Peak Health Interqual Guidelines

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Table of Contents - Peak Health

(2 days ago) WebPeak Health clinical guidelines have been integrated into the claims processing system, to allow for cost-effective processing of claims and to ensure accurate administration of member healthcare benefits. Peak Health utilizes InterQual medical necessity criteria …

https://peakhealth.org/wp-content/uploads/2023/06/2023.06.19-Peak-Health-Participating-Provider-Manual-FINAL.pdf

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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 2022 Physician Admission Guide - STQN

(7 days ago) WebInterQual® 2022 Physician Admission Guide This document identifies key clinical differentiators between the Observation and Inpatient (Acute, Intermediate, Critical) …

https://www.stqn.org/upload/docs/STQN/Quarter%201%202023/2022%20Interqual%20Physician%20Admission%20Guide%20Adult.pdf

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A Remote Nurse’s Guide to MCG and InterQual - Nurse Fern

(3 days ago) WebMCG criteria are typically regarded as more simplistic and user-friendly, while InterQual is a bit more thorough. Treating providers have scrutinized both guidelines carefully. The …

https://nursefern.com/remote-nurses-guide-to-mcg-and-interqual/

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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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2021 INTERQUAL LEVEL OF CARE CRITERIA RELEASE

(7 days ago) WebUPDATE: 2021 INTERQUAL® LEVEL OF CARE CRITERIA RELEASE. The update to 2021 InterQual® Level of Care Criteria was successfully completed over the weekend of May …

https://content.highmarkprc.com/Files/NewsletterNotices/SpecialBulletins/sb-2021-interqual-level-of-care-criteria.pdf

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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 - Change Healthcare

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

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

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InterQual® Criteria Access - healthalliance.org

(6 days ago) WebInterQual® Criteria Access . Health Alliance uses medical necessity criteria based on published clinical evidence to make utilization InterQual® criteria and any other …

https://www.healthalliance.org/documents/25775

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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 …

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

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Peak Provider Peak Health

(7 days ago) WebPeak Health provides free aids and services to people with disabilities to communicate effectively with us and free language services to people whose primary language is not …

https://peakhealth.org/peak-provider/

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2022 INTERQUAL® LEVEL OF CARE CRITERIA RELEASE

(5 days ago) WebThe 2022 InterQual® Level of Care Criteria release is scheduled for Saturday, August 27, 2022. After that time, you will be able to submit prior authorization requests using the …

https://content.highmarkprc.com/Files/NewsletterNotices/SpecialBulletins/sb-2022-interqual-level-of-care-criteria-release.pdf

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Assessment of level of care recommendations and nursing acuity …

(3 days ago) WebInstead, this study demonstrates that nursing workload should be used alongside the InterQual criteria to best inform the appropriate LOC for a patient. While we found that …

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8981351/

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InterQual Behavioral Health Services Criteria - Change …

(Just Now) WebInterQual®Behavioral Health Services Criteria help improve quality and streamline reimbursement. This standardized, automated criteria set supports documentation of the …

https://marketplace.changehealthcare.com/content/dam/change-healthcare/marketplace-assets/interqual_behavioral_health_services_criteria_fact_sheet._Download.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 authorization …

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

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InterQual LOC criteria Priority Health

(Just Now) WebThe InterQual ® Level of Care products cover the continuum of care. The richness of clinical detail allows for consideration of an individual patient's severity of illness, …

https://www.priorityhealth.com/provider/manual/standards/utilization-management-program/interqual-loc-criteria

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Wendy Jo Davis LPN, CMCN Managed Care Nurse - LinkedIn

(9 days ago) WebDuties included medical management of time-sensitive cases with attention to quality assurance, processing of medical treatment requests based on medical …

https://www.linkedin.com/in/wendy-jo-davis-lpn-cmcn-managed-care-nurse-11587821

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Peak Health Helping You Reach New Heights

(3 days ago) WebPeak Health provides free aids and services to people with disabilities to communicate effectively with us and free language services to people whose primary language is not …

https://peakhealth.org/

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Treatment strategies for the yellow zone

(Just Now) Web2019 GINA guidelines now recommend as a step 1 controller for all patients 12 years of age or older as-needed low-dose ICS- and health care visits, whereas delayed …

https://www.annallergy.org/article/S1081-1206(19)30510-1/pdf

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About Dr. Dave Pilchman - NJ Peak Performance

(9 days ago) WebDr. Dave maintains a private practice in Performance Psychology in Springfield, New Jersey. He serves as Sports Psychology director of the Athlete Development Institute in Cedar …

https://njpeakperformance.com/dave.html

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MOH News Highlights - Ministry of Health

(5 days ago) WebGuidelines . Legislation . Acts regulating drugs, healthcare professionals, medical practices, research and more. During the peak month of the previous JN.1 wave in December …

https://www.moh.gov.sg/news-highlights/details/update-on-covid-19-situation

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