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For those devoted to appropriate care No matter where or to whom healthcare is delivered, the priority for payers and providers is the same: to provide quality care efficiently. The foundation of the Decision Support portfolio is our rigorously developed clinical criteria, InterQual®, which helps you consistently apply evidence-based clinical decision support to promote appropriate, medically necessary care. Our technology innovations help reduce administrative costs by streamlining and automating medical reviews and authorizations while also bringing clarity to molecular diagnostics. Always innovating For four decades, the InterQual team has upheld the singular vision of improving patient outcomes by advocating and supporting evidence-based care. Our innovative clinical content, technologies, solutions, and services have helped reduce the administrative burden, enhance payer-provider relations, and improve quality care. Our history of innovation is extensive: We were the first to bring you evidence-based clinical criteria; an automated workflow solution; molecular diagnostics test identification and policy management; automated authorization and integration of that authorization within existing workflows; and automation of the medical review using data from your EHR, to name just a few of our transformative tools.
And as healthcare continues to evolve, so will InterQual and the Decision Support family. Improve outcomes and avoid denials Now more than ever, providers and payers need defensible, consistent decision-making support and an efficient way to proactively manage patient care to reduce length of stay, inappropriate admissions and readmissions, unneeded interventions and, in turn, denials.
With rigorously developed, frequently updated and objective content, InterQual aligns providers and payers with actionable, evidence-based clinical intelligence. 10% Shorter hospital stays in InterQual hospitals. Automate routine tasks and focus on the exceptions Reduce the administrative burden of manually conducting medical reviews and processing prior authorizations, provide/receive quicker authorization approvals, and achieve greater transparency, all within your existing workflows, with our innovative automation solutions, InterQual AutoReview and InterQual Connect. Move to an exception-based utilization management process that allows you to focus your skilled staff on the exceptions that require their expertise while your systems automatically process the rest.
Access your InterQual® Criteria on your tablet or smartphone with a few swipes of your finger. An enhanced digital version of the InterQual books, InterQual® Mobile offers you all the benefits of a printed book without the confines of a single annual release, giving you around-the-clock access to the latest and most accurate clinical content at your fingertips. All app features are available for free.
Interqual Manual
To access your InterQual content for use with InterQual Mobile, you will need to enter your InterQual Criteria licensing credentials. Please log onto the MHS Customer Hub (or contact your account manager to retrieve your Customer Number and License Number to obtain access to your InterQual® content. InterQual Mobile offers:. Greater portability. Access your InterQual content in an easy-to-use mobile application.
Instead of lugging around paper or being tethered to a computer, you can now access all of your InterQual content anytime through your mobile device. Enhanced productivity. Spend less time navigating content with a simple tap-and-go menu that gets you to the content you need in a matter of seconds.
No more searching for specific books. No more lost or damaged pages. You can access the clinical content you need whenever and wherever you need it. Easier access to the latest content. No more waiting to receive content updates through a single annual release. You can immediately download the latest and most accurate InterQual content as soon as it becomes available.
Personalized navigation. With practical features such as bookmarks, annotations, and highlighting, you can easily find your most important or frequently used criteria as well as leave notes or comments for yourself about certain criteria sections. InterQual Mobile is currently available for the following InterQual Criteria products: InterQual® Level of Care Criteria. Acute Adult. Acute Pediatric. Acute Rehabilitation. Long-Term Acute Care.
Subacute & SNF. Outpatient Rehabilitation & Chiropractic InterQual® Behavioral Health Criteria. Adult and Geriatric Psychiatry.
Child and Adolescent Psychiatry. Substance Use Disorders. Procedures.
Evaluate the Appropriateness of Patient Care Across the Continuum 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. The unique episode-day structure helps evaluate whether a patient is responding as expected and recommends interventions in the event of complications or a slower-than-expected response to treatment, as well as next steps for early responders. Our novel approach involves evaluating Severity of Illness along with Intensity of Service to provide a clinically specific methodology for stay determinations. Additionally, only InterQual has incorporated management of comorbid conditions upon admission, along with continued stay. InterQual Level of Care Criteria are available for:.
Acute Adult. Acute Pediatric. Acute Rehabilitation. Long-Term Acute Care. Subacute and Skilled Nursing Facility. Home Care.
Outpatient Rehabilitation and Chiropractic.
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