Better Care Management Decisions Based on Clinical Evidence

Government payors and providers have been using InterQual® products for more than 30 years to make the most appropriate care management decisions. Today, McKesson's InterQual products are the most widely used evidence-based decision support tools for these stakeholders, empowering them to more easily communicate, collaborate and ultimately determine what is best for patients.

InterQual criteria cover the medical and behavioral health continuums of care. With an outstanding track record, widespread adoption and continual enhancement, InterQual is truly the gold standard for evidence based clinical decision support.

InterQual products are used by:

• The Centers for Medicare & Medicaid Services
• 21 Veterans Integrated Service Networks (175 facilities)
• Quality Improvement Organizations (QIOs) in over 40 states, plus Washington DC, Puerto Rico and US Virgin Islands
• All 9 Medicare Administrative Contractors (MACs) conducting audits
• Most RAC contractors
• More than 300 health plans 
• More than 3,700 hospitals
• More than 2,000 behavioral health facilities
• Federal Bureau of Prisons

InterQual Criteria and Technology for Payors

A suite of appropriateness of care criteria based on objective, well-researched scientific knowledge and real-world clinical experience.

InterQual for Behavioral Health Organizations
Assists in determining initial and successive level of care decisions for psychiatric conditions, chemical dependency and dual diagnosis for children, adolescents, adults and elders.

InterQual for International Organizations Where healthcare is delivered, the priority is the same: providing quality care as cost-effectively as possible. More organizations rely on InterQual than any other clinical decision support system.

Do you want to know more about InterQual and how it’s being used by the most government agencies? Call us at 800.782.1334 to request more information.