• InterQual Level of Care Criteria


InterQual® Level of Care Criteria address admissions, continued stays and transitions across the continuum of care, from acute settings through outpatient treatment and home care. Reviewers can consider an individual patient's severity of illness, comorbidities and complications in real time, making sound decisions thoroughly informed by the criteria’s rich clinical detail. InterQual Level of Care Criteria for inpatient rehabilitation, subacute and skilled nursing facilities (SNF) contain objective endpoints for service, allowing care managers to perform reviews of discharge or transfer readiness with built-in checkpoints to identify progress, plateau or achievement of goals.

Because all InterQual Level of Care Criteria support decisions based on an individual's clinical needs, the clinical review process guides the reviewer toward the safest and most efficient level.



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Quality Indicators in InterQual

Since 2004 InterQual Criteria have included Quality Indicators so all applicable measures established by the National Quality Forum, CMS and The Joint Commission are at your fingertips. Read more in a our brochure.


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