Content from third-party sources is converted into our easy-to-use Q&A format. Policies that exist in disparate sources or are cumbersome to navigate are streamlined and structured using InterQual’s clinical rules and criteria development expertise.
Content powered by InterQual can be incorporated seamlessly into your existing InterQual workflow to create a structured, interactive tool that can help reduce review times, support review consistency, and streamline the prior authorization process. Providing a single source for content helps minimize the need to use and update multiple systems and supports the consistent and efficient application of medical policies.
InterQual provides comprehensive content fully aligned with Medicare NCD/LCDs (National and Local Coverage Determinations) and policy articles within your InterQual workflow. This criteria provide medical necessity support, quantity and time-frame utilization limits and non-covered indications and services for:
InterQual works with a variety of organizations to convert their proprietary content into our structured, actionable format.