ASAM 2.5 — High-Intensity Outpatient (PHP)

ASAM 2.5 High-Intensity Outpatient (PHP)
documentation in 60 seconds.

CriteriaIQ generates complete ASAM 2.5 High-Intensity Outpatient (PHP) Program medical necessity documentation — initial and concurrent — directly from your Kipu patient chart.

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Initial Review

ASAM 2.5 Initial Authorization

Complete six-dimension ASAM analysis justifying admission to PHP level of care.

  • All six ASAM dimensions scored with explicit risk ratings
  • Medical necessity narrative for PHP versus IOP or residential
  • Authorization probability score with dimension-by-dimension breakdown
  • PHP-specific intensity of service documentation
  • DSM-5 diagnoses with ICD-10 codes integrated
  • Current medication list with clinical relevance
Concurrent Review

ASAM 2.5 Continued Stay

Continued stay documentation with treatment trajectory and discharge barrier analysis.

  • Progress on treatment goals from most recent clinical notes
  • Continued medical necessity justification for PHP level
  • Discharge barriers documented against ASAM criteria
  • Treatment trajectory with response to interventions
  • Risk factors preventing step-down to IOP
  • Phone review script for concurrent payer calls
Platform Features

Everything you need for
PHP authorization.

⚕
Six-Dimension Analysis
Complete ASAM 4th Edition dimensional analysis with explicit risk ratings for each dimension.
📞
Phone Review Scripts
Ready-to-read scripts for PHP concurrent review calls. Dimension talking points organized for payer conversations.
✍
Appeal Letters
PHP-specific appeal letters citing exact ASAM 2.5 criteria. Generated in one click from any analysis.
💊
Kipu Integration
Clinical data scraped directly from the Kipu patient chart — no copy-pasting, no manual entry.
📊
Auth Probability Score
Explicit authorization probability score based on how the patient's presentation maps to ASAM 2.5 criteria.
📄
PDF Export
Export complete PHP medical necessity documentationation as a formatted PDF for fax submission or record-keeping.
Managing PHP authorizations for a whole caseload?
The analyzer above works chart-by-chart inside Kipu. See how the same ASAM engine looks with a full caseload dashboard, denial tracking, and team-wide reporting in the RCM platform tour.
Watch it in action →

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