ASAM 4th Edition

ASAM 4th Edition criteria analysis
in under 60 seconds.

CriteriaIQ analyzes your Kipu patient chart against ASAM 4th Edition criteria across all six dimensions — producing authorization-ready documentation for initial and concurrent review.

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Six Dimensions. Complete Analysis.

Every ASAM dimension.
Every level of care.

CriteriaIQ scores all six ASAM 4th Edition dimensions with explicit risk ratings and an overall authorization probability score.

Intoxication, Withdrawal, and Addiction Medication

Intoxication and Associated Risks · Withdrawal and Associated Risks · Addiction Medication Needs. CIWA-Ar and COWS scores from Kipu assessments integrated automatically.

Biomedical Conditions

Physical Health Concerns · Pregnancy-related Concerns. Medical comorbidities and physical health factors scored against ASAM 4th Edition criteria.

Psychiatric and Cognitive Concerns

Active Psychiatric Symptoms · Persistent Disability. Mental health comorbidities and cognitive factors affecting treatment intensity.

Substance Use-Related Risks

Likelihood of Risky Substance Use · Likelihood of Risky SUD-related Behavior. Relapse risk and continued use potential scored against ASAM 4th Edition criteria.

Recovery Environment Interactions

Ability to Function in Current Environment · Safety in Current Environment · Support in Current Environment. Social and environmental factors affecting treatment needs.

All Six Levels of Care

Initial and concurrent review
for every LOC.

CriteriaIQ covers the full spectrum of ASAM levels of care with dedicated analysis buttons for each.

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3.7 Medically Managed Intensive Inpatient

High-intensity residential treatment. Initial and concurrent review with full six-dimension analysis and auth probability score.

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3.5 Clinically Managed High-Intensity Residential

Non-medical residential treatment. Subdimensional risk ratings with continued-stay probability and discharge barrier documentation.

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2.5 High-Intensity Outpatient (PHP)

Structured day treatment. Initial and concurrent ASAM 2.5 analysis with intensity of service documentation.

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2.1 Intensive Outpatient (IOP)

Structured outpatient treatment. ASAM 2.1 analysis with medical necessity justification for IOP versus lower levels.

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Phone Review Scripts

Ready-to-read phone review scripts generated from ASAM analysis. Dimension-by-dimension talking points for payer calls.

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Appeal Letters

ASAM-specific appeal letters generated in one click. Cites the exact ASAM criteria the payer used to deny the authorization.

How It Works

From Kipu chart to
medical necessity documentation.

Open a patient chart in Kipu EMR with the CriteriaIQ extension installed
Click the appropriate ASAM button (Residential, PHP, or IOP — Initial or Concurrent)
CriteriaIQ scrapes clinical notes, medications, assessments, and diagnoses automatically
AI analyzes all data against ASAM 4th Edition criteria across all six dimensions
Complete medical necessity documentation generated in under 60 seconds
Phone review script and appeal letter available with one additional click

What CriteriaIQ Scrapes from Kipu

Clinical documents — psychiatry evals, H&P, biopsychosocial, progress notes
CIWA-Ar and COWS scores from Patient Assessments tab
PHQ-9, GAD-7, and BAM-R assessment scores
Current medications from Med Log, Medical tab, and Doctor Orders
Insurance information from Information Tab
ICD-10 diagnoses with DSM-5 specifiers

Sample Report

See a real ASAM 4th Edition analysis before you start a trial.

We'll email you a de-identified sample report — full six-dimension scoring, authorization probability, and the phone review script — exactly what CriteriaIQ generates from a real Kipu chart.

Running UR or billing for more than one chart at a time?

The Criteria Analyzer above works chart-by-chart inside Kipu. If you're managing authorizations, denials, and AR for a whole caseload, the full Utilization Review & RCM Platform runs on the same ASAM engine with a dashboard, denial tracking, and team-wide reporting.

See UR Platform → Watch it in action →

Try It Yourself

60-second ASAM level of care check.

Answer four quick questions and see how CriteriaIQ’s dimensional scoring points toward a level of care — the same logic behind the full six-dimension chart analysis.

1. Withdrawal & intoxication risk

2. Biomedical conditions

3. Relapse / continued use risk

4. Recovery environment support

Ready to save 47 minutes per authorization?

14-day free trial. Card required — not charged until trial ends. Works on your existing Kipu account today.

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ASAM 4th Edition criteria analysisin under 60 seconds.

Every ASAM dimension.Every level of care.

Initial and concurrent reviewfor every LOC.