question archive 1) Perform a Web search on one of the following utilization review criteria: URAC Case Management Criteria; Discharge Screening/Indicator Criteria, InterQual (McKesson) (ISD); Milliman Care Guidelines (MCG), Milliman & Robertson (M&R); The Appropriateness Evaluation Protocol (AEP); Medical Illness Severity Grouping System (MEDISGRPS); Level of Care, Automatic Admission Criteria, Discharge Planning Screening Criteria, or Acute Physiology and Chronic Health Evaluation (APACHE)

1) Perform a Web search on one of the following utilization review criteria: URAC Case Management Criteria; Discharge Screening/Indicator Criteria, InterQual (McKesson) (ISD); Milliman Care Guidelines (MCG), Milliman & Robertson (M&R); The Appropriateness Evaluation Protocol (AEP); Medical Illness Severity Grouping System (MEDISGRPS); Level of Care, Automatic Admission Criteria, Discharge Planning Screening Criteria, or Acute Physiology and Chronic Health Evaluation (APACHE)

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1) Perform a Web search on one of the following utilization review criteria:

URAC Case Management Criteria;

Discharge Screening/Indicator Criteria, InterQual (McKesson) (ISD);

Milliman Care Guidelines (MCG), Milliman & Robertson (M&R);

The Appropriateness Evaluation Protocol (AEP);

Medical Illness Severity Grouping System (MEDISGRPS);

Level of Care, Automatic Admission Criteria, Discharge Planning Screening Criteria, or Acute Physiology and Chronic Health Evaluation (APACHE).

 

2.  Determine the purpose of the criteria set, how it is used, and by whom.

3.  Compare and contrast with at least one other listed utilization review criteria; what is the difference?  

4.  Subsequent posts should review any differences between your chosen criteria and that of your classmates.  As such, please review the discussion post before deciding on your own criteria to avoid too much duplication.  

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