BH Documentation

Authorization documentation
that actually wins.

CriteriaIQ generates thorough, criteria-specific behavioral health medical necessity documentationation from your Kipu patient chart — documentation that addresses exactly what payers are looking for.

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Every framework.
Every level of care.

ASAM 4th Edition
Complete subdimensional risk ratings and auth probability for SUD residential and detox levels of care. Works for both admission and concurrent review.
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Milliman MCG
Mental Health Residential SI/IS domain scoring with explicit point rubric. PHQ-9 and GAD-7 integrated. Concurrent review with trajectory scoring.
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InterQual BH
Full InterQual BH Criteria analysis including all four NYS additional criteria. Specific lettered sub-criterion citations in every output.
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LOCUS Assessment
All 7 dimensions scored against official 4th Edition criteria. LOC 4 coverage evaluation and composite score documentation.
Appeal Letters
Framework-specific appeal letters that cite only the correct criteria. One click from any analysis result.
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Phone Review Scripts
Ready-to-read scripts for peer-to-peer calls. Criteria-specific talking points for every framework and level of care.

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