If, in the review of a continued stay case, the physician members of the UR committee
decide, after an opportunity for consultation is given the attending physician, that
further inpatient stay is not medically necessary, notice in writing must be given
to the attending physician, the institution, and the patient (or where appropriate,
his next of kin) no later than 2 days after the final decision is made. In a hospital,
written notice of the finding must in no event be given later than 2 working days
after the continued stay review date. In an SNF, written notices of the finding must
in no event be given later than 3 working days after the continued stay review date.
While the attending physician may, if he wishes, advise the patient personally of
the UR committee's decision, it is still necessary for the committee to give timely
written notice of its decision to the patient or where appropriate, his next of kin.