20 Ill. Comp. Stat. § 2215/5-1 – Illinois

Status: Enacted
Link: http://www.ilga.gov/legislation/ilcs/ilcs5.asp?ActID=328&ChapterID=5

Permits any third party payer to require a utilization review for hospital admissions and continued hospital stays for payment of hospital services. The third party payer may contract to withhold payment for hospital services to a beneficiary that is found to have been inappropriate and unwarranted.

Associated Litigation:

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