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What is InterQual AutoReview?

InterQual® AutoReview is a state-of-the-art cloud solution tailored for healthcare professionals who wish to harness the power of artificial intelligence to evaluate real-time data from electronic health records (EHR), facilitating personalized forecasts and proactive insights while efficiently automating the InterQual® medical review process. By seamlessly integrating into existing workflows, InterQual AutoReview reduces administrative burdens by automatically meeting InterQual medical review standards utilizing data from EHR systems. This cutting-edge tool bolsters the reliability of medical assessments by guaranteeing accuracy and transparency, as it incorporates embedded EHR information for each criterion specified in the InterQual guidelines. Moreover, this system encourages enhanced collaboration between healthcare providers and insurance payers, ultimately contributing to better outcomes for patients. As a result, the implementation of InterQual AutoReview not only streamlines administrative tasks but also promotes a more effective healthcare delivery model.

What is AveCare?

Effectively managing patient care requires a strategic combination of clinical knowledge and technological solutions. In a sector predominantly driven by human resources, these tools must not only facilitate and improve care management but also contribute significantly to enhancing the financial performance of healthcare organizations. AveCare provides a comprehensive care management framework that includes Care Management (CM), Disease Management (DM), and Utilization Management (UM), while also offering efficient workload handling and competitive pricing options. This forward-thinking approach empowers healthcare entities to optimize their clinical and financial capabilities, resulting in superior care quality and enhanced patient results. By enabling the integration of data from multiple sources, including eligibility, claims, pharmacy information, diagnostic tests, and predictive analytics, AveCare guarantees that healthcare providers have full access to vital patient data. Its design promotes seamless integration, allowing for the streamlined coordination of CM, DM, and UM tasks, thereby ensuring that organizations can conveniently access all pertinent activities from one central location. This comprehensive strategy not only boosts operational efficiency but also fosters a unified approach to delivering patient care, ultimately benefiting both the providers and those they serve. Moreover, as the healthcare landscape evolves, such innovative solutions will become increasingly crucial in addressing the complexities of patient management.

Media

Media

Integrations Supported

Additional information not provided

Integrations Supported

Additional information not provided

API Availability

Has API

API Availability

Has API

Pricing Information

Pricing not provided.
Free Trial Offered?
Free Version

Pricing Information

Pricing not provided.
Free Trial Offered?
Free Version

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Company Facts

Organization Name

Change Healthcare

Date Founded

2007

Company Location

United States

Company Website

www.changehealthcare.com/clinical-decision-support/interqual-autoreview

Company Facts

Organization Name

Avedon Health Systems

Date Founded

2007

Company Location

United States

Company Website

www.avedonsystems.com/avecare-software.aspx

Categories and Features

Categories and Features

Hospital Management

Accounting Integration
Appointment Management
Appointment Scheduling
Bed Management
Billing & Invoicing
Claims Management
In-Patient Management
Inventory Management
Medical Billing
Out-Patient Management
Patient Records Management
Physician Management
Policy Management
Revenue Management

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