Solution

InterQual® AutoReview

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.

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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

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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.

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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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Our experts will:

  • Discuss your individual use case and business needs
  • Explain our features, benefits, and services
  • Show how this solution can help achieve your goals

Want more information about our services? Start here.

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We appreciate your interest in Change Healthcare. A member of our team will contact you to better understand your needs and discuss potential solutions.

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Our outcomes

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On-demand Webinar

Modernize Utilization Management With AI and Evidence

On-demand Webinar

Modernize Utilization Management With AI and Evidence

Discover how a blend of AI, automation, and evidence-based criteria can make your case management program more efficient, proactive, and defensible.

Learn More

Report

Report: Case Management in the ED Survey Results

Report

Report: Case Management in the ED Survey Results

Read our recent report to learn how hospitals across the country use emergency department case managers to ensure patients receive the appropriate level of care

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On-demand Webinar

Leveraging Robotic Process Automation and AI in Utilization Management

On-demand Webinar

Leveraging Robotic Process Automation and AI in Utilization Management

Conducting medical necessity reviews is a manual task—but it doesn’t have to be. The InterQual AutoReview™ solution uses AI to eliminate 75% of this administrative burden.

Learn More
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