• Skip to main content
  • Skip to secondary menu
  • Skip to primary sidebar
  • Skip to secondary sidebar
  • Skip to footer

  • Opinion
  • Health IT
    • Behavioral Health
    • Care Coordination
    • EMR/EHR
    • Interoperability
    • Patient Engagement
    • Population Health Management
    • Revenue Cycle Management
    • Social Determinants of Health
  • Digital Health
    • AI
    • Blockchain
    • Precision Medicine
    • Telehealth
    • Wearables
  • Life Sciences
  • Investments
  • M&A
  • Value-based Care
    • Accountable Care (ACOs)
    • Medicare Advantage

Cerner Integrates Change Healthcare Solutions to Automate Acute Case Management

by Jasmine Pennic 12/17/2019 Leave a Comment

  • LinkedIn
  • Twitter
  • Facebook
  • Email
  • Print

Change Healthcare Acquires Credentialing Tech Docufill to Improve Administrative Efficiency

– Cerner integrates Change Healthcare InterQual Connect medical review and InterQual AutoReview into its EHR and acute case management solution.

– Case management innovation supports medical review automation to lessen the administrative burden and increase focus on patient care.

Change Healthcare today announced that Cerner Corporation, a global healthcare technology company, has integrated Change Healthcare’s InterQual Connect Medical Review Service and InterQual AutoReview into its Acute Case Management (ACM) solution and electronic health record (EHR). By offering an enhanced workflow for this integration, Cerner clients can help their case managers more easily and efficiently prioritize patients’ needs.

Cerner/Change Healthcare Integration Details

Cerner’s ACM solution works to decrease readmission rates, increase staff efficiencies, and collect appropriate reimbursement by connecting clinical and financial information, and automating within the EHR. The integration of Change Healthcare’s solutions further helps case managers confirm patients receive the correct services in the right setting. Case managers can quickly view the status of medical reviews that have been completed automatically—helping them allocate time to those that are incomplete and improve the efficiency of the review process.

Case managers in healthcare have a range of responsibilities and must verify patients’ health insurance coverage and benefits, work with patients’ care teams to determine appropriate care and related billing, and coordinate additional healthcare services with outside providers. With many different roles, reducing the administrative burden for case managers help them optimize time to focus efforts on helping patients receive the care they need.

InterQual AutoReview Background

InterQual AutoReview is a flexible SaaS solution that is integrated into leading EHR applications and case management systems. Its robotic process automation capabilities extract clinical data directly from EHRs and map it to the InterQual Criteria. Users gain automated, evidence-based clinical decision support and access to clinical data within their workflow, helping ensure that patients receive the most appropriate care.

Along with enabling InterQual AutoReview, the InterQual Connect Medical Review Service provides organizations with a new, enhanced InterQual user interface. It helps provide users with access to the most current evidence-based clinical criteria—available as soon as they are published to the cloud—as well as to custom policies published by connected payers.

“The powerful combination of Cerner’s unique worklist functionality and the InterQual AutoReview robotic process automation stands to transform the role of the ED case manager,” said Nilo Mehrabian, vice president of Product Management, Decision Support for Change Healthcare. “Less time spent in administrative tasks means a more efficient focus on managing patient care. We are thrilled to work with Cerner to support this new level of medical review automation for Acute Case Management users.”

  • LinkedIn
  • Twitter
  • Facebook
  • Email
  • Print

Tagged With: care teams, Case Management, Cerner, Change Healthcare, Clinical Decision Support, cloud, decision support, Electronic Health Record, global healthcare, health insurance, healthcare technology, InterQual AutoReview, InterQual Connect, Patient Care, Payers, Robotic Process Automation

Tap Native

Get in-depth healthcare technology analysis and commentary delivered straight to your email weekly

Reader Interactions

Primary Sidebar

Subscribe to HIT Consultant

Latest insightful articles delivered straight to your inbox weekly.

Submit a Tip or Pitch

Featured Insights

Digital Health Funding Q3 2025: Choppy Undercurrents Beneath a Steady Surface

Most-Read

Qualtrics Acquires Press Ganey Forsta for $6.75B to Create the Most Comprehensive AI Experience Platform

Qualtrics Acquires Press Ganey Forsta for $6.75B to Create the Most Comprehensive AI Experience Platform

Pfizer and Trump Administration Announce Landmark Agreement to Lower Drug Costs

Pfizer and Trump Administration Announce Landmark Agreement to Lower Drug Costs

KLAS Report: Epic's Native Ambient Speech Tool Reshapes Customer AI Strategies

KLAS Report: Epic’s Native Ambient Speech Tool Reshapes Customer AI Strategies

Epic Unveils MyChart Central and New APIs to Advance Interoperability at Open@Epic

Epic Outlines Roadmap for Next-Generation Data Sharing at Open@Epic

Epic Launches Comet: A New AI Platform to Predict Patient Health Journeys

Epic Launches Comet: A New AI Platform to Predict Patient Health Journeys

RevSpring to Acquire Kyruus Health, Creating a Unified Patient Experience

RevSpring to Acquire Kyruus Health, Creating a Unified Patient Experience

Oracle Confirms Layoffs in Kansas City

Oracle Confirms Layoffs in Kansas City

Philips Future Health Index 2025: AI and Digital Tech Can Help Solve Cardiac Care Crisis

Philips Future Health Index 2025: AI and Digital Tech Can Help Solve Cardiac Care Crisis

Optain Health Secures $26M to Advance AI-Powered Retinal Screening

Optain Health Secures $26M for AI-Powered Retinal Screening

Sutter Health and Epic Launch "Sutter Sync" to Optimize Remote Chronic Care

Sutter Health and Epic Launch “Sutter Sync” to Optimize Remote Chronic Care

Secondary Sidebar

Footer

Company

  • About Us
  • Advertise with Us
  • Reprints and Permissions
  • Submit An Op-Ed
  • Contact
  • Subscribe

Editorial Coverage

  • Opinion
  • Health IT
    • Care Coordination
    • EMR/EHR
    • Interoperability
    • Population Health Management
    • Revenue Cycle Management
  • Digital Health
    • Artificial Intelligence
    • Blockchain Tech
    • Precision Medicine
    • Telehealth
    • Wearables
  • Startups
  • Value-Based Care
    • Accountable Care
    • Medicare Advantage

Connect

Subscribe to HIT Consultant Media

Latest insightful articles delivered straight to your inbox weekly

Copyright © 2025. HIT Consultant Media. All Rights Reserved. Privacy Policy |