| §371.200 |
Inpatient Hospital Utilization Review Program |
| §371.201 |
Case Selection Process |
| §371.203 |
TMRP Review Process |
| §371.204 |
Hospital Screening Criteria for TMRP, TEFRA, and Facility-Specific Per Diem Methodology Reviews |
| §371.206 |
Denials and Recoupments for TMRP, TEFRA Hospitals, and Facility-Specific Per Diem Methodology Reviews |
| §371.208 |
Appeals Related to Utilization Review Department Review Decisions |
| §371.210 |
Inpatient Utilization Review for Hospitals Reimbursed Under TMRP and TEFRA Principles of Reimbursement and Facility-Specific Per Diem Methodology Reviews |
| §371.212 |
Utilization Review of Nursing Facilities |
| §371.214 |
HHSC-Approved Online RUG or Other HHSC-Required Training Course |
| §371.216 |
Nursing Facility Clinical Records |
| §371.218 |
Onsite and Desk Utilization Reviews of Nursing Facilities |
| §371.220 |
Exit Conferences |
| §371.222 |
Reconsideration of Utilization Review Results |
| §371.224 |
Appeals of Reconsideration Results |
| §371.226 |
Calculation of Overpayments and Underpayments |
| §371.228 |
Recoveries |
| §371.230 |
Waiver of Extrapolation |
