Mckesson Interqual Medical Necessity Criteria

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InterQual Actionable Evidence-Based Criteria …

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

InterQual Care Planning Criteria help to identify when imaging studies, procedures, molecular diagnostics, durable medical equipment, specialty referral consultations and specialty pharmaceuticals are medically appropriate based on the evidence. The criteria …

Interqual Connect Fact Sheet | McKesson

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

InterQual Connect is a flexible SaaS solution, integrated into payer and provider health information systems. It pairs the leading InterQual® Criteria, now available as a web …

Getting Started - McKesson

https://sites.mckesson.com/MHS/PDFs/InterQual_Mobile_Getting_Started.pdf

Using InterQual® Mobile to conduct medical necessity reviews with InterQual® Criteria involves the following steps: Download the InterQual Mobile app from Google Play™ or …

Level of Care and Treatment Criteria | MHN

https://www.mhn.com/providers/working-with-mhn/clinical-operations-practices/utilization-management/level-of-care-and-treatment-criteria.html

InterQual criteria are nationally recognized evidence based treatment guidelines produced by the McKesson Company. All authorization decisions are reviewed using the …

Product Brochure - Medical Necessity Checking

https://www.mckesson.com/documents/providers/product-brochure---medical-necessity-checking/

Benefits Our integrated medical necessityverification solution helps organizations: Improve operating income by identifying services that may not be covered Enhance staff …

InterQual ® Level of Care Criteria - Change Healthcare

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

InterQual® Evidence-Based Development What’s Included in InterQual® Level of Care Criteria InterQual Acute Care Criteria Specific and objective evidence-based criteria for …

Medical Necessity Criteria - AmeriHealth

https://www.amerihealth.com/providers/policies_guidelines/medical_necessity_criteria.html

Medical Necessity Criteria. Our registered nurses (Case Management Coordinators) use McKesson’s InterQual criteria as their main source of decision support. AmeriHealth …

Community Health Solutions Makes the …

https://www.mckesson.com/blog/interqual-criteria-and-careenhance-review-manager-enterprise/

Using the rich clinical detail that InterQual Criteria provides, CHS increased its ability to assess the clinical appropriateness of patient services by placing …

Evidence-Based Criteria/Guidelines | Utilization …

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

Evidence-based criteria and technology to support appropriate clinical decisions Evidence-based InterQual Criteria to support appropriate care decisions Make the safest, most …

HEALTH POLICY COMMISSION - Massachusetts

https://www.mass.gov/doc/memo-on-medical-necessity-criteria/download

Memorandum RE: Process for Disclosure of Medical Necessity Criteria 2 1. McKesson InterQual Criteria Carriers that use some or all of the InterQual criteria may authorize …

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