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Acute Care: Post Acute Care Definition
InterQual Actionable Evidence-Based Criteria Portfolio
InterQual Care Planning 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 feature extensive 8/7/2013 3:44:38 PM[PDF]
eQHealth Solutions Implements InterQual® 2013 Criteria
InterQual® criteria. These criteria sets help determine the medical necessity, reasonableness and appropriateness of acute inpatient care. InterQual® screening criteria is licensed by McKesson HealthSolutions. For further information, visit wwwsson and type “InterQual 2013” in
Updated InterQual® guidelines for 2013 - AmeriHealth
With the release of the 2013 InterQual criteria, the Acute Adult and Acute Pediatric criteria continue to move towards condition-specific criteria. The condition-specific criteria are organized by episode day and comprise multiple levels of care. They integrate relevant complications, comorbidities, and guideline-standard treatments.
Evidence-Based Criteria/Guidelines | Utilization
InterQual Criteria InterQual Criteria are objective and specific to better help ensure the most appropriate care and more consistent, defensible decision-making. Our four criteria suites provide comprehensive coverage for medical and behavioral health across all
Updated InterQual® guidelines for 2013
May 31, 2013With the release of the 2013 InterQual criteria, the Acute Adult and Acute Pediatric criteria continue to move towards condition-specific criteria. The condition-specific criteria are organized by episode day and comprise multiple levels of care. They integrate relevant complications, comorbidities, and guideline-standard treatments.
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 [PDF]
approval of (a) the licensed 2013 InterQual® Criteria and (b) customizations to the 2013 Edition. The May 13, 2013 Amerigroup Medical Operations Committee (formerly Medical Policy Committee) review date reflects review and approval of (a) the licensed 2013 InterQual® Criteria and (b) customizations to the 2013 Edition.[PDF]
Milliman Guidelines NICU Levels* - Kaiser Permanente
Milliman Guidelines NICU Levels* Neonatal Intensive Care Unit Level IV If the following conditions/procedures exist, in additi on to the fulfillment of Level III Criteria, the approved inpatient days s hould be assigned at Level IV
A new approach to inpatient admission status | ACP Hospitalist
Sep 01, 2013Coding Corner | September 2013. A new approach to inpatient admission status by Medicare if they file claims for inpatient care when Medicare's criteria are not met. Documenting a reasonable and legitimate expected length of stay of at least two days and identifying the clinical basis for it will substantiate the medical necessity of the[PDF]
Medical Necessity & Charting Guidelines
Charting Guidelines Attending physicians must write a progress note daily on a patient’s chart -- not just co-sign a resident’s note. – – Please note that the these are suggestions based on InterQual criteria and Milliman criteria used by Medicare, TennCare TennCare and most of the major payers. If you have any questions, you may
Related searches for interqual criteria 2013
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