Casenet® LLC, a population health company, announced that it is launching an integration with Change Healthcare’s InterQual Connect™ that enables providers and payers to access evidence-based content to streamline authorization requests and facilitate utilization review.
Integration with InterQual Connect provides an easy, step-by-step process that enables providers to quickly document and share information with payers to support their authorization requests. Payers can view authorization requests in real time, access InterQual clinical criteria to confirm medical necessity, and make utilization decisions. Providers are notified about authorization decisions immediately via Casenet’s TruCare ProAuth.
It’s hard to believe, but CMS’s controversial ‘Two-Midnight’ rule (2MN rule) has been in effect for more than five years. The rule was initially intended to provide a clear, time-based method to help determine whether patients should be placed in observation or inpatient status.