InterQual solutions provide health care providers and health plans nationwide with evidence-based, independently peer-reviewed criteria and workflow enhancements to streamline utilization management ...

Change Healthcare has announced that CarePort Health, a leader in discharge planning and utilization review, has become the first provider partner to fully integrate the Change Healthcare InterQual ...

The robust suite of InterQual® criteria has been updated to reflect the latest clinical evidence and provide frontline clinicians with valuable, relevant decision support. “As an Associate CMO ...

NEWTON, Mass.--(BUSINESS WIRE)--KEPRO (Keystone Peer Review Organization, Inc.) has signed a long-term agreement to continue its use of InterQual ® for utilization and quality review across its state ...

Brings automated medical necessity review and authorization connectivity to leading hospital care management software, helping to streamline the authorization process with payers NEWTON, ...

In addition to thousands of new content updates, the company says InterQual is now configured with an eye toward hospital at home models, which have been shown to lower mortality rates and generally ...

UnitedHealth and CVS Health are advancing industry efforts to standardize prior authorization requirements, aiming to cut delays and paperwork. Anthem will transition to the InterQual 2026 criteria ...

NEWTON, Mass., May 14, 2018 /PRNewswire/ -- Change Healthcare today unveiled InterQual ® 2018, the latest edition of the company's flagship clinical decision support solution. InterQual 2018 delivers ...

For the 12th year in a row, the Centers for Medicare and Medicaid Services has elected to use McKesson Medical-Surgical’s InterQual Criteria for its Medicare inpatient services auditing program, ...

McKesson Health Solutions’ InterQual Criteria is accessible through the cloud-based implementations of InterQual Online, InterQual Anonymous Review and InterQual Transparency. InterQual offers ...

Optum has launched two AI-powered platforms, Digital Auth Complete for providers and InterQual Auth Accelerator for payers, aimed at reducing delays and administrative burdens in prior authorization.

While UnitedHealthcare will provide organizations with criteria to make status decisions for patients, it will not provide hospitals with the complete set of InterQual criteria. Q: As of May 1, ...