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Indicia products give providers access to up-to-date clinical best practices to support their reimbursement, case management, and care management goals. From the company used by the largest number of payors and more than 1,200 hospitals, Indicia helps you drive effective care from the business office to the bedside.
Using the Care Guidelines to Coordinate Care
Indicia for Utilization Review supports fast and accurate decision-making and documentation of admissions, level-of-care determinations, and procedures. It improves clinical and administrative effectiveness with a user interface and workflow optimized for utilization review – all backed by evidence-based guidelines that have broad adoption in the payor industry.
CareWebQI gives you easy access to evidence-based best practices and criteria so you can document care management decisions and efficiently develop more comprehensive, consistent, and coordinated care plans. Its integrated reporting tools help managers track variances, quality measures, and overall hospital efficiency.
The Web-based Interrater Reliability Module tests proper use of the care guidelines, assessing how consistently and appropriately staff find and apply guidelines to clinician-written case studies. This helps organizations meet URAC and NCQA requirements and identify opportunities for improvement.
Our evidence-based guidelines span the continuum of care, supporting clinical decision-making and easing transitions between care settings.
Ambulatory Care features evidence-based guidelines for the assessment, treatment, and management of conditions addressed primarily in ambulatory or outpatient settings.
Inpatient & Surgical Care provides evidence-based criteria, goals, care pathways, and other decision-support tools, making it a valuable resource for proactive care management, case review, and patient assessments.
General Recovery Care complements Inpatient & Surgical Care to cover the entire spectrum of conditions and procedures requiring hospital admission, including complex cases.
Home Care guidelines facilitate post-discharge care planning and support the clinical evaluation of patients who cannot make it to a provider appointment.
Recovery Facility Care helps providers coordinate plans to move patients to recovery facilities successfully and subsequently transition them to appropriate care settings.
Behavioral Health Care describes best practice care for the majority of mental health and substance abuse diagnoses, covering 15 diagnostic groups with graded evidence from published research.
Chronic Care provides clinical content in a case and disease management framework, featuring care plans that guide daily workflows with practical patient care information for complex case management and 22 chronic conditions.
The preoperative information, inpatient care plans, and discharge instructions in Patient Information reflect the same evidence that informs the development of our guidelines.