InterQual® AutoReview is a cloud-based solution designed to increase utilization management efficiency and review accuracy. The solution applies AI to real-time clinical data extracted from the EHR and robotic process automation to create, populate and complete InterQual medical necessity reviews.
What’s Included in InterQual® AutoReview
Automated InterQual medical reviews
- Uses our EHR hub, robotic process automation, and natural language processing to extract and analyze both structured and unstructured EHR data
- Leverages objective, codified InterQual criteria to support appropriate care and provide transparent, defensible documentation for reimbursement
- Includes embedded data from the source of truth: the EHR
- Runs automated reviews upon admission when a diagnosis is available
- Transmits automated reviews directly into case management systems, ready to be approved/finalized and transmitted to the payer
Transformutilization management with AI, automation, and clinical evidence
Use integrated, automated reviews to increase efficiency
InterQual AutoReview helps reduce administrative burdens by automatically completing InterQual medical reviews with data from your EHR within your existing workflow.
Leverage embedded data to help improve transparency and defensibility
Increase payer trust with accurate, transparent medical reviews that contain embedded EHR data for each objective InterQual criteria point with InterQual AutoReview.
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