Our real-time utilization management platform, Cortex, connects and analyzes clinical and financial data for timely and defensible utilization determinations and decision-making. XSOLIS builds the clinical context of each case, in real time.Learn More →
XSOLIS Physician Advisory Services provide our clients a full complement of solutions including 2nd level reviews, Peer-to-Peer support, and Denial Management & Support. XSOLIS supplements your Physician Advisor personnel, processes and needs.Learn More →
By identifying cases with the highest probability of success, our specialists systematize the appeal process, while our technology increases compliance, decreases audit risk, and minimizes denial exposure up front.Learn More →
Due to insufficient resources, siloed patient data and outdated processes, case and utilization management staff have been forced to manually handle and prioritize overflowing censuses of patients to review. Traditional Utilization Management workflows are manual, time consuming, inconsistent, subjective and rely on static case review.
Additionally, traditional utilization review tools and processes leave revenue at risk regardless of proactive compliance efforts.
XSOLIS’ software platform, Cortex, helps Case Management and UR staff work smarter, prioritizing case reviews based on risk of potential revenue risk. Incorrect status, discharge ready, Inpatient Only procedures, Extended Observation cases, and Short Stays are all examples of cases that Cortex helps UR staff focus on at the right time, in real time.
This approach is proven to increase compliance, shorten patient length of stay, and appropriately ‘right-size’ observation rates.
We help hospitals “right-size” observation rates, increase compliance, lower patient Length of Stay, maximize return on Physician Advisor services (internal and outsourced), improve productivity and more.