When was InterQual created?
Late 1970s: InterQual, Inc., is founded, and the company publishes the first severity of illness/intensity of service (SI/IS) criteria for acute care, making practical review of the appropriateness of hospitalization possible.
Who makes InterQual?
Change Healthcare
NEWTON, Mass. –(BUSINESS WIRE)–Change Healthcare today unveiled InterQual® 2019, the latest edition of the company’s flagship clinical decision support solution. The new release builds on Change Healthcare’s tradition of continuous innovation in content and technology.
Who 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.
What is InterQual review manager?
to the InterQual Review Process Review Manager is a browser-based, interactive product that helps automate and streamline the care review process and enables data retrieval and aggregated reporting. Review Manager helps improve consistency among reviewers and supports a more efficient review process.
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.
Did Unitedhealthcare buy InterQual?
We will transition to InterQual criteria for all benefit plans effective May 1, 2021. We expect that using InterQual will further streamline our current clinical review processes while helping to reduce clinical decision turnaround times.
How much does InterQual cost?
InterQual offers an instructor program that trains you to train others. InterQual works with healthcare teams and hosts training programs run by Registered nurses experienced in case management. There is a cost with InterQual which is between $35-$100 after everything is done.
Who acquired McKesson?
Allscripts
CHICAGO, August 3, 2017 (GLOBE NEWSWIRE) – Allscripts (NASDAQ:MDRX), a global leader in healthcare technology, today announced a definitive agreement to acquire McKesson Corporation’s (NYSE: MCK) hospital and health system IT business, Enterprise Information Solutions, for $185 million in cash, subject to adjustment …
Who was change Healthcare previously?
Change Healthcare (known as Emdeon before rebranding in 2015, which followed the purchase of a pre-existing company called Change Healthcare) is a provider of revenue and payment cycle management and clinical information exchange solutions, connecting payers, providers, and patients in the U.S. healthcare system.
Who owns Cardinal health?
The acquisition was completed on October 4, 2015. Cardinal sold the division in August 2021 to Hellman & Friedman, a private equity firm, for $1 billion.
What is the purpose of InterQual in healthcare?
Purpose/objectives: InterQual evidence-based clinical decision support criteria are used by thousands of organizations in healthcare. What industry trends led to their creation, and what accounts for their longevity and widespread acceptance? Primary practice settings (s): Hospitals, health systems, and managed care organizations.
What’s the purpose of the birth of InterQual?
The Birth of InterQual: Evi… Purpose/objectives: InterQual evidence-based clinical decision support criteria are used by thousands of organizations in healthcare. What industry trends led to their creation, and what accounts for their longevity and widespread acceptance?
Are there any changes to the InterQual authorization process?
Accounts that require use of state-specific or other medical necessity criteria are NOT impacted. Other processes and workflows remain the same (such as authorization process); only the criteria are changing. Providers will not be submitting authorization requested through InterQual. Beacon’s authorization process will remain the same.
Which is an example of an InterQual procedure criteria?
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. Covering major categories of surgical and invasive procedures for all body systems for adults and
