Gain support for selecting the most appropriate care intervention

InterQual® Care Planning Criteria help identify when imaging studies, procedures, durable medical equipment (DME), molecular diagnostic tests, specialty pharmacy medications and specialty referral consultations are appropriate. The criteria can be applied prospectively or retrospectively to manage utilization and identify differences in practice patterns.

InterQual Care Planning Criteria are available for:

  • Durable Medical Equipment
  • Imaging
  • Molecular Diagnostics 
  • Procedures
  • Specialty Referral
  • Specialty Rx
  • Retrospective Monitoring (SIM plusTM)