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Blog

Your Physician Advisor Escalations Should Be Going Down

Utilization review forms the first line of defense for revenue-sensitive cases for hospitals; physician advisors serve as the backbone and second line for cases requiring greater scrutiny or closer inspection. […] Blog

Xsolis Welcomes Paul Cummings as Chief Product Officer

Our team is happy to announce a new and welcome addition, Paul Cummings, who will serve in the newly created role of Chief Product Officer. Paul’s primary focus will be […] Blog

Utilization Management Made “Relevant”

Utilization management is part of the lifeblood of the revenue cycle. Case managers and UR staff man the front lines of helping hospitals stay solvent, yet they are often just […] Blog

Metric You Should Know: The Exception Rate for Potential Revenue Leakage

Today’s care management executive or CFO typically has a full list of metrics at their disposal: from length of stay to observation rates to conversion rates and more. But as […] Blog

Create Alignment and Improve Payer-Provider Collaboration: A Case Study at Covenant Health

At a glance: Dr. Heather Bassett, CMO at Xsolis shares here experience and insights from working with Covenant Healthcare on the health system’s new approach to payer relations. Through transforming […] Blog

Managing Utilization in the Age of AI

In healthcare, artificial intelligence (AI) has leapt from the fringes into mainstream conversation; not a day goes by that I’m not asked about the concept or how healthcare organizations should […] Blog

Getting Smart: Artificial Intelligence and Utilization Management

Seattle may have a reputation for rain and cloudy skies, but it was a bright and cheerful crowd that greeted us at the American Case Management Association’s annual National Conference […] Blog

Trust and Transparency: Themes from Nashville’s Healthcare Industry

Yesterday I was honored to be part of a panel discussion on healthcare technology entrepreneurship alongside Chase Spurlock of IQuity, John Bass of Hashed Health and Austin Dirks of Greenlight Medical– […] Blog

Thinking Bigger

As a hospital, how do you feel about your relationship with your payers? As a payer, how do you feel about your relationship with your providers?   Do you feel […] Blog

Analytics to Prioritize Denials Recovery Efforts

“What can we do to shore up processes and optimize outcomes during revenue recovery?” Our team gets this question time and again. While the first step is deploying healthcare technology […]