Case management is plagued with costly inefficiencies. Current processes do not provide case managers the visibility and understanding they need throughout the continuum of care. Clinical decision-making information can be difficult to find, and data is often unavailable until after decisions are made. The ineffective use of staff time and expertise results in costly utilization decisions.
InterQual® AutoReview with predictive analytics is a cloud-based solution designed to resolve these inefficiencies. The solution applies AI to real-time clinical data extracted from the EHR to predict a patient-specific level of care, length of stay, and discharge destination—giving case managers advance insights. InterQual AutoReview also automates the InterQual medical review process, using relevant clinical data to create, populate, and complete medical reviews.
Our unique blend of AI, automation, and evidence helps case managers be more efficient, proactive, and insights-driven to improve clinical and financial outcomes.