NEWTON, Mass.--(BUSINESS WIRE)--McKesson Health Solutions announced that the Centers for Medicare & Medicaid Services (CMS) renewed its agreement to use InterQual® Criteria for its Medicare services auditing programs, an extension of a 15-year relationship. Buccaneer, a part of General Dynamics Information Technology, administers the contract on behalf of CMS. Through the renewed agreement, CMS can access the entire spectrum of InterQual Criteria products to support quality oversight, utilization review and appeals decisions.
Quality Improvement Organizations (QIOs), Medicare Fiscal Intermediaries, Medicare Administrative Contractors (MACs), Administrative Law Judges and various CMS departments are using the InterQual 2015 release, the latest edition of the company’s flagship decision support solution. A key enhancement for 2015 includes the industry’s first admissions criteria to include assessment of comorbidity, as well as the addition of 55 new and enhanced evidence-based clinical content areas—to help ensure payers and providers have the most current, best evidence for improved decisions across the continuum of care.
The InterQual Criteria is delivered to CMS and its contractors via InterQual Online Anonymous Review, a McKesson-hosted solution that allows users to input and save reviews without exposing patient-identifying information.
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About McKesson Corporation
McKesson Corporation, currently ranked 11th on the FORTUNE 500, is a healthcare services and information technology company dedicated to making the business of healthcare run better. McKesson partners with payers, hospitals, physician offices, pharmacies, pharmaceutical companies and others across the spectrum of care to build healthier organizations that deliver better care to patients in every setting. McKesson helps its customers improve their financial, operational, and clinical performance with solutions that include pharmaceutical and medical-surgical supply management, healthcare information technology, and business and clinical services. For more information, visit www.mckesson.com.
