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Acute Care: Non Acute Care Definition

Evidence-Based Criteria/Guidelines | Utilization
InterQual aligns payers and providers with actionable, evidence-based clinical intelligence to support appropriate care and foster optimal utilization of resources. The foundation of the InterQual solution is our market-leading clinical Criteria, which helps payers and providers consistently apply evidence-based clinical decision support.Interqual Level of Care Criteria · Criteria Powered by InterQual · Customize Interqual Criteria
InterQual 2014 release raises the bar for - McKesson
InterQual 2014 release raises the bar for evidence-based clinical content at the point of care. We are pleased to announce the availability of the InterQual ® 2014 and CareEnhance ® Review Manager Enterprise 13.0 releases. We greatly appreciate your business, and continually strive to ensure the quality of the products and services we provide to you and your organization.[PDF]
InterQual Actionable Evidence-Based Criteria Portfolio
1. Internal analysis based on 2008 HCPCS data. 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.
‎InterQual Mobile on the App Store
Apr 09, 2014InterQual® Mobile offers you around-the-clock access to the latest and most accurate clinical content at your fingertips. All app features are available for free. To access your InterQual content for use with InterQual Mobile, you will need to enter your InterQual Criteria licensing credentials.2.2/5(16)Category: Medical
Milliman or Interqual Criteria (standard recognized guidelines) to help determine if a patient will meet inpatient or observation status and can advise the physician Nurse case managers and social workers work with nursing, patients, ancillary staff, and physicians to ensure that the patient has
InterQual® Behavioral Health Criteria | Change Healthcare
InterQual® Behavioral Health Criteria support initial and continued stay level-of-care decisions across the behavioral health continuum of care. The criteria address the varying needs of geriatric, adult, adolescent, and child patients with both psychiatric and substance use disorders.
Clinical Payment Policy | Georgia Medicaid | Peach State
Peach State Health Plan utilizes InterQual ® criteria for those medical technologies, procedures or pharmaceutical treatments for which a Peach State Health Plan clinical policy does not exist. InterQual is a nationally recognized evidence-based decision support tool.[PDF]
Inpatient Admission and Medical Review Criteria
This presentation was current at the time it was published or uploaded onto the web. Medicare policy changes frequently so links to the source documents have been provided within the document for your
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
SIRS, Sepsis, and Septic Shock Criteria - MDCalc
SIRS, Sepsis, and Septic Shock Criteria. Defines the severity of sepsis and septic shock. Favorite. INSTRUCTIONS. Note: sepsis definitions are evolving and difficult to finalize without a gold standard. These criteria are what is reported and the literature is listed, but note that nuances exist for all sepsis definitions and can differ locally
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