 2 working days after the continued stay review date. In an SNF, written notices of the finding must in no event be given later than 3 working days after the continued stay review date.

While the attending physician may, if they wish, advise the patient personally of the UR committee's decision, it is still necessary for the committee to give timely written notice of its decision to the patient or where appropriate, their next of kin.