continuityofcaretaskgroup

 

Managed Care Pre-Certification Request

Page history last edited by Suzanne 2 yrs ago
  • Proposed Use Case Template

 

    1. Use Case Name
    2. Use Case Category
    3. Use Case Actors
    4. Use Case Scenario
    5. Use Case Reference

 

Use Case Name

 

Descriptive Name Managed Care Pre-Certification Request

 

Use Case Category

 

 

Personal Health Communication, Transfer of Care, Coordination of Care.

 

Use Case Actors

 

 

see Use Case Actors

 

Use Case Scenario

 

 

Mrs. C has been in the hospital for a recent CVA resulting in the need for short-term rehab due to left-sided weakness at a local skilled nursing facility. Mrs. C has a Medicare HMO that requires a pre-certification prior to admission at the SNF. The local SNF has a contract with the HMO and gladly help Mrs. C recuperate from her stroke.

 

Use Case Reference

 

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