Every provider would like prior auths to be faster and easier, so they can focus on delivering appropriate patient care instead of pushing paper. Now ZeOmega, developer of the Jiva population health management platform, has integrated InterQual Connect to help make automated authorizations a reality. In this new webinar, ZeOmega demonstrates how Jiva and InterQual Connect work together to streamline and automate auth requests, making exception-based UM a reality.
The prior-auth process has always been a challenge for providers: How to get approvals faster, so better care can go forward. Healthcare SaaS solutions innovator HealthTrio has integrated InterQual Connect into its Smart Connect portal to automate prior-authorization, resulting in faster auths and patient treatment. In this new webinar, see how nonprofit health plan CareOregon is using the solution to reduce manual work and speed appropriate patient care.
McKnight's covered the launch of InterQual 2017, the latest version of the evidence-based clinical decision support solution. McKnight's reports this new release includes more than 120 new criteria and enhancements that help enable faster, safer, and better clinical decisions at the point of care. Read the Article
At HIMSS17, healthcare IT companies showcased a range of solutions to manage the changing landscape in healthcare reimbursement. McKesson launched the Healthy Hospital program, which uses analytical tools to benchmark hospital revenue cycles, as well as a payment assurance consulting program that uses data to develop value-based reimbursement strategies. The company also previewed a financial clearance tool that helps revenue cycle management staff manage patient collections with data, and a clinical clearance tool that makes medical record reviews more efficient. Read the article
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
It's time to bring utilization management into the 21st century. A more collaborative, automated UM model could create a bridge between the current system, where authorizations happen after care decisions, and real-time communication between payers and providers that provides immediate decisions at the point of care. That bridge is what we call an "exception-based utilization management model." New technology can help payers identify which providers are getting approvals, for which care events, and how often. Then, using that knowledge, most care events can be automatically authorized, letting the payer limit their focus to the outliers. And even then, many of those…
Everyone who thinks prior-authorization is a fast, efficient process, please raise your hand. No raised hands? No surprise. That’s because the prior auth process has been on the slow track for years, powered by paper, faxing, siloed software, and phone calls. Now payers can give provider networks a fast-track option for prior auth, where getting an authorization is as easy as requesting it through the payer’s care management portal. Payers like it because it reduces costs by freeing staff to tackle other things. Providers like it because it helps speed quality care. In fact, the only people who don’t like…
Today, the editors of FierceHealthcare, FierceHealthIT, and FierceHealthPayer named McKesson’s InterQual Connect as a Fierce Innovation Award 2016 finalist in the Clinical Information Management Innovation category.The award recognizes technologies, tools and programs that are driving improvements and transforming the healthcare industry. Read the news release
Hospitals will need to reevaluate their documentation improvement programs because of revisions to the two-midnight rule, which allow for a case by case review of less-than-two-midnight stays. The quality improvement organizations have stated that the review will include InterQual screening criteria. Read the article