Interqual test questions and answers 2021-2025

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Associated with an indication, criteria point, medical-review question, or recommendation, informational notes provide reminders of the best medical practice, new clinical knowledge, procedural information, explanations of criteria rationale, and current literature references.
InterQual criteria are a first-level screening tool to assist in determining if the proposed services are clinically indicated and provided in the appropriate level or whether further evaluation is required. The first-level screening is done by the utilization review nurse.
Our evidence-based clinical decision support solution for payers, providers and government agencies who want to help ensure clinically appropriate medical-utilization decisions.
The Clinical Reference provides important information about InterQual Criteria and how to conduct reviews. You can use the Clinical Reference while you conduct a review, or as a resource for clinical information.
View any notes associated with the criteria by clicking the appropriate note icon: Informational Note Informational notes provide reminders of the best clinical practice, new clinical knowledge, procedural information, explanations of criteria rationale, and current literature references.