TN0703 ESRD |
PREAUTH | CLAIMS |
MIN. CLINICAL SYMPTOMS | MIN. REQUIRED | CRITERIA | DETAILS | % breakup amount - claims | POINTS AWARDED | SPECIAL MENTION |
Fever / abdominal pain | CLINICAL PHOTO / RFT / USG kub | TOTAL BED DAYS | | 20 | | |
| | BEDS IN ICU | | | | |
| | DAYS UNDER VENTILATOR SUPPORT | | | | |
| | INVESTIGATIONS | GENERAL WORK UP | 30 | mandatory | Serum electrolytes, BUN, creatinine, lactate dehydrogenase (LDH), creatine phosphokinase (CPK), and liver function tests: |
| | | USG Abdomen, CXR | | | |
| | | ABG / ECG | | mandatory | |
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| | TREATMENT | MANAGEMENT OF ANEMIA | 50 | | |
| | | SUPPORTIVE MEASURES | | | |
| | | MANAGEMENT OF HYPERTENSION | | | |
| | | MANAGEMENT OF ELECETROLYTE DISTURBANCE | | mandatory | |