TN0702 MAINTAINANCE HEMODIALYSIS FOR CRF
PREAUTH		CLAIMS
MIN. CLINICAL SYMPTOMS	MIN. REQUIRED	CRITERIA	DETAILS	% breakup amount - claims	POINTS AWARDED	SPECIAL MENTION
FATIGUE, LOSS OF APPETITE,	CLINICAL PHOTO / RFT / USG kub	TOTAL BED DAYS
		BEDS IN ICU
		DAYS UNDER VENTILATOR SUPPORT
		INVESTIGATIONS	GENERAL WORK UP		mandatory	Serum electrolytes, BUN, creatinine, lactate dehydrogenase (LDH), creatine phosphokinase (CPK), and liver function tests:
			USG /kub
		TREATMENT	Hemodialysis		mandatory	MINIMUM 8 CYCLES PER MONTH
			MANAGEMENT OF ANEMIA			ERYTHROPOIETIN AND VITAMIN D