For the 12th year in a row, the Centers for Medicare and Medicaid Services has elected to use McKesson Medical-Surgical's InterQual Criteria for its Medicare inpatient services auditing program, according to a McKesson news release.
CMS will foster an alignment between payors and providers in today's healthcare environment by extending the use of InterQual content for decision management. Through the agreement, Quality Improvement Organizations, Medicare Fiscal Intermediaries and Medicare Administrative Contractors have access to the spectrum of InterQual Criteria products as well as historical criteria to support their utilization review and quality oversight functions.
CMS departments and Administrative Law Judges can also use the criteria to assist in appeals decisions.
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CMS will foster an alignment between payors and providers in today's healthcare environment by extending the use of InterQual content for decision management. Through the agreement, Quality Improvement Organizations, Medicare Fiscal Intermediaries and Medicare Administrative Contractors have access to the spectrum of InterQual Criteria products as well as historical criteria to support their utilization review and quality oversight functions.
CMS departments and Administrative Law Judges can also use the criteria to assist in appeals decisions.
Related Articles on McKesson:
McKesson Partners With Lakewood Health System in Minnesota
Fraud, Waste and Abuse Tools Integrate to McKesson Total Payment
McKesson to Acquire Portico Systems