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Which resource provides reminders of best clinical practice, new clinical knowledge, explanations of criteria, rationale, and definitions of terminology used in the criteria?
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.
What is the InterQual test?
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.
What is change healthcare InterQual?
Our evidence-based clinical decision support solution for payers, providers and government agencies who want to help ensure clinically appropriate medical-utilization decisions.
Which resource provides details of changes to InterQual clinical criteria?
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.
What are informational notes in InterQual?
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.
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User Guide
Apr 8, 2021 If the online help information does not answer your question, first contact your NUMI site POC/Administrator for assistance. If the question
The Pharmacy Department can answer questions regarding the formulary and/or drug prior Authorization requests. The Molina Healthcare formulary is available
The standardized test looms large in our educational landscape, a silent judge assessing knowledge and skills. But what happens when those tests go beyond
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