Livanta Selects InterQual to Support its Medicare Utilization and Quality Care Reviews
NEWTON, Mass.--(BUSINESS WIRE)--Livanta has signed a long-term agreement to use InterQual® for utilization and quality reviews for Medicare beneficiaries, including short-stay inpatient status claims reviews. The healthcare services company licensed InterQual after becoming the Beneficiary and Family-Centered Care Quality Improvement Organization (BFCC-QIO) for Centers for Medicare & Medicaid Services (CMS) Areas 1 and 5. Specifically, Livanta has licensed InterQual Level of Care, Care Planning Criteria and Behavioral Health Criteria.
Livanta is one of only two BFCC-QIOs charged by CMS to audit short-stay claims. Livanta serves its customers by advancing population health, improving patient care, and managing health care costs through quality improvement and innovation. It provides health information technology, healthcare consulting, program integrity, business process outsourcing, quality improvement, and strategic communications solutions to public sector and healthcare customers.
InterQual evidence-based criteria help improve clinical decision-making across the medical and behavioral health continuums of care. The InterQual clinical development team synthesizes the current, best evidence into a fully referenced decision support tool that is reviewed and updated annually. InterQual’s development process, honed over nearly 40 years, 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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