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INTERQUAL PROCEDURES CRITERIA

Acute Care: Post Acute Care Definition
slideshareImage: slideshareInterQual Ambulatory Care Planning Criteria are available for: Durable Medical EquipmentImagingMolecular DiagnosticsProceduresSpecialty ReferralSpecialty Rx (Oncology and Non-Oncology)Retrospective MonitoringMore
InterQual® Ambulatory Care Planning Criteria | Change
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Evidence-Based Criteria/Guidelines | Utilization
InterQual aligns payers and providers with actionable, evidence-based clinical intelligence to support appropriate care and foster optimal utilization of resources. The foundation of the InterQual solution is our market-leading clinical Criteria, which helps payers and providers consistently apply evidence-based clinical decision support.
InterQual Actionable Evidence-Based Criteria Portfolio
PDF fileInterQual Procedures Criteria Are evidence-based medical necessity guidelines for nearly 300 high-volume, high-cost procedures. The criteria help make documenting medical necessity easy while helping to improve the quality of care. Covering major categories of surgical and invasive procedures for all body systems for adults and
InterQual LOC criteria | Priority Health
The InterQual ® Level of Care products cover the continuum of care. The richness of clinical detail allows for consideration of an individual patient's severity of illness, comorbidities, and complications in the review process in real time. InterQual ® criteria sets for inpatient rehabilitation, subacute and skilled nursing facilities contain objective endpoints for service, allowing
Videos of InterQual Procedures Criteria
Watch video on YouTube2:41McKesson Brings InterQual Criteria to the Cloud1 viewsJan 17, 2017YouTubeBusinessWireWatch video on YouTube1:57Faster, Simpler, Smarter: InterQual 2017 Streamlines Clinical Care Decisions1 viewsApr 3, 2017YouTubeBusinessWireWatch video on YouTube5:01Interqual Criteria11K viewsNov 30, 2012YouTubeKathleen CrawfordWatch video on YouTube2:19InterQual Connect: The Connected Ecosystem for Medical Review and Auth5 viewsJun 10, 2016YouTubeMcKesson Health SolutionsWatch video on YouTube12:13Observation vs Inpatient Admission - 877-88KEITH (53484)4K viewsJul 7, 2016YouTubeMedicare on VideoSee more videos of InterQual Procedures Criteria
InterQual® Ambulatory Care Planning Criteria | Change
Promote Clinical Quality and Cost-Effective Allocation of Medical Resources. InterQual® Ambulatory Care Planning Criteria help identify when imaging studies, procedures, durable medical equipment, molecular diagnostic tests, specialty pharmacy medications, and
InterQual® Criteria Products
Procedures Q&A—Addresses child, adolescent, adult, and geriatric patients. The procedure review is independent of level of care and can be performed in any treatment setting. Designed for physicians and case managers, the InterQual Clinical Evidence Summaries set is a natural complement to InterQual Criteria.
The Record - 2019 InterQual(R) criteria to be implemented
2019 InterQual ® criteria to be implemented Aug. 1 for non-behavioral health determinations. Blue Cross Blue Shield of Michigan and Blue Care Network will start using the 2019 InterQual criteria on Aug. 1, 2019, for all levels of care.
InterQual Criteria | Health Partners Plans
InterQual Criteria Health Partners Plans values your participation and we're always working to provide clear, consistent utilization management guidance. As a reminder, Health Partners Plans uses McKesson’s InterQual® criteria as a guideline for making medical necessity determinations.
Implementation of the 2018 InterQual Criteria | Health
Procedures Criteria Guidelines for Surgery and Procedures Performed in the Inpatient Setting For more information, contact our Provider Services Helpline at 1
Medical Necessity Criteria Chart - UCare
PDF fileInterQual® - Procedures, Lumbar Spine Fusion. CMS Coverage Database InterQual® criteria available upon request Bariatric Surgery CMS Coverage Database(Gastric Bypass) InterQual® -Care Planning Criteria: Procedures Bariatric Surgery I InterQual- Care Planning Criteria: Bariatric Surgery (Adolescent). nt erQ ual® crit iv lable po req est.
Updating medical policy criteria |Provider |Priority Health
InterQual Criteria subset Procedure impacted; Bone graft and implantable stimulator, fracture nonunion (applies to nonunion of fractures of the long bones) These criteria apply to nonunion of fractures of the long bones (e.g., humerus, radius, ulna, femur, tibia, fibula). Stereotactic introduction, subcortical or cortical electrodes
Acute Care: Non Acute Care Definition Change Healthcare unveils latest clinical support solution CAH Program Dr. Bloom

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