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 to manage patient care
Consistently and correctly apply InterQual Criteria when conducting reviews
Explain the process and purpose of conducting a primary and secondary review
Serve as a resource for answering peers questions about InterQual Criteria and conducting care management reviews
Use the Review Process and other support resources to support question and answers in regards to InterQual Criteria and conducting reviews
Demonstrate and answer questions related to navigating the format of InterQual Criteria used in your organization