Course Provider
Learning Objectives
Explain key concepts of InterQual Criteria and the process of conducting a review to determine medical necessity
Discuss how InterQual Criteria support the reviewer in managing patient care
Apply InterQual Criteria consistently and correctly when conducting reviews
Explain how InterQual CriteriaView functionality enables the reviewer to continue with a review when answers to the criteria questions do not lead to a recommendation (if applicable)
Discuss the purpose and use of the Full Subset feature (if applicable)
Explain the process and purpose of conducting primary and secondary reviews
Apply InterQual Criteria and the review process to case studies to support clinical care decisions
Navigate the format of InterQual Criteria used by your organization
Refer to the Review Process document and other support resources when conducting criteria reviews