Interqual criteria 2019
www.salemhealth.org
Salem Health uses InterQual criteria to help determine patient classification as IP vs. Observation so that appropriate classification occurs. Documentation of patient assessment, tests, and evaluation of treatment are key criteria to help make the appropriate determination. ... 10/31/2019 08:58:00
[DOC File]FORT SANDERS REGIONAL MEDICAL CENTER
https://info.5y1.org/interqual-criteria-2019_1_f3acfc.html
Amended July 2019. Milliman & Robertson and InterQual Criteria (as defined in The Utilization Management Plan PI.CM.004]). Fort Sanders Regional Medical Center. Medical Staff . …
[DOCX File]PHC Medical Necessity Criteria for Pain Management …
https://info.5y1.org/interqual-criteria-2019_1_7ce898.html
InterQual® criteria followed. For repeat procedures, the minimal interval between radioablation procedures at the same level is every 6 months. 72285, 72295 Cervical, Thoracic, Lumbar discography. Same as 62290 and 62291 above. Author: Robert Moore Created Date: 07/27/2020 12:44:00
[DOCX File]National Utilization Management Integration Systems ...
https://info.5y1.org/interqual-criteria-2019_1_81187e.html
The NUMI and the CERMe databases reside on the NUMI Database server. The NUMI database stores information on patient movements. The CERMe database stores the Change Healthcare InterQual® criteria, which is used by the UM reviewers to determine patients’ level of …
[DOCX File]Insulin Infusion Pump & Continuous Glucose Monitor Guidelines
https://info.5y1.org/interqual-criteria-2019_1_2cad2f.html
InterQual® criteria will apply for coverage determination. Long term CGM is considered experimental and investigational for nesidioblastosis (primary islet cell hypertrophy) and for monitoring blood glucose in nondiabetic persons following gastric bypass surgery.
[DOC File]MEDICAID - DVHA Vermont
https://info.5y1.org/interqual-criteria-2019_1_959fea.html
Updated May 2019. Previous Updates: May 2018. May 2015. July 2014. Created October 2013 TABLE OF CONTENTS. SECTION TITLE PAGE 1. INTRODUCTION ... Change HealthCare InterQual® Behavioral Health Criteria. Dental Supplement Manual. Dental Standing Orders. Other Nationally Recognized Evidence-Based Criteria.
[DOCX File]Subject: - Home State Health
https://info.5y1.org/interqual-criteria-2019_1_f1777a.html
InterQual criteria are proprietary and cannot be publicly published and/or distributed. On an individual member basis, the specific criteria document used to make a medical necessity determination can be made available upon request. Registered providers can obtain the appropriate InterQual SmartSheet™ by logging in to the secure provider portal.
[DOCX File]Consult Toolbox User Guide - Veterans Affairs
https://info.5y1.org/interqual-criteria-2019_1_128493.html
– Check this box to access the screens required for use during the Coronavirus Disease of 2019 (COVID-19) Pandemic. For instructions on how to access the new screens during the COVID-19 Pandemic, please refer to Appendix A: Management of Consults when COVID-19 Workflow is Enabled. ... InterQual Criteria. Chief of Staff approved Protocol ...
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