Medical Necessity Policies

COMP-RCC 4.18 Clinical Determination of Appropriate Patient Care

COMP-RCC 4.25 Hospital Coverage Notices for Medicare Patients (including Important Message from Medicare)

COMP-RCC 4.40 Patient Status and Bed Placement Policy

COMP-RCC 4.52 Utilization Management Plan

COMP-RCC 5.00 Medical Necessity and Advance Beneficiary Notice of Non-Coverage of Outpatient Services (ABN)

CQ-5.006 Operative and Invasive Procedures Appropriateness Review

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