XSOLIS' health system clients - regional and national - use our technology to enhance revenue integrity and positively change payer relations.
Whether centralized or local, your utilization review team needs real-time insight into each patient case for timely and defensible medical necessity determinations. Our smart utilization platform, Cortex, pulls data directly from the EMR in real time, then applies predictive analytics to give your staff actionable insight. All major EMRs are supported by XSOLIS.
Grounded in evidence-based medicine, our predictive analytics and machine learning make decision-making easy on the front end. Cases which are clearly inpatient can undergo an automated "smart review," refocusing staff efforts towards complex cases and directly managing care for the patient.
XSOLIS offers Denials Management Services and Physician Advisor Services that support your organization's unique needs. Our PAs offer supplementary night/weekend coverage or full outsourcing, while our Denials Management team uses analytics to prioritize cases for appeal based on medical necessity.
Below you'll find select resources aimed at supporting and informing health system leaders - from supplementing the role of the physician advisor to adopting centralized review to reframing payer relations through analytics, schedule a demo today to learn how XSOLIS can support you.
Sherri Ernst discusses Covenant Health's approach to centralized utilization review, from the transition process to how technology empowers Covenant's staff.Learn More →