Interqual Criteria For Durable Medical Equipment

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InterQual Actionable Evidence-Based Criteria …

https://www.mckesson.com/documents/health-plans/interqual-criteria/

InterQual Durable Medical Equipment Criteria Address the most challenging, costly and time consuming equipment requiring authorization. They distinguish between senior and general populations (adult and pediatric), the former category being aligned with …

2021 Prior Authorization for DME - BCBSRI

https://www.bcbsri.com/providers/sites/providers/files/policies/2021/11/2021%20Prior%20Authorization%20for%20DME.pdf

This policy documents the prior authorization request process for durable medical equipment (DME). MEDICAL CRITERIA Generally, InterQual criteria is used to …

InterQual® Criteria Products

https://prod.cue4.com/help/InterQualOnline/AnonymousReviewHelp/content/about-criteria-products.htm

InterQual ® Criteria Products . Each criteria product can work independently or with other criteria sets. These products help the reviewer determine the appropriateness of patient …

InterQual Criteria - Salesforce

https://appexchange.salesforce.com/partners/servlet/servlet.FileDownload?file=00P4V00000tKrwZUAS

The Durable Medical Equipment module supports the medical necessity documentation required for authorization of nearly 400 pieces of equipment and accessories. The …

Medical Policy Durable Medical Equipment (DME) - AllWays …

http://resources.allwayshealthpartners.org/medicalpolicy/DME.pdf

Coverage Criteria for Durable Medical Equipment (DME) Medical necessity for the following DME is determined through InterQual® criteria. To access the criteria, log in …

Clinical Policy: DME and O&P Criteria - PA Health & Wellness

https://www.pahealthwellness.com/content/dam/centene/Pennsylvania/policies/clinical-policies/PA.CP.MP.107%20DME%20and%20Outpatient%20Criteria.pdf

a case-by-case basis using related InterQual subset CP: Durable Medical Equipment Orthoses, Spinal. L0700, L0710, L0999, L1000, L1001, L1005 Hip orthotics Medically …

Clinical Policy: Durable Medical Equipment - Superior …

https://ambetter.superiorhealthplan.com/content/dam/centene/Superior/policies/clinical-policies/Durable%20Medical%20Equipment%20TX.CP.MP.552%20-%20508.pdf

Authorizing Durable Medical Equipment. Updated references and signatories. Grammatical edits. Updated InterQual to 2015 version. Updated definition of HCPCS. Added hospital …

Durable Medical Equipment | EmblemHealth

https://www.emblemhealth.com/content/dam/emblemhealth/pdfs/provider-manual/durable-medical-equipment.pdf

New York State Medicaid Program Criteria Durable Medical Equipment, Orthotics, Prosthetics, and Supplies Procedure Code and Coverage Guidelines eviCore Clinical …

2022 Authorization and Notification Requirements Medical …

https://media.ucare.org/-/media/documents/provider/general/medauth_medicare_2022_medicalservices.pdf?rev=243ff071ff9b4077a417cf9a2f1cbeae&hash=A6E1638C17AD98E24084E72F27C1016B

criteria used to make a medical necessity determination. • Contact UCare Provider Assistance Center (612-676-3000 or 1-888-531-1493) for additional information …

Airway Clearance Devices - UHCprovider.com

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/comm-medical-drug/airway-clearance-devices.pdf

• Durable Medical Equipment, Orthotics, Medical ; Supplies and Repairs/Replacements Community Plan Policy Airway Clearance Devices; ... refer to the InterQual Criteria. …

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