Interqual 2015

3. lists conditions/diagnoses and is designed to guide the user to criteria subset where a specific condition or diagnosis can be found
5. Transition Plan Tool is intended to serve as a _________
6. number of hours for the time requirement a symptom or finding can be used to meet criteria (2 words)
10. criteria that indicate patient may require continued stay however the episode days have been exhausted
13. patients less than 18 years of age
14. moving to a more appropriate subset based on the clinical condition can occur at ___ time
15. a prolonged finding based on repeated measurement
16. level of care defined by hemodynamically stable patients who require 6-24hrs of treatment or assessment

1. use this general subset if the patient did not have surgery and there is no condition specific subset
2. patients greater than or equal to 18 years of age
4. the secondary reviewer ____________ medical necessity based on review of the medical record
7. partial responder is criteria that indicates the patient is clinically _________________ at that level of care for designated day and condition
8. number of times a level of care can be met for each episode day
9. use this general subset when a patient has surgery
11. criteria that indicate the patient is clinically stable
12. the __________ condition drives the subset selection
17. condition specific, general or extended day
18. oxygen measurements used in criteria are based on ___________ (2 words)