Interqual Medical Review

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Evidence-Based Criteria/Guidelines | Utilization …

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

InterQual Connect Discover InterQual® Connect, a medical review & connectivity solution that enables the automation of prior authorizations requiring medical review. Learn more …

InterQual® Technology | InterQual® | Change Healthcare

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

Interactive InterQual software to streamline the medical review process. Streamline the medical review and prior auth process with the interactive Medical Review Service …

Change Healthcare Launches InterQual® 2022, …

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

The combination of predictive analytics with medical-review automation and evidence-based criteria drives proactive, efficient, and defensible utilization management …

InterQual Medical Review Tip Sheet - Harvard …

https://www.harvardpilgrim.org/provider/wp-content/uploads/sites/7/2021/10/InterQual-Medical-Review-Tip-Sheet.pdf

InterQual Medical Review Tip Sheet. Before initiating a prior authorization • Always verify patient eligibility, benefits, and prior authorization requirements. • Review applicable …

Conducting a Review

https://prod.cue4.com/help/InterQualOnline/AnonymousReviewHelp/content/pdf/conducting%20a%20review.pdf

InterQual® Conducting a Review There are several steps to conducting a review: 1. Select a subset. 2. Evaluate criteria. 3. View and print the Review Summary. 4. Copy the review …

InterQual Actionable Evidence-Based Criteria …

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

InterQual Procedures Criteria Are evidence-based medical necessity guidelines for nearly 300 high-volume, high-cost procedures. The criteria help make documenting medical …

Interqual Connect Fact Sheet | McKesson

https://www.mckesson.com/documents/providers/interqual-connect-fact-sheet/

InterQual Medical Review Service Optimized for integration, this web service delivers seamless access to the InterQual medical review within your UM/CM system or payer’s …

Automate Electronic Prior Authorizations

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

Authorization connectivity. Transmit an authorization request (and InterQual medical review) directly to payers across our authorization gateway. Receive an automated …

Interqual Medical Review Specialist jobs - indeed.com

https://www.indeed.com/q-Interqual-Medical-Review-Specialist-jobs.html

Utilization Review Specialist. St. Charles Health 2.9. Bend, OR 97701 (Mountain View area) $24.32 - $33.44 an hour. Employer est. Part-time. 8 hour shift + 2. Reviews and …

Medical Necessity Review

https://www.medicalreviewservice.net/services/medical-necessity-review/160

Medical Review Service. A clinical review of the medical record is performed utilizing screening tools such as InterQual or Milliman to determine if the services reported were …

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