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May 2016

InterQual 2016 criteria delayed

InterQual® 2016 criteria for all levels of care have been delayed.

As published in the Feb. 23, 2016, issue of The Journal of the American Medical Association, McKesson Health Solutions announced it’s incorporating some new criteria on sepsis. As a result, the publication and mailing of the acute hospital, skilled nursing, rehabilitation and long-term acute levels of care criteria books, as well as the home health care electronic criteria, will occur later than usual.

The new criteria are expected to be available before Blue Cross Blue Shield of Michigan implements the new criteria on Aug. 1, 2016.

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*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2015 American Medical Association. All rights reserved.
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