Driving the right care at the right time in the right setting for improved quality and cost efficiency

Healthcare stakeholders have always wanted to ensure that care delivery is built on a solid, scientifically valid foundation of medical evidence, both to improve quality and to manage costs. The InterQual® product line was founded on the desire to establish that foundation and to empower providers, payors and others to more easily communicate, collaborate and ultimately pursue what is best for patients.

InterQual Criteria cover the medical and behavioral health continuums of care. InterQual products are widely used by hospitals and payors because they understand that the rigor used to develop the criteria helps to ensure quality - the right care at the right time in the right setting.  

By supporting more clinically appropriate utilization decision, InterQual criteria help produce shorter lengths of stay, fewer readmissions, lower overall costs and ultimately significant returns on investment.

InterQual products are used by:

• Over 300 health plans
• Over 4,000 hospitals
• The Centers for Medicare & Medicaid Services
• 21 Veterans Integrated Service Networks (175 facilities)
• Quality Improvement Organizations (QIOs) in over 40 states, Washington DC, Puerto Rico and US Virgin Islands
• Medicare Administrative Contractors (MACs) that perform audits

InterQual for Hospitals Helping hospitals address clinical, business and regulatory needs with evidence-based clinical decision and workflow support for moving patients efficiently and safely through their course of care.

InterQual Software & Technology Choose from an array of options for accessing InterQual Criteria and Clinical Evidence Summaries, from electronic viewing to auto authorization and workflow.