What is Pre-Admission Certification?
Pre-Admission Certification is frequently called pre-admission review or pre-certification review. This process requires prior approval by a case manager or representative of an insurance company(usually a nurse) for an insured person to be admitted to a hospital or in-patient facility. The process of Pre-Admission Certification must often be secured by the individual prior to admission to the hospital or other inpatient facility. Often, however, physicians or their personnel will contact the appropriate individual on your behalf. The goal of pre-admission certification is the ensure that insureds are not given inappropriate health care services which may not be medically necessary.
