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Evidence-Based Criteria/Guidelines | Utilization Management | InterQual
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 and behavioral health across all levels of care, as well as ambulatory care planning.
DA: 49 PA: 53 MOZ Rank: 27
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InterQual® Criteria Products
https://prod.cue4.com/help/InterQualOnline/MobileHelp/content/about-criteria-products.htm
InterQual ® Level of Care. Level of Care Criteria include the following products: Acute (Adult and Pediatric): Provides evidence-based clinical decision support for determining the medical appropriateness of hospital admission, continued stay, and discharge. Adult criteria are for review of patients ≥ 18 years of age.
DA: 99 PA: 44 MOZ Rank: 61
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InterQual 2021 Physician Admission Guide - WikEM
https://wikem.org/w/images/InterQual_admission_guide_checklist_adult2021.pdf
InterQual® 2021 Physician Admission Guide. This document identifies key clinical differentiators between the Observation and Inpatient (Acute, Intermediate, Critical) levels of care for clinical conditions in the Acute Adult Criteria. It is intended to serve as a guide to admitting providers to support documentation and decision making when ...
DA: 51 PA: 63 MOZ Rank: 67
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InterQual ® Level of Care Criteria - Change Healthcare
https://www.changehealthcare.com/clinical-decision-support/interqual/level-of-care-criteria
InterQual Post-Acute Care Criteria. Specific and objective evidence-based criteria for level of care, visit recommendations, and maintenance therapy. Visit recommendations. Integrates Medicare requirements, comorbidities and SDoH.
DA: 40 PA: 66 MOZ Rank: 35
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InterQual Criteria - Change Healthcare
https://marketplace.changehealthcare.com/content/dam/change-healthcare/marketplace-assets/InterQual_Criteria._Download.pdf
The criteria help determine the appropriateness of the initial review and ongoing service needs, visit recommendations, and discharge. The criteria address both adult and pediatric patients and include intermittent skilled home care services, private duty …
DA: 34 PA: 59 MOZ Rank: 47
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InterQual 2022: What’s New - Change Healthcare
https://www.changehealthcare.com/content/dam/change-healthcare/sales---marketing-content/payer-and-provider/decision-support/fact-sheet/interqual-2022-whats-new/InterQual-2022-Whats-New-Fact-Sheet.pdf
InterQual® 2022: What’s New. The InterQual 2022 release integrates the following new and updated criteria— rigorously vetted by clinical experts and independently peer reviewed—and optimized workflows. New and Enhanced Criteria. Level of Care (LOC) Criteria.
DA: 44 PA: 96 MOZ Rank: 40
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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 whether further evaluation is required. The first-level screening is done by the utilization review nurse.
DA: 16 PA: 32 MOZ Rank: 46
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A Remote Nurse’s Guide to MCG and InterQual - Nurse Fern
https://nursefern.com/remote-nurses-guide-to-mcg-and-interqual/
MCG, formerly called “Milliman Care Guidelines” and InterQual both have annual edition updates to keep up with modern evidence-based practice. MCG criteria are typically regarded as more simplistic and user-friendly, while InterQual is a bit more thorough. Treating providers have scrutinized both guidelines carefully.
DA: 97 PA: 37 MOZ Rank: 54
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InterQual® Criteria Features
https://prod.cue4.com/help/InterQualOnline/MobileHelp/content/about-criteria-features.htm
Criteria Features. InterQual ® Criteria are the clinical information the reviewer should consider when conducting reviews. Criteria comprise evidence-based clinical statements and rules for their application. Depending on the product you select, criteria are organized in one of two formats: Decision Tree. Question and Answer (Q&A)
DA: 61 PA: 23 MOZ Rank: 19
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What Is InterQual? How Does it Help in Healthcare Management?
https://clinicast.net/what-is-interqual/
Oct 26, 2022 · The InterQual Criteria are a collection of clinical signs that may be measured, together with therapeutic and diagnostic interventions, that are used to determine whether or not a patient requires hospitalization.
DA: 44 PA: 33 MOZ Rank: 20