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What does InterQual Connect do?

What does InterQual Connect do?

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 service, with proven and secure connectivity.

How do I access InterQual?

Viewing the InterQual criteria After you sign in with your One Healthcare ID, you can search the InterQual subset criteria by product, keyword or medical code. Click on HELP in the right corner to find InterQual’s instructions for conducting a review.

What is InterQual level of care criteria?

Clinical decision support for providers and payers who want to assess safe and efficient level of care based on illness severity, comorbidities, and complications.

What payers use InterQual?

InterQual is also the choice of payers that offer MCO plans in others states, including AmeriHealth, Centene, and Molina. In addition to Milliman and InterQual, many payers maintain their own medical necessity policies.

Does McKesson own InterQual?

InterQual Connect is part of the InterQual product line, McKesson’s flagship decision support solution. InterQual Criteria help payers and providers ensure appropriate care which helps improve quality and reduce unnecessary cost across the medical and behavioral health continuums of care.

What is the purpose of utilization review?

Utilization review is a method used to match the patient’s clinical picture and care interventions to evidence-based criteria such as MCG care guidelines. This criteria helps to guide the utilization review nurse in determining the appropriate care setting for all levels of services across the arc of patient care.

What is McKesson InterQual?

InterQual Procedures Criteria Are evidence-based medical necessity guidelines for nearly 300 high-volume, high-cost procedures. The criteria help make documenting medical necessity easy while helping to improve the quality of care.

What is healthcare InterQual?

An evidence-based clinical decision support solution for payers, providers, and government agencies who want to help ensure clinically appropriate medical utilization decisions.

What’s InterQual?

What does InterQual mean?

InterQual means the McKesson Criteria for Inpatient Reviews, a comprehensive, clinically based, patient focused medical review criteria and system developed by McKesson Corporation. The physician order determines Patient Status and Level of Care.

What is Interqual?

® An evidence-based clinical decision support solution for payers, providers, and government agencies who want to help ensure clinically appropriate medical utilization decisions.

Who Performs utilization review?

Utilization review nurses perform frequent case reviews, check medical records, speak with patients and care providers regarding treatment, and respond to the plan of care. They also make recommendations regarding the appropriateness of care for identified diagnoses based on the research results for those conditions.