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XSOLIS Insights / Preventing Denials

by Cameron Bowman, on Jul 29, 2020 6:00:00 AM

Earlier this week, leaders from HealthPartners joined XSOLIS on a webinar covering their recent implementation of CORTEX and how their organization is bringing fresh perspective to utilization management. Bror Herrick, …

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Topics:Real-Time AnalyticsHealthcare TechnologyCase ManagementCase Management ModelsInnovationPreventing DenialsThe Future of HealthcareCOVID-19

by XSOLIS Insights, on Feb 20, 2020 6:00:00 AM

Putting the patient first is the common thread between the providers that care for them and the organizations who serve those providers. The denial of patient claims is an ever-present …

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Topics:DenialsPreventing Denials

by Heather Bassett, MD, on May 30, 2019 6:00:00 AM

Late last month I moderated a webinar with a panel of two industry leaders, Tonya Harrison representing Atrium Health and Sherri Ernst representing Covenant Health. Previously, I explored Atrium Health’s adoption …

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Topics:InnovationPreventing DenialsPayerPayer-Provider Alignment

by Joan Butters, CEO of XSOLIS, on Jul 24, 2018 6:00:00 AM

Sherri Ernst, Revenue Integrity & Utilization Management Officer at Covenant Health, knew the system was broken. Claims that met criteria were still being denied time and again, requiring her staff …

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Topics:Utilization ReviewHealthcare AnalyticsHealthcare TechnologyInnovationPreventing DenialsPayer

by XSOLIS Insights, on Nov 7, 2017 6:00:00 AM

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 …

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Topics:Physician AdvisorPreventing Denials

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