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Committed to furthering the cause of more effective utilization management, Lamprey later joined the hospital's Professional Standards Review Organization (​ .... Jul 1, 2021 — InterQual ® — Medicare Plus Blue uses Change. Healthcare's InterQual Behavioral Health Criteria as utilization management guidelines .... The Criteria are intended solely for use as screening guidelines with respect to the medical appropriateness of healthcare services and not for final clinical or ...
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