InterQual Behavioral Health

InterQual BH criteria
with exact citations.

CriteriaIQ analyzes your Kipu patient chart against InterQual Behavioral Health Adult criteria — with explicit lettered sub-criterion citations for every finding.

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InterQual Coverage

Three levels of care.
Explicit sub-criterion citations.

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InterQual BH Inpatient
Full InterQual BH Inpatient criteria analysis. All four NYS additional criteria included. Specific lettered sub-criterion citations in every output.
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InterQual BH PHP
InterQual High-Intensity Outpatient Program (PHP) criteria. PHP-specific medical necessity documentation with explicit criterion citations.
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InterQual BH IOP
InterQual Intensive Outpatient Program criteria. IOP medical necessity with lettered sub-criteria cited against patient presentation.
InterQual-Specific Features

The detail payers
actually require.

  • Explicit lettered sub-criterion citations (e.g., A1a, B2c) in every analysis
  • All four NYS additional criteria included for inpatient
  • InterQual-specific medical necessity language throughout
  • Initial and concurrent review for all three levels of care
  • Clinical evidence mapped to specific InterQual criteria domains
  • Phone review scripts using InterQual-specific terminology
  • Appeal letters citing exact InterQual sub-criteria used to deny
Available on Professional Plan

InterQual BH analysis is available on the Professional plan ($199/seat/month) and Enterprise plan ($699/facility/month), alongside full ASAM and MCG coverage.

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