Interqual Behavioral Health Criteria Tool
Listing Websites about Interqual Behavioral Health Criteria Tool
InterQual Behavioral Health Services Crit…
(Just Now) WEBEvidence-based behavioral health criteria. InterQual criteria developed using evidence-based rigor and peer review standards. Proprietary benchmarks for Length of Stay and Percent Paid as Observation. Care management information notes with InterQual …
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InterQual ® Level of Care Criteria - Change Healthcare
(1 days ago) WEBExplore related solutions . InterQual® Ambulatory Care Planning Criteria Identify when imaging studies, procedures, DME, MDx tests, specialty pharmacy medications, and …
https://www.changehealthcare.com/clinical-decision-support/interqual/level-of-care-criteria
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InterQual® Criteria Features
(9 days ago) WEBCriteria Features. InterQual ® Criteria are the clinical information the reviewer should consider when conducting reviews. Criteria comprise evidence-based clinical …
https://prod.cue4.com/help/InterQualOnline/MobileHelp/content/about-criteria-features.htm
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InterQual - Change Healthcare
(3 days ago) WEB• Extensive peer review InterQual® Behavioral Health criteria More than 1,000 independent multidisciplinary experts sit on our clinical review panel, providing multilevel …
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InterQual Behavioral Health Criteria Supporting Behavioral …
(3 days ago) WEBbehavioral health content suite spans multiple settings of care and includes psychiatry, substance use disorders and procedures. • Comprehensive levels of care. Organizations …
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Change Healthcare Launches InterQual - Business Wire
(3 days ago) WEB“Driscoll Health Plan’s Utilization Management department has relied on InterQual ® Criteria for more than 20 years for objective and leading-edge clinical …
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Conducting a Review - InterQual®
(2 days ago) WEBEvaluate Decision Tree Criteria Note: Applies to InterQual ® Level of Care (except Home Care Q&A), InterQual ® Behavioral Health (except Procedures Q&A), InterQual ® SIM …
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Clinical Decision Support Solutions - Change Healthcare
(8 days ago) WEBEvidence-based criteria and technology to support appropriate clinical decisions. InterQual ® provides actionable, evidence-based clinical intelligence and automated processes …
https://www.changehealthcare.com/clinical-decision-support
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Medical Necessity Criteria Carelon Behavioral Health
(6 days ago) WEBCarelon Behavioral Health’s Corporate Quality and Medical Management Committee adopts, reviews, revises, and approves medical necessity criteria per client and …
https://www.carelonbehavioralhealth.com/providers/resources/medical-necessity-criteria
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Spotlight on Medical Necessity Criteria for Substance Use …
(3 days ago) WEBcriteria or tools for medical necessity determinations. See Exhibit A for additional information. Parity Act Requirements The Mental Health Parity and Addiction Equity Act …
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We’ll use updated 2023 InterQual criteria starting Feb. 1
(9 days ago) WEBOn Feb. 1, 2024, Blue Cross Blue Shield of Michigan and Blue Care Network will start using updated 2023 InterQual® criteria to make determinations on prior …
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We’ll use 2024 InterQual criteria starting Aug. 1
(2 days ago) WEBOn Aug. 1, 2024, Blue Cross Blue Shield of Michigan and Blue Care Network will start using 2024 InterQual® criteria to make determinations on prior authorization …
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Quick Reference Guide for Horizon Behavioral
(8 days ago) WEBFor Medicare primary members, Medicare must be billed first and the EOB should be later submitted to Horizon NJ Health. Horizon NJ Health Claim Appeals Department PO Box …
https://s21151.pcdn.co/wp-content/uploads/HBH_QRG_HNJH.pdf
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Horizon NJ Health QUICK REFERENCE GUIDE
(7 days ago) WEBBehavioral Health Services • Horizon Behavioral Health: 1-800-682-9094, prompt 6, or [email protected] Nursing Facility • When a resident that is auto …
https://www.horizonnjhealth.com/sites/default/files/Quick_Reference_Guide.pdf
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Quick Reference Guide for Horizon Behavioral Health Providers
(7 days ago) WEBMembers will not need a referral from their PCP to see a behavioral health provider. Authorization is required for many behavioral health services. To obtain an …
https://s21151.pcdn.co/wp-content/uploads/HorizonNJHealth-QuickReferenceGuide-NewBenefits10.1.pdf
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