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InterQual Optimization Solutions

Access high-quality clinical education, interrater reliability and customization solutions. 

Maximize the value of InterQual

Meet your utilization management (UM) staff-development needs with rigorous and effective education options. We offer multiple modalities for modern learners, including on-demand, online learning as well as scheduled virtual sessions led by clinical education consultants. 

Full-service optimization solutions

Multimodal education

Our education solutions are available in a variety of modalities to meet your organizational needs and learning types.  

  • Scheduled live sessions led by clinical education consultants
  • Live and on-demand webinar sessions
  • Clinical content education certification programs, including: InterQual Certified Reviewer, InterQual Certified Instructor, InterQual Certified Expert Resource and InterQual Certified Physician
  • The ASAM Criteria® Navigator, 4th edition supplemental education program to assist the transition to the 4th edition 

Interrater Reliability

  • Measure, evaluate, and improve the consistency of criteria application with the InterQual Interrater Reliability testing application. Comprehensive test portfolio that’s updated annually
  • Case studies and process questions that highlight specific concepts and capabilities of the InterQual criteria
  • Real-time reports at both the individual and aggregate levels for easy data management
  • System-administrator training

Flexible customization

  • Streamline your workflow by using our content-creation and editing software to author your own care management guidelines or customize existing InterQual criteria to conform to your unique medical and business policies. Content creation and editing software
  • Cross-format customization
  • Central-repository content library
  • SaaS (software as a service) delivery for streamlined implementation and quick access to updates
  • Version-migration capability 

Key benefits

Improve usage and quality within your organization.

Enhance education quality

Explore our on-demand library, manage assigned training and more with our Learning Management System. 

Promote accuracy

Improve the consistency of criteria application from reviewer to reviewer with our online testing application.

Get up-to-date results

Get reports in real-time with results at both the individual and aggregate levels to help meet regulatory and accreditation requirements.  

Customize content creation

Author your own care management guidelines or customize existing criteria to conform to your unique medical and business policies.

Schedule a demo

Let us show you how to leverage our comprehensive, evidence-based clinical support solutions. 

Related healthcare insights

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Medicare content navigator

Discover how to meet the latest regulatory requirements for Medicare Advantage plans.

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Current customer resources

Get reliable support

Our dedicated support team is available 24/7 to assist you. 


Get support

Learn more about our solutions that optimize your investment in InterQual

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