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ADVANCE Perspectives: Healthcare Information Professionals

3M Health Information Systems Integrates McKesson InterQual Connect

Published July 1, 2016 12:04 PM by ADVANCE Perspectives

By Tamer Abouras

 

Some big revenue cycle management news from McKesson Health Solutions and 3M Health Information Systems!

 

InterQual Connect is now being integrated with the 3M ClinTrac Suite from 3M Health Information Systems, McKesson Health Solutions has announced. 3M is the first vendor of provider care management and revenue cycle software to bring InterQual Connect’s medical review and automated authorization capabilities to its customers.

Now, providers that use 3M ClinTrac software applications can complete the InterQual medical review and authorization request within their current workflow, and electronically submit directly from 3M ClinTrac to every payer that has InterQual connectivity, removing the need for phone, fax or multiple portals. Instead, they can use InterQual Connect’s secure payer connectivity to request an authorization and, in most cases, automatically receive the authorization determination right away, without manual work and without leaving 3M ClinTrac.

 

By eliminating manual work and streamlining the authorization request process, providers can drive down administrative costs, make authorizations faster, and improve the patient experience — all while ensuring appropriate care with InterQual’s evidence-based criteria.

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“The old way of obtaining authorizations isn’t fast enough or cost-efficient in the age of health information systems and value-based care,” said Nilo Mehrabian, vice president of product management, decision management, McKesson Health Solutions. “By integrating InterQual Connect with 3M ClinTrac, we’re streamlining utilization management to help providers focus more time on care delivery instead of chasing after authorizations. Bringing InterQual Connect’s exception-based UM model to more providers is crucial for a world focused on value.”

 

InterQual Connect is part of the InterQual product line, McKesson’s flagship decision support solution. InterQual Criteria help payers and providers ensure appropriate care across the medical and behavioral health continuums of care, which helps improve quality and reduce unnecessary cost. 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.

 

ADVANCE Opinion Poll: What is your overall accuracy rate for ICD-10 coding after the first six months?

 

The 3M ClinTrac Suite of flexible software applications helps care providers and quality management personnel improve accuracy, lower costs and coordinate revenue management demands with patient care activities. Healthcare organizations use 3M ClinTrac to coordinate patient care, plan for discharge and reduce length of stay, improve and report on quality indicators, reduce billing delays and denials, and maintain compliance with privacy and payment rules.

 

For more information, visit mckesson.com.

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    ADVANCE Editorial Staff
    Occupation: Editor
    Setting: ADVANCE for Healthcare Information Professionals
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