Pre-approved -OR- Pre-certified -OR- Both??

I received a pre-approval letter from my insurance company awhile ago, and in re-reading it, I see a sentence at the bottom about the need for getting pre-admission certification for inpatient care. I'm taking that to mean that if I am in the hospital for more than 23 hours, it will be considered inpatient care and for the insurance company to pay under those conditions, I will have had to be pre-certified in addition to being pre-approved. I am on the right track with this, yes?? If anyone knows for sure, I'd appreciate hearing from you in reply. I will try to contact my insurance company after the Holidays to be sure. Thanks for any replies.

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