InterQual
What is InterQual?
InterQual is a set of evidence-based clinical decision support tools developed by Change Healthcare. It's used by healthcare organizations to determine the appropriateness of medical necessity and level of care for patients. It helps ensure patients receive the right care, in the right setting, at the right time, contributing to improved clinical outcomes, efficient resource utilization, and compliance with regulatory standards. It is commonly used during utilization review, care management, and discharge planning processes.
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