The full list of medical policies and clinical utilization management um guidelines are publicly available on the medical policy and clinical um guideline subsidiary website. Cerme is a cots web application developed by the mckesson corporation. Change healthcare introduces interqual 2019 business wire. Forty years ago, interqual debuted as books that users would page through and annotate, said nilo mehrabian, vice president of product management at mckesson health solutions. Apply to case manager, care manager, registered nurse case manager and more. Whether you are seeking representing the ebook interqual manual 2018 in pdf appearance, in that condition you approach onto the equitable site. Mckesson is based in irving, texas and distributes health care systems, medical supplies and pharmaceutical products. Interqual 2017 streamlines clinical care decisions annual release introduces new content to provide better support for medicare population and admission decisions download. Mckesson brings interqual criteria to the cloud more. The conditionspecific format presents evidencebased interventions that are specific to the condition and help to costeffectively improve outcomes. Interqual evidencebased criteria portfolio enabling. An enhanced digital version of the interqual content, interqual mobile offers you all the benefits of a printed book without the confines of a single annual release, giving you aroundtheclock. Mckesson brings interqual criteria to the cloud business wire. The foundation of the interqual solution is our marketleading clinical criteria, which helps payers and providers consistently apply evidencebased clinical decision support.
Desktop, mobile, and cloud solutions for viewing your interqual criteria. Interqual acute criteria acute adult criteria innovating. This product is available to all interqual licensed organizations free of charge. The technology provides specific clinical criteria that can be applied to patient symptoms to determine the appropriate level of patient care andor the.
Refined and proven over 30 years, this development cycle combines systematic, critical assessment of the medical literature by highly trained. Using this criteria strictly is nonsense to premise that a patient is not acute based on an artificial intensity of service is nuts but i am sure there are. Interqual added with an effective date of april 1, 2018. Mckessons interqual criteria, the standard for evidencebased clinical. The record 2019 interqualr criteria to be implemented. Njpec204320 march 2020 clinical utilization management guidelines attached is a list of the clinical um guidelines the health plan has adopted.
Interqual criteria also updated, augmented for broader care management versatility march 11, 2003 07. Our registered nurses case management coordinators use mckessons interqual criteria as their main source of decision support. Interqual 2017 streamlines clinical care decisions duration. The design of mckesson s interqual acute criteria helps payers and providers get past these barriers and address their critical needs. The interqual book gets updated almost every other month or so along with the software updates, and i doubt that the op will get a new paper update to go with hisher copy of the book as often as the software updates and ebook updates because it is too costly to hisher employer. Blue cross blue shield of michigan and blue care network will start using the 2019 interqual criteria on aug. In fact, the ebook reference allows for searching through the.
It is important to understand that the criteria reflect clinical interpretations and analyses and cannot alone either resolve medical ambiguities of particular situations or provide the sole basis for definitive decisions. The criteria are developed using the same stringent, evidencebased clinical development process that the industry has come to expect from interqual. Interqual transparency tool click on book view to advance into the criteria. We represent the dead change of this ebook in txt, djvu, epub, pdf, physician arrangement. More than 60 clinical professionals at mckesson, including physicians. The richness of clinical detail allows for consideration of. Mckesson corporation is an american company distributing pharmaceuticals and providing health information technology, medical supplies, and care management tools. View features flexible print options, adjustable font sizes, informational notes, and citations. Mckesson interqual level of care criteria 20 mckesson on. Change healthcare today unveiled interqual 2019, the latest edition of the companys flagship clinical decision support solution. Mckesson brings interqual criteria to the cloud youtube.
Advertisement mckesson interqual level of care criteria 20. Login to mckesson connect, supplymanager, specialty health customer center, and mckesson patient care solutions. To access your interqual content for use with interqual mobile, you will need to enter your interqual. The interqual content portfolio consists of four content. Addition of text reference specialing to ma bulletin 201801 and reference to applicable payment policy and provider manual september 12, 2018. Change healthcare interqual 2018 brings efficiency. Access mckesson health solutions mhs customer hub using internet explorer at. Interqual mobile for ios free download and software. National utilization management integration systems. Umcm systems can automate authorizations to a point, based on limited payer rules. Access the latest information about your programs and services to get the most out of them. Mckesson connect is a onestop resource for all your pharmaceutical needs. Numerous and frequentlyupdated resource results are available from this search. Interqual level of care criteria 2010, acute care, adult.
Interqual actionable evidencebased criteria portfolio enabling shared, clinical decision support mckesson s interqual content portfolio helps support better patient outcomes through integrated, streamlined care management processes and evidencebased appropriateness of care decision support. Interqual aligns payers and providers with actionable, evidencebased clinical intelligence to support appropriate care and foster optimal utilization of resources. Mckesson health solutions interqual criteria is accessible through the. Interqual criteria also updated, augmented for broader care management versatility. Discover interqual, an evidencebased clinical decision support solution that helps healthcare organizations make appropriate medical utilization decisions. To access your interqual content for use with interqual mobile, you will need to enter your interqual criteria licensing credentials. Interqual actionable evidencebased criteria portfolio. This online help provides a stepbystep guide for you to refer to as you use the software to work with interqual criteria. It lists changed subsets but does not address changes to specific criteria points. Forty years ago, interqual debuted as books that users would page.
Reliable information about the coronavirus covid19 is available from the world health organization current situation, international travel. Oclcs webjunction has pulled together information and resources to assist library staff as they consider how to handle coronavirus. Online shopping from a great selection at books store. Impossible foods serves up impossible pork made from plants and impossible sausage made from. Abebooks, an amazon company, offers millions of new, used, and outofprint books. Interqual level care criteria skip to main search results department. Every time i update this software i am required to. Interqual evidencebased clinical decision support criteria are used. It is important that the only person who downloads interqual view is the person at your organization responsible for downloading software. Apply to registered nurse case manager, care manager, medical director and more. Criteria points are clinical statements that refer to test results, medications, symptoms, findings, monitoring, medical management, functional status. All of our clinical educational consultants are qualified registered nurses with experience in case management and utilization management.