Interqual Quiz: Test Your IQ! Trivia

14 Questions | Total Attempts: 1751

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Interqual Quiz: Test Your IQ! Trivia

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Questions and Answers
  • 1. 
    To view and print InterQual Criteria, you use Book VIew.
    • A. 

      True

    • B. 

      False

  • 2. 
    Criteria points are clinical statements that refer to test results, medications, symptoms, findings, monitoring, medical management, functional status, and prescribed therapies. Criteria points support the reasons or indications; that is, they identify specific clinical elements that must be satisfied to justify the appropriateness of the intervention/service.
    • A. 

      True

    • B. 

      False

  • 3. 
    Which resource provides reminders of best clinical practices, new clinical knowledge, explanations of criteria rationale, definitions of medical terminology, and current literature references.
    • A. 

      Clinical Revisions

    • B. 

      Inpatient List

    • C. 

      Drug List

    • D. 

      Information notes located at the end of a criteria point

  • 4. 
    When conducting a review, the reviewer determines an indication for performing a procedure or intervention is not listed. What should the reviewer do?
    • A. 

      Deny the request

    • B. 

      Use clinical judgement and approve the request

    • C. 

      Document the appropriate clinical information and send for secondary medical review

    • D. 

      Choose a different indication

  • 5. 
    Expanding and Collapsing Criteria Criteria points may stand alone or be hierarchically embedded in a decision tree. You expand the decision tree by clicking the plus (+) sign to show the underlying criteria points. You collapse the decision tree by clicking the minus (-) sign.
    • A. 

      True

    • B. 

      False

  • 6. 
    In Level of Care Home Care Criteria: When more than 1 service is requested and each will be provider by a different discipline, the reviewer must review each service seperately
    • A. 

      True

    • B. 

      False

  • 7. 
    In the Durable Medical Equipment Criteria: When conducting a review, answering questions in a specific pathway will lead the user to Clinical Revisions.
    • A. 

      True

    • B. 

      False

  • 8. 
    InterQual Clinical Reference is accessible from the Help menu within IQ View and Review Manager. What materials are available:
    • A. 

      Review Process-Provides information on criteria components, review process steps, and practical tips

    • B. 

      Abbreviations and Symbols- A list of abbreviations and symbols contained in the criteria

    • C. 

      Bibliography-includes references used to develop the criteria, lists alphabetically

    • D. 

      Drug list-Generic and trade names of some medications that are referenced in the criteria and the notes

    • E. 

      Clinical revision-Describe significant change to the clinical content of the criteria, including explanations for the rationale behind the revisions.

    • F. 

      All of the above

  • 9. 
    How could you open the Book View feature?
    • A. 

      1

    • B. 

      2

    • C. 

      Both 1 and 2

    • D. 

      Neither

  • 10. 
    It is the reviewer's responsibility to choose the correct criteira set for reviewing the request.
    • A. 

      True

    • B. 

      False

  • 11. 
    Choose the correct order to open the correct Guideline from the question above.
    • A. 

      1,2,3,4

    • B. 

      2,3,4,1

    • C. 

      4,3, 1 or 2

    • D. 

      None of the above

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