Get Gid-73. Pra Annual Report Web.doc. Cpy Document Subject - Oci Ga

Filling out the GID-73 form is essential for organizations conducting utilization review activities in Georgia. This guide provides clear, step-by-step instructions to assist users in completing each section of the form accurately.

Follow the steps to successfully complete the GID-73 form.

1. Press the ‘Get Form’ button to obtain the GID-73 form and open it in your preferred editor.
2. Complete the background information section by entering the legal name and address of the private review agent, along with the telephone number and the designated contact person's name, title, and phone number.
3. Indicate the year when your organization was established and when it began operations in Georgia by filling in the respective fields.
4. Choose whether your organization is independently owned or a subsidiary, and provide relevant details regarding the parent organization and whether it provides direct patient care or is a health insurer.
5. In the services performed section, enter the estimated percentage distribution of clinical services reviewed, including outpatient, inpatient, medical, surgical, and more.
6. Indicate the total acute care hospital admissions reviewed, the percent of proposed admissions diverted for outpatient care, and the volume of reviews annually performed.
7. Fill out the total number of Georgia lives covered for each entity that your organization provides utilization review services for.
8. Detail the types of reviews your organization performs, specifying the percentage done telephonically and on-site.
9. Register the personnel who conduct reviews, indicating if they have made medical necessity decisions and categorizing them based on work status.
10. Complete the utilization review and appeals section, including details on case management and the outcomes of clinical service appeals.
11. Once all sections are completed, save changes to your document. You may then download, print, or share the GID-73 form as needed.

Complete your GID-73 form online today to ensure compliance and accurate reporting!