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Importance of Submitting Continued Stay Reviews in Cohere Health
BlueCross BlueShield of South Carolina·SC · Critical Care·Prior Authorization
Effective date
Mar 25, 2026
We identified it
Aug 20, 2026
Summary
Cohere Health has updated its Continued Stay Review (CSR) submission process to require staff to select the 'start continuation' button BEFORE uploading clinical documentation. Failure to select this button prevents the request from being flagged as a CSR in the system, causing delays and unnecessary escalations. All staff submitting CSRs for inpatient hospitals, rehabilitation facilities, long-term acute care, and skilled nursing facilities must follow this corrected process immediately.
Action Required
Immediately: All billing and clinical staff responsible for submitting Continued Stay Reviews in Cohere Health must be trained on the corrected submission process. REQUIREMENT: When submitting CSRs, staff must FIRST select the 'start continuation' button in Cohere Health, THEN upload and complete all required clinical documentation. This applies to all inpatient facilities (hospitals, rehabilitation facilities, long-term acute care, skilled nursing facilities). Update all internal workflows, training materials, and encounter checklists to reflect this sequence. Hold a mandatory team meeting or send written confirmation to all relevant staff before March 31, 2026. Failure to follow this process will result in CSR requests not being flagged in the system, leading to delayed responses, improper escalations, and potential delays in patient care authorization.