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Blog

The Benefits of Payer-Provider Collaboration

In the modern healthcare environment, tools and processes that foster better payer-provider collaboration are imperative.  Hospitals and health systems must continuously communicate with the insurers that ultimately pay part or […] Blog

The Utilization Management Process and the Origins of Medical Necessity

  Utilization management and utilization review, along with the concept of medical necessity, are vital factors that influence how healthcare providers operate. Utilization review was introduced in the 1960s to […] Blog

Healthcare Jobs That Can Be Improved by AI

Healthcare jobs are crucial to a functioning society. They exist in an industry where digital innovation regularly happens. According to Deloitte Center for Health Solutions’ top 10 healthcare innovations, artificial […] Blog

How Automation Enhances Revenue Cycle Operations

Automation offers game-changing advantages that are much needed in today’s healthcare industry. While the term is sometimes used interchangeably with artificial intelligence (AI), automation is a type of software that […] Blog

Medical Necessity and AI: How to Navigate the Future

Determining medical necessity is a key component of the utilization review (UR) workflow. Blog

How to Make Case Management in Hospitals More Efficient

Case management in hospitals supports positive outcomes for all stakeholders, as long as effective processes and supporting technology are in place. While case management has been around since the 1920s, […] Blog

Streamlined workflows save over 2 hours a day for UHS

‘Nurses go to school to help people,’ and CORTEX renewed that focus for Kim Brady and staff When Kim Brady was Director of Care Management at United Health Services (UHS) […] Blog

The Two Biggest Myths Impairing Provider-Payer Communications

Meeting criteria to “turn the light green” can feel like a game of cat and mouse – literally – because it’s overly dependent on the computer mouse as it executes […] Blog

Fostering Innovation in Nursing

Nurses play an integral role as change agents with Xsolis customers and products “When I was a boy and I would see scary things in the news, my mother would […] Blog

Women’s History Month at Xsolis

Women’s History Month in March marks an interesting time for reflection at Xsolis, because it has successfully recruited and retained women to compromise over 50% of its workforce, despite women […]