ASAM 2.1 — Intensive Outpatient

ASAM 2.1 Intensive Outpatient (IOP)
in under 60 seconds.

CriteriaIQ generates complete ASAM 2.1 Intensive Outpatient (IOP) Program medical necessity documentation — initial and concurrent — directly from your Kipu patient chart.

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Initial Review

ASAM 2.1 Initial Authorization

Complete six-dimension ASAM analysis justifying admission to IOP level of care.

  • All six ASAM dimensions scored with explicit risk ratings
  • Medical necessity narrative for IOP versus outpatient
  • Authorization probability score with dimensional breakdown
  • IOP-specific intensity of service documentation
  • DSM-5 diagnoses with ICD-10 codes integrated automatically
  • Assessment scores — PHQ-9, GAD-7, BAM-R — cited in analysis
Concurrent Review

ASAM 2.1 Continued Stay

Continued stay documentation with treatment trajectory and step-down barrier analysis.

  • Progress on treatment goals from most recent clinical notes
  • Continued medical necessity justification for IOP level
  • Discharge barriers documented against ASAM criteria
  • Clinical evidence preventing step-down to standard outpatient
  • Week-by-week treatment response documentation
  • Phone review script for IOP concurrent payer calls
Platform Features

Everything you need for
IOP authorization.

⚕
Six-Dimension Analysis
Complete ASAM 4th Edition dimensional analysis with explicit risk ratings and auth probability score.
📞
Phone Review Scripts
Ready-to-read scripts for IOP concurrent review calls. Organized by ASAM dimension for payer conversations.
✍
Appeal Letters
IOP-specific appeal letters citing exact ASAM 2.1 criteria. One click from any analysis result.
💊
Kipu Integration
Scrapes clinical notes, medications, assessments, and insurance data directly from Kipu EMR.
📊
Auth Probability Score
Explicit IOP authorization probability based on ASAM 2.1 criteria mapping to patient presentation.
📄
PDF Export
Export complete IOP medical necessity documentationation as a formatted PDF for submission or records.

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