NEWTON, Mass.--(BUSINESS WIRE)--Today McKesson Health Solutions (MHS) announced that the Centers for Medicare & Medicaid Services (CMS) will continue their long-term use of InterQual® Criteria for Medicare services auditing programs, extending a 17-year relationship with MHS. The contract, which will be administered by Baltimore-based Ventech Solutions Inc. on behalf of the CMS, provides access across the spectrum of InterQual Criteria to help support quality oversight, utilization review, and appeals decisions.
Medicare Fiscal Intermediaries, Medicare Administrative Contractors (MACs), Quality Improvement Organizations (QIOs), Administrative Law Judges, and various CMS departments can access InterQual 2016 evidence-based clinical decision support to help better manage care in an industry transitioning to value. InterQual Criteria is delivered to the CMS and its contractors through InterQual Anonymous Review, a hosted solution that lets users complete and save reviews without exposing personal protected health information (PHI).
InterQual evidence-based criteria and technology solutions help improve clinical decision-making and care management across the medical and behavioral health continuums of care. The InterQual clinical development team synthesizes the most current, best evidence into a fully referenced decision support tool. InterQual’s development process is founded on rigorous review of the literature, and includes extensive peer review by practicing clinical experts across the United States.
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McKesson Corporation, currently ranked 5th on the FORTUNE 500, is a healthcare services and information technology company dedicated to making the business of healthcare run better. McKesson partners with payers, hospitals, physician offices, pharmacies, pharmaceutical companies, and others across the spectrum of care to build healthier organizations that deliver better care to patients in every setting. McKesson helps its customers improve their financial, operational, and clinical performance with solutions that include pharmaceutical and medical-surgical supply management, healthcare information technology, and business and clinical services. For more information, visit www.mckesson.com.
Tags: McKesson, McKesson Health Solutions, Value-Based Reimbursement, Utilization Management, Evidence-Based Criteria, Exception-Based UM, InterQual, CMS, Ventech