Interqual Guidelines For Behavioral Health

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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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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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Evidence-Based Criteria/Guidelines Utilization …

(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 Behavioral Health Criteria Supporting …

(3 days ago) WEBInterQual Behavioral Health Criteria support initial and continued stay level of care decisions for patients/members as well as behavioral health procedures. The criteria …

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

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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 Development

(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 …

(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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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 care. The criteria address the varying needs of geriatric, adult, adolescent, and child patients with both psychiatric and substance use disorders.

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

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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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Change Healthcare Launches InterQual® 2022, Delivering the …

(1 days ago) WEBInterQual solutions provide health care providers and health plans nationwide with evidence-based, independently peer-reviewed criteria and workflow …

https://cs-gw-newsroom.staging.changehealthcare.com/press-releases/change-healthcare-launches-interqual--2022--delivering-the-lates

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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 …

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

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Behavioral Health Medical Necessity Guideline updates

(8 days ago) WEBWe’re updating our Medical Necessity Guidelines for the behavioral health services Transcranial Magnetic Stimulation, Psychological Testing and Assessment, and …

https://www.point32health.org/provider/news/behavioral-health-medical-necessity-guideline-updates/

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Psychiatric and Other Specified and Residential Behavioral …

(2 days ago) WEBinpatient mental health treatment, including inpatient eating disorder treatment In addition to other InterQual criteria, inpatient mental health treatment …

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

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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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We’ll use 2023 InterQual criteria starting Aug. 1 - Blue Cross …

(9 days ago) WEBWe ll use 2023 InterQual criteria starting Aug. 1. On Aug. 1, 2023, Blue Cross Blue Shield of Michigan and Blue Care Network will start. using 2023 InterQual …

https://providerinfo.bcbsm.com/documents/alerts/2023/202306/alert-20230601-2023-iq-criteria-8-1.pdf

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BCN to use updated InterQual® ABA criteria starting March 1

(7 days ago) WEBImportant: The severity is categorized as mild, moderate, or severe, and general guidelines for these severity categories can be found in the InterQual criteria …

https://providerinfo.bcbsm.com/documents/alerts/2022/202212/alert-20221220-bcn-updated-interqual-criteria-march-1.pdf

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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 …

https://providerinfo.bcbsm.com/documents/alerts/2023/202310/alert-20231018-feb-1-2024-updated-iq-criteria.pdf

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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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Inpatient Care Hospitals in New Jersey - RWJBarnabas Health

(1 days ago) WEBAccess to inpatient care can be reached through emergency services available at our many hospitals, as well as through our 24-hour Access Center. This Access Center is staffed …

https://www.rwjbh.org/treatment-care/mental-health-and-behavioral-health/mental-health-services/inpatient-care/

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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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Division of Mental Health and Addiction Services Home

(Just Now) WEBThe Division of Mental Health and Addiction Services (DMHAS) serves as the Single State Agency (SSA) for Substance Use and the State Mental Health Authority (SMHA) as …

https://nj.gov/humanservices/dmhas/home/

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