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Blog

Patient status: focus on the case, not the criteria

In healthcare, one word bears a startling amount of baggage, both in terms of relationships and finances: inpatient. Criteria seek to define it; utilization review seeks to confirm it; reimbursement […]
Blog

We’re Back! with Clients, per Custom, on Campus

As we shared last year, unusual times called for virtual measures: specifically, our hands-on, shoulder-to-shoulder training process with new clients was quickly converted to a virtual format in light of […]
Blog

Enabling Real Payer and Provider Collaboration

  Matt Royalty is a director of payer partnerships at Xsolis. He recently sat down to discuss the rapid growth of our payer-provider connections, specifically those with Humana which will number […]
Blog

Uplifting Nurses, This Week and Every Week

 The gravity of healthcare has seldom weighed so heavily in our collective minds than in the past year. As pandemic cases soared, so did our anxiety – yet there was […]
Blog

United Health Services: Using AI for Successful Medical Necessity Case Management

This article is adapted from a podcast featuring Kimberly Brady, HCA, BSN, RN, System Director of Care Management for United Health Services (www.nyuhs.org); Care Transitions Today, a podcast from the […]
Blog

Artificial Intelligence is Connecting Payers and Providers

In a webinar hosted by Becker’s Hospital Review, Joan Butters and Heather Bassett shared how Xsolis connects payers and providers through artificial intelligence. They spoke on where the organization has been, where it is currently, and most importantly how Xsolis plays into where the industry […]
Blog

Xsolis Welcomes 200th Employee

Xsolis today announced that it has surpassed 200 employees nationwide, both full time and part time. Hiring to match the pace of scale has been a high priority for the company, […]
Blog

KLAS: Xsolis Enhances Utilization Review and Case Management with AI

KLAS Research is a premier analyst organization serving the healthcare industry. The KLAS research team publishes 55+ insight-driven reports per year, covering the most pressing questions facing healthcare technology today. […]
Blog

Rethinking Traditional Criteria, Part 2: The Playbook

Traditional screening criteria have been used for so long that users mistakenly identify traditional criteria as a legal prerequisite for Medical Necessity review. Nothing could be further from the truth. […]
Blog

Rethinking Traditional Criteria, Part 1: The Perspective

The status determination of a patient is a crucial and far-reaching clinical decision with major financial repercussions. Hospitals and health plans are both motivated to get the patient in the […]