Blue Shield Hospital and Facility Guidelines

This is a procedure manual for Blue Shield network hospitals and facilities (including ambulatory surgery centers, behavioral health outpatient facilities, birthing centers, dialysis centers, residential treatment centers, and skilled nursing facilities).


Blue Shield Hospital and Facility Guidelines - cover page
Category
Other
Document type
Other
Language
English
Pages
370
File format
PDF
File size
4.6 MB
Published
19 October, 2023
Updated
19 October, 2023
MD5 checksum
32302723AE7D8AFD780A00B86AAFB1A8

About this manual

This document serves as a procedure manual for Blue Shield network hospitals and facilities, including ambulatory surgery centers, behavioral health outpatient facilities, and skilled nursing facilities. It outlines the responsibilities of these facilities regarding quality management, patient safety, and service accessibility standards.

What's inside

  • Introduction
  • Hospital and Facility Responsibilities
  • Medical Care Solutions
  • Billing and Payment
  • Blue Shield Benefit Plans and Programs
  • Capitated Hospital Requirements
  • Fraud Prevention
  • Privacy and Security
  • Definitions
  • Appendices

Frequently asked questions

What types of facilities are covered by these guidelines?

The guidelines cover ambulatory surgery centers, behavioral health outpatient facilities, birthing centers, dialysis centers, residential treatment centers, and skilled nursing facilities.

Download PDF (4.6 MB)

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