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Description

InterQual® AutoReview is a cloud-based solution designed for healthcare providers aiming to leverage artificial intelligence to analyze real-time data from electronic health records (EHR) for personalized predictions and proactive insights, while seamlessly automating the InterQual® medical review process. By integrating with current workflows, InterQual AutoReview alleviates administrative pressures by automatically fulfilling InterQual medical review requirements using EHR data. This innovative tool enhances the credibility of medical reviews by ensuring they are precise and transparent, incorporating embedded EHR information for each criterion point outlined in the InterQual guidelines. Additionally, this system fosters greater collaboration between providers and payers, ultimately leading to improved patient care outcomes.

Description

CORTEX represents a groundbreaking advancement in utilization management software, delivering a comprehensive 360° solution to navigate the complexities of utilization management and revenue cycle operations. Powered by an advanced machine learning engine and real-time predictive analytics, CORTEX guarantees that cases are addressed promptly and appropriately, whether by the right personnel or through exceptions. By integrating precision medicine with a robust foundation of evidence-based practices, CORTEX enhances the evaluation of patient populations through real-time machine learning models. Our analytics solutions have been successfully implemented in hospitals and health plans nationwide, demonstrating their effectiveness. For straightforward inpatient cases, CORTEX streamlines the process by automating determinations based on your specific criteria, significantly reducing the burden on staff. In contrast, when facing challenging cases, CORTEX equips your team with critical insights to facilitate well-informed decisions. This innovative approach delivers tremendous benefits to both payers and providers, fostering improved healthcare outcomes and operational efficiency. Furthermore, CORTEX's adaptability allows it to evolve with the changing needs of the healthcare landscape, ensuring sustained value over time.

API Access

Has API

API Access

Has API

Screenshots View All

Screenshots View All

Integrations

No details available.

Integrations

No details available.

Pricing Details

No price information available.
Free Trial
Free Version

Pricing Details

No price information available.
Free Trial
Free Version

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

Vendor Details

Company Name

Change Healthcare

Founded

2007

Country

United States

Website

www.changehealthcare.com/clinical-decision-support/interqual-autoreview

Vendor Details

Company Name

XSOLIS

Founded

2013

Country

United States

Website

www.xsolis.com/solutions/cortex

Product Features

Alternatives

Alternatives

Acuity Advanced Care Reviews

Acuity Advanced Care

Chordline Health