Interqual criteria for ureteral obstruction

  1. I am new to case management in acute care. We use interqual criteria for assessing appropriateness for inpatient. I have been struggling with renal calculi patients. Under general medical, if they have an obstructed ureter and they are scheduled for an urological intervention within 24 hours, they meet inpatient criteria. My concerns are many. Most of my patients are in the hospital under 24 hours. Many payors given me inpatient while others do not? it is very inconsistent? The urologist are confused on what to order inpatient or observation. Any words of advice would be appreciated
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    Joined: Sep '12; Posts: 1