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Behavioral Health Medical Necessity Criteria. Blue Cross and Blue Shield of
case management, Interqual Criteria, Milliman and Robertson Criteria , Medicare/
Apr 1, 2000 . Pediatric Milliman and Robertson Length-of-Stay Criteria: Are They Realistic?
Nov 15, 2011 . 1) Performs utilization review by applying Milliman Criteria to . utilization and
Apr 1, 2011 . the Interqual and Milliman criteria). While acknowledging that its contractors “may
To promote quality care and patient safety, ODS follows the Milliman Care
CMS Awards Milliman Care Guidelines Contract to Support Medicare Initiatives ·
Apr 12, 2011 . Milliman screening criteria FAQ. Q: Will the FCSO medical review department be
ity improvement organization (QIO) uses Milliman, and the RAC plans to apply
admission criteria, Interqual criteria, Milliman guidelinesf. Coordinates the
and tracking findings * Utilizing Milliman criteria to determine if patients are in the
Apr 1, 2010 . SEATTLE, April 1 /PRNewswire/ -- Milliman Care Guidelines LLC, A Milliman .
Mar 13, 2005 . Additional diagnosis appropriate for an observation stay according to commercial
Jobs 61 - 70 of 500 . members to make healthy lifestyle changes-Utilizing Milliman criteria related to
Jobs 1 - 10 of 29 . Documenting and tracking findings * Utilizing Milliman criteria to determine if
Milliman Care Guidelines as the primary written utilization decision criteria to
Milliman care guidelines psychiatric residential criteria. milliman graphic clinical
appropriate clinical criteria (InterQual, Milliman Care Guidelines, Medicare, &
the Milliman Care Guidelines®, Behavioral Health Guidelines, 14th Edition, or
Actionable criteria – Admission, procedure and discharge details support your
Nov 22, 2011 . I received a heads up a little over a month ago that Milliman Care . not be
Aug 5, 2009 . We are the dedicated review agent for our insurance and we use Milliman
medical criteria such as Interqual or Milliman & Robertson Current . and tracking
Oct 26, 2011 . Milliman Solvency II Update. EIOPA advice . equivalence with Solvency II
Jobs 1 - 10 of 41 . Proficiency in the use of interqual review criteria and milliman care guidelines.
appropriate medical records, Health Plan/Milliman criteria, benefit coverage
Sep 29, 2005 . There is no mandate for specific criteria. The Milliman Care Guidelines are
and Word - Familiarity with Interqual/Milliman criteria - Strong interpersonal
of the requirements will necessitate additional steps to ensure compliance. .
LOS guidelines may help clinicians optimize care, reduce costs, and potentially
Knowledge of clinical criteria preferred (Milliman/InterQual) Knowledge of .
and tracking findingsUtilizing Milliman criteria to determine if patients are in the
Working knowledge of Inter-Qual criteria and Milliman and Robertson guidelines.
established, standards for treatment outcomes are lacking. . endorsement of any
utilization and concurrent review using Milliman criteria-Conduct clinical chart .
Jobs 1 - 10 of 27 . make healthy lifestyle changes * Documenting and tracking findings * Utilizing
Jun 17, 2005 . Most of them use IQ but some are switching to Milliman or MCAP Criteria.
criteria sets and clinical pathways, such as Milliman & Robertson, Interqual and
in Windows environment Familiarity with Milliman criteria guidelines Minimum of
Results 1 - 17 of 21 . Competent with Milliman criteria preferred - Case. Care Connect/EPIC and
This chart does not include supporting Milliman criteria, and is not to be used
In addition to hospital use, many payers, third party consultants and Medicare
and Word - Familiarity with Interqual/Milliman criteria - Strong interpersonal
These guidelines are a compilation of NIH consensus, Milliman Care Guidelines,
Milliman Care Guidelines® are annually updated, evidence-based clinical .
against standard supplied review criteria (Milliman) and Hudson Health Plan .
for Medicare and Medicaid Services and Milliman Medical criteria. . 1) Performs
445 milliman care jobs available on washingtonpost.com. . in Acute Care, .
Customizations to Milliman Care Guidelines clinical indications with changes to
Aetna staff use the following criteria as guides in making coverage
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