Blog
Clinical Context Matters: Maximizing the Impact of Peer-to-Peer Reviews
For concurrent denial determinations, the peer-to-peer medical review process often offers the best opportunity to get a case mediated before the overall impact to revenue becomes substantial: therefore, maximizing this […] Blog
An XCHANGE of Ideas
Last week our team had the privilege of hosting clinical leaders and healthcare innovators from across the nation for our inaugural user conference, XCHANGE 2017. This two-day event was an […] Blog
Three Approaches to Innovation in Utilization Management
Healthcare in the United States continues to retain a reputation of being notoriously slow to innovate, even as providers, payers, and technology companies across the nation rush to solve many […] Blog
Case Managers Making an Impact: Tina & Kenya
For National Case Management Week, we asked Tina Taylor, one of the dedicated case managers at Singing River Health System, and Kenya Undziakiewicz, a Utilization Review Specialist at MultiCare Health System, to […] Blog
Artificial Intelligence and the Future of Health
After wrapping up my time at the Health 2.0 conference in Santa Clara, California, I can’t help but reminisce a bit about how far Xsolis has come. Initially, we offered […] Blog
Shorter and Sweeter: Using Technology to Overcome Short Stay Claims
By Mary Beth Bednarz, Manager of CDI and Utilization Review at Charlotte Hungerford Hospital (CHH) As an important precedent, I view the CMS Two-Midnight Rule as valuable and necessary, however, it […] Blog
The Changing Face of Case Management
Effective care transitions and heightened operational efficiency have long been the trademarks of internal utilization review and case management teams – the more effective the staff, the less their work […] Blog