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2014 INTERQUAL GUIDELINES

Acute Care: Non Acute Care Definition

InterQual 2014 release raises the bar for - McKesson
InterQual Procedures Criteria have two new subsets, Bariatric Surgery (Adolescent) and Skin Substitute Graft, to support evidence-based decision-making regarding the medical necessity of these increasingly common procedures. InterQual Imaging Criteria have added many new indications to existing subsets based on current medical literature. The adolescent age group
Evidence-Based Criteria/Guidelines | Utilization
InterQual Criteria Our four criteria suites provide comprehensive coverage for medical and behavioral health across all levels of care as well as ambulatory care planning. With an outstanding track record, widespread adoption, and continual enhancement, InterQual Criteria are the standard for evidence-based clinical decision support.Interqual Level of Care Criteria · Criteria Powered by InterQual · Customize Interqual Criteria
InterQual® Level of Care Criteria | Change Healthcare
InterQual® Level of Care Criteria help healthcare organizations assess the safest and most clinically appropriate care level for more than 95% of reasons for admission. The condition-specific format presents evidence-based interventions that are specific to the condition and help to cost-effectively improve outcomes.[PDF]
InterQual Actionable Evidence-Based Criteria Portfolio
InterQual Rehabilitation Criteria Valuable for determining the appropriateness of admission, continued stay and discharge at inpatient rehabilitation facilities for the adult and pediatric patient. InterQual Subacute & SNF Criteria Valuable for determining the appropriateness of admission, continued stay and discharge at[PDF]
3 Psychiatric Evaluations in Inpatient and
Wolters Kluwer. 2014. Note: InterQual Acute and Subacute/SNF criteria are cited (references 1, 2, and 3) to note criteria for medical levels of care that are comparable to InterQual Behavioral Health inpatient and residential treatment criteria.
InterQual and Milliman Guidelines – medicare b code
XXX Interqual XXX MCO Policy or other criteria/guideline] If Summary of 2014 Certifications of Compliance with – Mass. FCHP uses InterQual Level of Care Criteria, and for some specialty InterQual criteria as these clinical criteria sets . with Milliman Care Guidelines. Criteria AMERIGROUP GEORGIA MANAGED CARE COMPANY
interqual ltac criteria – medicareacode
Aug 28, 2016Jun 24, 2014 Fiscal Year 2015 Rates the wage index is $157.8 million for FY 2015. MHA encourages CMS to tighten the guidelines in reporting such as Milliman or Interqual but find themselves second-guessed by the Medicare You May Like * does ltac stay count toward medicare benefits 2019 * humana medicare criteria for ltac[PDF]
Inpatient Admission and Medical Review Criteria
Inpatient Admission and Medical Review Criteria . The 2-Midnight Rule . January 14th 2014 . 1:30-3:00 PM[PDF]
Medical Necessity & Charting Guidelines
InterQual Guidelines for InterQual Guidelines for Medical Necessity Utilized for Medicare patient Acute Care inpatient or Observation – – Severity of Illness (SI) – – Intensity of Service (IS) Used for Adult and Pediatric Services Offers Discharge Screens Criteria are specific for – – Body Systems: Neuro, Cardiac, etc. – –
Care Guidelines for Evidence-Based Medicine | MCG Health
Industry-Leading Evidence-Based Care Guidelines. Informed care leads to the best patient outcomes, avoiding underuse or overuse of medical resources. Evidence-based care guidelines from MCG help providers and health plans drive informed care in their own work and through the conversations that connect them.
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