Montana-Based Quality Improvement And Utilization Review Organization Expands Use Of InterQual Evidence-Based Criteria With Behavioral Health

Montana-Based Quality Improvement and Utilization Review Organization Expands Use of InterQual Evidence-Based Criteria With Behavioral Health

  • November 14, 2017

Mountain-Pacific Quality Health (Mountain-Pacific) has been a long-time user of InterQual® Criteria, including the Level of Care and Care Planning Criteria suites. Now, in a move to expand its offerings, the Montana-based organization has added InterQual Behavioral Health Criteria for Medicaid utilization reviews. For more than two decades, Mountain-Pacific clinicians have combined clinical knowledge and experience, documented clinical evidence, and utilized InterQual Criteria to make appropriate medical necessity and utilization decisions for hospital admissions. The addition of Behavioral Health will enable them to widen their offerings even further, as Mountain-Pacific uses InterQual inpatient behavioral health criteria for the utilization review…

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