Update Released For InterQual Tool

Update Released for InterQual Tool

  • April 18, 2016

Care managers determining length of stay and managing care transitions will benefit from the newly released InterQual 2016. The updates will help case managers support discharge planning, better manage care timelines, conduct timely interventions, reduce avoidable days, and improve bed management. Read the article

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InterQual 2016 Evolves Utilization Management For A Value-Based World

InterQual 2016 Evolves Utilization Management for a Value-Based World

  • April 18, 2016

Today McKesson Health Solutions unveiled InterQual 2016, the latest release of our flagship evidence-based clinical decision support solution. In addition to over 1,000 updates, enhancements, and advancements, this year's annual release gives you a more holistic view of the patient, better support for proactive care management, and innovative cloud technology and connectivity to improve UM efficiency. Read the news release

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Five Steps Payers Can Take To Make Provider Directories Accurate

Five Steps Payers Can Take to Make Provider Directories Accurate

  • April 14, 2016

With fines being levied at payers who don't keep their provider directories current, it's time to rethink the old and onerous ways many payers keep track of their networks. There are five important steps payers should take to simplify and dramatically improve an otherwise complex system. Read the article

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RelayHealth Financial Reports Claim Denial Trends

RelayHealth Financial Reports Claim Denial Trends

  • March 29, 2016

RelayHealth Financial released surprising findings about claim denials since ICD-10 codes went into effect. Read the good news and the bad news about the results, and why healthcare providers should ramp up their broader denial prevention and management efforts. Read the article

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McKesson And KEPRO To Share Guidance For Understanding The Two-Midnight Rule And Avoiding Denials At 2016 ACMA National Conference

McKesson and KEPRO to Share Guidance for Understanding the Two-Midnight Rule and Avoiding Denials at 2016 ACMA National Conference

  • March 29, 2016

Executives from McKesson Health Solutions and KEPRO will come together at the ACMA 2016 National Conference in Tampa, Florida, to help providers make sense of the Two-Midnight Rule as well as how to reduce denials. The interactive session, scheduled for April 5th, is a unique opportunity to hear perspectives directly from one of only two BFCC-QIOs charged by the Centers for Medicare & Medicaid Services to audit short-stay claims. Read the news release

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AHA, AHIMA Laud Early Release Of New ICD-10 Codes

AHA, AHIMA Laud Early Release of New ICD-10 Codes

  • March 24, 2016

The Centers for Medicare & Medicaid Services and the Centers for Disease Control and Prevention were praised for the early release of thousands of new ICD-10 procedure coding system (PCS) codes and clinical modification (CM) codes prior to Oct. 1. In March, CMS posted 3,651 PCS codes, while CDC posted 1,943 CM. Read the article

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