Fallon Health cut the time it took to process prior authorizations for molecular diagnostic tests by 75%, saving $100,000 in administrative costs in just six months. And the savings are ongoing. Learn how they did it in this new case study. Download the case study
Today, we unveiled InterQual 2017, a faster, more streamlined version of our flagship clinical decision support solution. InterQual 2017 introduces a new time-saving product, Medicare Procedures powered by InterQual, which automates more than 400 Medicare National and Local Coverage Determinations. It also provides a more efficient set of level of care criteria, Initial Review, that supports faster, earlier decisions in the ER. Customers will benefit from a host of new updates, enhancements, and technological advancements, including more than 125 new content areas. Read the news release
McKesson Health Solutions is showcasing its suite of new and revamped products at HIMSS17 in Orlando. McKesson has invested in a reinvention of revenue cycle management, from financial and clinical clearance to payment integrity and analytics in order to help the healthcare industry transition to a value-based world. Solutions, services, and new programs highlighting advancements and expertise across the provider reimbursement process will be on display at HIMSS17 at McKesson’s booth #3479, including: Analytics: Healthy Hospital is a new program that uses advanced analytics to help providers benchmark key revenue cycle metrics. Financial Clearance: RelayHealth Financial will be previewing an upcoming…
McKesson is previewing InterQual AutoReview at HIMSS17. The solution, still in development, automates medical necessity reviews by tapping directly into EHRs for patient data. Read the article
What was the "top story" at HIMSS17? McKesson Health Solutions' preview of InterQual AutoReview. Developed in partnership with the National Decision Support Company, InterQual AutoReview automates medical necessity reviews by directly accessing patient data from EHRs. This breakthrough integrates NDSC’s platform into InterQual’s technology, decision support engine, and evidence-based content to streamline medical reviews at the point of care. Read the article
There's tremendous pressure on hospitals to reduce denial rates, and the problem is getting worse as claims processing becomes more complex. One way to reduce denials is to close common gaps that lead to medical necessity denials, which can account for as much as 5% of denials. CMSA Today shares a ten step process to that can have a quick and positive impact on your revenue cycle. Read the article
Today McKesson announced its InterQual Coordinated Care Content has received new accreditation and vendor certification from URAC for achieving recognized standards in Case Management and Disease Management. McKesson Health Solutions also earned a three-year renewal reaccrediting CareEnhance Review Manager for Utilization Management (UM). The accreditations mark 13 years of continuous recognition by URAC, a leader in quality standards for the healthcare industry.
McKesson has announced that InterQual Criteria is now accessible through new cloud-based implementations of InterQual Online, InterQual Anonymous Review, and InterQual Transparency. The cloud access makes it easier to use the evidence-based decision making criteria—including Level of Care, Planning, and Behavioral Health criteria.
Mckesson’s InterQual Criteria can now be accessed on the cloud, making it easier and faster for customers to access objective, evidence-based medical and behavioral health clinical content. The criteria will be available through cloud-based implementations of InterQual Online, InterQual Anonymous Review, and InterQual Transparency. The secure, fast cloud access will help providers make appropriate care decisions across the medical and behavioral health levels of care.