CMS To Continue Use Of InterQual Criteria

CMS to Continue Use of InterQual Criteria

  • December 19, 2016

Today McKesson Health Solutions announced that the Centers for Medicare & Medicaid Services (CMS) will continue their long-term use of InterQual Criteria for Medicare services auditing programs. Extending a 17-year relationship, CMS will continue to benefit from InterQual's evidence-based clinical decision support to help better manage patients as the industry transitions to value-based care. Read the news release

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Put Prior-Auth On The Fast-Track

Put Prior-Auth on the Fast-Track

  • December 15, 2016

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…

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Learn How To Move Authorizations Into The Fast Lane

Learn How to Move Authorizations into the Fast Lane

  • October 13, 2016

Prior authorizations don't have to be a costly, tedious, or manual process. What if we could automate and streamline authorizations, so clinicians could request and receive an authorization in minutes if not seconds, without touching paper, phone, or a fax machine--and without ever leaving their preferred care management platform? We can now stop asking "what if?" McKesson and ZeOmega are bringing automated authorization with medical review to the forefront, because now ZeOmega's Jiva population health platform interoperates with McKesson’s InterQual Connect. See how it works. Discover how this partnership delivers on the promise of exception-based UM. And learn why it…

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The Interoperability Imperative

The Interoperability Imperative

  • September 19, 2016

Interoperability in healthcare is not just about moving financial and clinical data between payer or provider or moving clinical data from one application to another. True interoperability allows enterprise applications to "talk" and collaborate in a smart, open, and agile manner. The Interoperability Imperative explains what this means; how and why interoperability is necessary to scale complex value-based reimbursement models; and how payers, providers, and vendors can get started. Read now or download and read later

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Major Regional Health Plan Switches To InterQual

Major Regional Health Plan Switches to InterQual

  • July 20, 2016

McKesson announced a major regional health plan -- the oldest and largest health insurance company in its state -- has signed a new multi-year agreement to use InterQual®, replacing a competing solution in the process. Key to this decision was McKesson’s InterQual Connect™ authorization and connectivity solution. Read the news release

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3M Health Information Systems Integrates McKesson InterQual Connect

3M Health Information Systems Integrates McKesson InterQual Connect

  • July 1, 2016

3M Health Information Systems is the first vendor of provider care management and revenue cycle software to bring McKesson's InterQual Connect medical review and automated authorization capabilities to its customers. InterQual Connect is now being integrated with the 3M ClinTrac Suite. Read the article

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HealthTrio Integrates McKesson InterQual Connect Into Smart Connect Portal

HealthTrio Integrates McKesson InterQual Connect into Smart Connect Portal

  • June 16, 2016

HealthTrio's Smart Connect is the first portal partner to bring InterQual Connect's cloud-based automated medical review and authorization tool to its payer-provider network. Health plans can give their providers expanded automated authorization that supports requests requiring a medical review, without ever leaving the Smart Connect portal. Read the article

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