The integration will power the next generation of real-time, automated bed status guidance and documentation into physician workflows.
EvidenceCare, the leading innovator in physician-centered clinical decision support, is excited to announce a new integration of InterQual® solutions into its AdmissionCare® product. This collaboration pairs trusted, evidence-based clinical criteria and automation tools with AdmissionCare’s intuitive, EHR-integrated workflow—delivering a seamless, physician-friendly solution for bed status determinations and medical necessity documentation at the point of care.
Empowering Physicians with Automated Medical Necessity Documentation
Determining inpatient vs. observation status and capturing compliant documentation has long been a challenge for hospitals—burdening physicians and utilization review teams—and threatening hospital revenue. Now, with InterQual Acute Care Criteria embedded in AdmissionCare and a data integration with InterQual® AutoReview, clinicians can make confident, defensible admission decisions with less friction.
AdmissionCare provides real-time, evidence-based guidance to physicians during the admission process. It utilizes industry standard criteria in a physician-friendly interface embedded directly in their EHR workflow at the time of order placement. This supports appropriate bed status determinations, while also generating medical necessity documentation aligned with CMS guidelines and payer expectations.
With the integration, AdmissionCare users will now benefit from real-time automation of medical necessity reviews. InterQual AutoReview automatically retrieves clinical data from the EHR, and applies InterQual’s evidence-based criteria, all without requiring manual chart abstraction or third-party intervention.
“By working together, we are empowering physicians to make the right care decisions with speed and clarity,” said Dr. Brian Fengler, Chief Medical Officer and Co-Founder of EvidenceCare. “We’ve combined the strength of rigorously developed InterQual Criteria with the ease-of-use that AdmissionCare is known for—resulting in a better experience for clinicians and better outcomes for hospitals.”
Integration Highlights:
- Real-Time Decision Support: Clinicians receive accurate bed status guidance at the time of admission order placement, within their existing EHR workflow.
- Improved Accuracy: InterQual AutoReview pulls clinical data from the chart and applies criteria instantly to minimize manual abstraction and support payer denial reduction.
- Operational Efficiency: Hospitals can reduce rework and compliance risk while improving physician satisfaction and throughput.
A Strategic Step Toward the Future
The AdmissionCare and InterQual integration is a high-impact, scalable solution that meets the needs of health systems today, and this milestone marks a key step in EvidenceCare’s roadmap of expanding The BetterCare Platform™ to drive quality improvement and financial impact.
