ARSD 67:16:03:10
ARSD 67:16:03:10. Utilization review
Cite as S.D. Admin. R. 67:16:03:10
The department may review inpatient hospital service claims for the following information:
(1) Necessity of admission;
(2) Length of stay;
(3) Coding;
(4) Computerized claims processing;
(5) Post-payment review; and
(6) Peer review.