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What is a partial responder in Interqual?

partial responder: I am at the expected level of care for the designated episode day and my condition. 3. non responder: I am not moving as expected. I require continued stay but have exhausted the acceptable typical LOS for my condition.

What specifies how many of the underlying criteria points are needed to meet criteria?

Rules\u2014Specify how many of the underlying criteria points are needed to meet criteria, ensuring that reviewers apply criteria consistently. One, Both, and All are examples of rules.

Is InterQual evidence-based?

InterQual® provides actionable, evidence-based clinical intelligence and automated processes that enable you to more effectively support appropriate care, align payers and providers, and optimize resources.

What are criteria points in InterQual?

Criteria points\u2014Refer to test results, medications, symptoms findings, or medical management. Criteria points support the reasons or indications; that is, they identify specific clinical elements that must be satisfied to justify the appropriateness of the intervention/service.

When conducting a review answering questions in a specific pathway will lead the user to?

In the Durable Medical Equipment Criteria: When conducting a review, answering questions in a specific pathway will lead the user to Clinical Revisions.

interqual interrater reliability exam

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Which resource provides reminders of best clinical practice new clinical explanation explanations of criteria rationale and definitions of terminology used in 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.

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What is a partial responder in Interqual?

What specifies how many of the underlying criteria points are needed to meet criteria?

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What are criteria points in InterQual?

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Which resource provides reminders of best clinical practice new clinical explanation explanations of criteria rationale and definitions of terminology used in criteria?

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