Payors - Admission Criteria

Our admission criteria, like our approach to care, are highly customized and can vary from case to case. In all instances, however, it begins with a personal evaluation to determine whether we are the right fit and best option for the patient within the boundaries of their benefits.

We look at medical records. We talk to hospital staff and the patient’s family, and in most cases see the patient on-site. If a patient is not appropriate for us, then we help all involved find the best place for that patient. Everything is individualized and done with the utmost care and professionalism.

Once the evaluation is complete, and meets our admission criteria, we work with the Payors to verify benefits and obtain the proper authorization. If benefits are available, we then obtain authorization prior to patient admission. CareMeridian coordinates between the family, Payor and facility to make the transfer at the appropriate time.

The in-house Case Manager at CareMeridian is in contact with the Payor every step of the way – from benefits verification through to discharge. The Payor receives reports based on their schedule/report requirements and is kept apprised of all treatment and equipment changes.