What if there is not sufficient or incomplete clinical information at the time of admission to complete certification?
If information provided by the hospital is insufficient to complete the review, HSI will pend the review. If the review was initiated by phone, during the call the hospital representative will be advised of the specific information required. Whether conducted by phone or Web, HSI will send a written notice to the hospital’s HSI liaison specifying the particular information needed to complete the review. If the additional information is not submitted within one business day, the review will be suspended. It is important to submit the additional information and complete the admission review while the patient is hospitalized.