Interqual update and drug fee schedules in September 2022

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In this issue:

  • Interqual update
  • Drug fee schedules
  • Medical policy update
  • Code updates
  • Drug code
  • Formulary updates

InterQual update

In October, we’ll be moving to the 2022 InterQual criteria.


AllWays Health Partners’ Drug fee schedules to be updated

AllWays Health Partners reviews its drug fee schedules quarterly to ensure that they are current, comprehensive, and consistent with industry standards, to the extent supported by its systems. In most cases, changes involve adding fees for new or existing codes, to supplement the fees already on the fee schedule.

The next update will occur on October 1, 2022. Changes may involve both new and existing CPT and HCPCS codes and will include the planned quarterly update to physician-administered drugs, immune globulin, vaccine, and toxoid fees.


Medical policy update

One medical policy was reviewed and passed by the AllWays Health Partners Medical Policy Committee. This policy is now posted to allwayshealthpartners.org. The table below is a summary.

For more information or to download our medical policies, go to allwayshealthpartners.org/providers/medical-policies and select the policy under the medical policy listings.