Adventist West’s Success through Redesigning and Automating UM
Discover how to leverage automation for centralizing utilization management workflows.
Adventist West, a large health system with more than 3,000 beds and 28 acute hospitals, is on its way to achieving exception-based utilization management (UM) by redesigning and automating their utilization review program.
In this webinar, UM leaders demonstrate how they launched a clinically driven initiative that had a positive effect on the revenue cycle. This has resulted in fewer avoidable medical necessity denials, reduced length of stay and healthier financials overall. Regina Berman, RN, MA, value-based care executive at Adventist West, highlights the process changes paired with advanced technology, such as AI-driven medical review automation with InterQual® AutoReview, that led to their success.
- Adventist West implemented a centralized, exception-based UM program.
- InterQual AutoReview with AI and automation was used to streamline UM.
- The UM transformation resulted in sustained achievements that had a positive effect on the revenue cycle.