Interqual Behavioral Health Criteria

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InterQual ® Behavioral Health Criteria - Change Healthcare

(5 days ago) 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 …

https://www.changehealthcare.com/clinical-decision-support/interqual/behavioral-health-criteria

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Evidence-Based Criteria/Guidelines Utilization Management

(8 days ago) WEBEvidence-based InterQual Criteria to support appropriate care decisions. Make the safest, most efficient care decisions by using objective, specific criteria for both medical and …

https://www.changehealthcare.com/clinical-decision-support/interqual

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InterQual® Criteria Products

(9 days ago) WEBInterQual ® Behavioral Health. Behavioral Health Criteria include the following products: Adult and Geriatric Psychiatry: Provides evidence-based clinical decision support for …

https://prod.cue4.com/help/InterQualOnline/MobileHelp/content/about-criteria-products.htm

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InterQual Criteria - Change Healthcare

(2 days ago) WEBBehavioral Health InterQual® Criteria Customize Your Criteria InterQual Customize is a content creation and editing solution that lets you author your own care management …

https://marketplace.changehealthcare.com/content/dam/change-healthcare/marketplace-assets/InterQual_Criteria._Download.pdf

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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 …

https://mms.businesswire.com/media/20160418005872/en/519476/1/InterQual_Behavioral_Health_Criteria.pdf?download=1

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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 2022: What’s New - Change Healthcare

(Just Now) WEBcriteria allow for documentation and consistent evidence-based decision-making. Included within InterQual Behavioral Health Services Criteria and InterQual Ambulatory Care …

https://www.changehealthcare.com/content/dam/change-healthcare/sales---marketing-content/payer-and-provider/decision-support/fact-sheet/interqual-2022-whats-new/InterQual-2022-Whats-New-Fact-Sheet.pdf

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InterQual Evidence-Based Criteria Portfolio Enabling shared, …

(Just Now) WEBInterQual Behavioral Health Criteria InterQual Behavioral Health Criteria support initial and continued stay level of care decisions across the behavioral health continuum of …

https://mms.businesswire.com/media/20160418005873/en/519478/1/InterQual_Criteria_2016.pdf?download=1

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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 ® …

https://prod.cue4.com/help/InterQualOnline/AnonymousReviewHelp/content/pdf/conducting%20a%20review.pdf

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3.01.521 Psychiatric and Other Specified Evaluations in …

(2 days ago) WEB3.01.515 Behavioral Health: Residential/Sub-Acute Detoxification specifies the clinician types that must conduct In addition to other InterQual criteria, inpatient mental …

https://www.premera.com/medicalpolicies/3.01.521.pdf

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InterQual® Criteria - Level of Care - Change Healthcare

(9 days ago) WEBInterQual® Acute Pediatric. The Acute Pediatric module helps clinicians determine the appropriateness of admission, continued stay, and discharge at acute care facilities for …

https://marketplace.changehealthcare.com/products/care_operations_and_management/interqual-level-of-care.html

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Updated InterQual® Criteria for 2024

(4 days ago) WEBChange Healthcare, an independent company, has made updates to the InterQual ® Criteria for 2024. Beginning January 29, 2024, In addition, IBX and Independence …

https://provcomm.ibx.com/pnc-ibc/news/Pages/Updated-InterQual-Criteria-for-2024.aspx

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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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InterQual Evidence-Based Criteria Development - Change …

(3 days ago) WEBInterQual Criteria are objective and specific, helping guide consistent, defensible decisions that ensure appropriate, quality care. The portfolio of five content suites offers …

https://www.changehealthcare.com/content/dam/change-healthcare/corporate-site/solutions/clinical-decision-support/interqual/interqual-evidence-based-development-process-fact-sheet.pdf

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Supporting Behavioral Health Care Decisions Change Healthcare

(5 days ago) WEBSupport Behavioral Health Care Decisions in an Age of Parity. Watch video. As utilization and treatment costs rise, developing an effective means of managing the …

https://www.changehealthcare.com/insights/supporting-behavorial-health-care-decisions

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Behavioral Health Criteria InterQual® Change Healthcare

(9 days ago) WEBEvidence-based behavioral health criteria. InterQual criteria developed using evidence-based rigor and peer review standards. Proprietary benchmarks for Length of Stay and …

https://cs-gw-www.staging.changehealthcare.com/clinical-decision-support/interqual/behavioral-health-criteria

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Position Statement on Criteria and Guidelines for …

(7 days ago) WEBInterQual Behavioral Health Criteria are objective, evidence-based criteria that support evaluation and care decisions. InterQual criteria are reviewed and revised …

https://www.mhn.com/content/dam/centene/mhn/pdf/Position%20Statement%20on%20Criteria%20and%20Guidelines%20for%20Authorization%20of%20Psychological%20and%20Neuropsychological%20Testing.pdf

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Quick Reference Guide for Horizon Behavioral HealthSM …

(1 days ago) WEBThe Horizon Behavioral HealthSM program is administered by ValueOptions of New Jersey, Inc. ValueOptions of New Jersey, Inc., a subsidiary of Beacon Health Options, …

https://s21151.pcdn.co/wp-content/uploads/HBH_QRG_HBCBSNJ.pdf

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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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Behavioral Health in New Jersey Hackensack Meridian Health

(Just Now) WEBBehavioral health, mental health, and psychiatry – these are all related terms for emotional health and well-being. It is long overdue that society treated these issues like …

https://www.hackensackmeridianhealth.org/en/services/behavioral-health

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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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