
Your Physician Advisor Escalations Should Be Going Down
Utilization review forms the first line of defense for revenue-sensitive cases for hospitals; physician advisors serve as the backbone and second line for cases requiring greater scrutiny or closer inspection. […]
Xsolis Welcomes Paul Cummings as Chief Product Officer
Our team is happy to announce a new and welcome addition, Paul Cummings, who will serve in the newly created role of Chief Product Officer. Paul’s primary focus will be […]
Utilization Management Made “Relevant”
Utilization management is part of the lifeblood of the revenue cycle. Case managers and UR staff man the front lines of helping hospitals stay solvent, yet they are often just […]
Metric You Should Know: The Exception Rate for Potential Revenue Leakage
Today’s care management executive or CFO typically has a full list of metrics at their disposal: from length of stay to observation rates to conversion rates and more. But as […]
Create Alignment and Improve Payer-Provider Collaboration: A Case Study at Covenant Health
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 […]