Interqual Medical Criteria

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InterQual ® Level of Care Criteria - Change Healthcare

https://www.changehealthcare.com/clinical-decision-support/interqual/level-of-care-criteria

InterQual Acute Care Criteria Specific and objective evidence-based criteria for admission and level of care Directs to observation status for select conditions Integrates comorbidities and Social Determinants of Health (SDoH) Care Management Information notes for …

InterQual Actionable Evidence-Based Criteria …

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

InterQual Care Planning Criteria Description InterQual Durable Medical Equipment Criteria ...

Updated InterQual® Criteria for 2022 - IBX

https://provcomm.ibx.com/ibc/news/Pages/R-0191-july.aspx

Updated InterQual ® Criteria for 2022. Change Healthcare, an independent company, has made updates to the InterQual ® Criteria for 2022. Beginning August 27, …

Clinical Guidelines | UHCprovider.com

https://www.uhcprovider.com/en/policies-protocols/clinical-guidelines.html

The guideline presents discussion of a new treatment for congenital athymia, allogeneic processed thymus tissue (Rethymic®), and the circumstances under which it is …

Change Healthcare Launches InterQual® 2022, …

https://newsroom.changehealthcare.com/press-releases/change-healthcare-launches-interqual--2022--delivering-the-lates

We look forward to what InterQual 2022 has to offer with its expanded and updated criteria and technology-enabled, simplified processes,” said Heather Pigott, RN, …

InterQual Criteria | Blue Cross Blue Shield of Massachusetts

https://www.bluecrossma.org/medical-policies/interqual-criteria

When we receive a request for authorization or prior approval, our utilization review clinicians use Change Healthcare’s InterQual® criteria to determine if the services and …

InterQual LOC criteria | Priority Health

https://www.priorityhealth.com/provider/manual/standards/utilization-management-program/interqual-loc-criteria

InterQual ® criteria are a first-level screening tool to assist in determining if the proposed services are clinically indicated and provided in the appropriate level or …

Evidence-Based Criteria/Guidelines | Utilization …

https://www.changehealthcare.com/clinical-decision-support/interqual

Evidence-based InterQual Criteria to support appropriate care decisions. Make the safest, most efficient care decisions by using objective, specific criteria for both medical …

InterQual Criteria & SmartSheets - Blue Cross Blue …

https://provider.bluecrossma.com/ProviderHome/portal/home/clinical-resources/clinical-criteria-and-guidelines/interqual-criteria-and-smartsheets

InterQual® Criteria & SmartSheets. When we receive a request for authorization or prior approval, our utilization review nurses use Change Healthcare’s InterQual® criteria …

What You Need to Know About the Utilization Review …

https://www.psqh.com/analysis/what-you-need-to-know-about-the-utilization-review-process/

Acute inpatient hospitals use Milliman and InterQual criteria to help determine the appropriateness of care. Both sets of criteria are evidence-based screening tools …

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