Case Study: Valley Medical Center improves utilization management efficiency with XSOLIS

Valley Medical Center improves case reviews 67% with XSOLIS

Valley Medical Center, a hospital in Renton, Washington, faced challenges with utilization management, including high observation rates and administrative inefficiencies that posed audit risks. Seeking a more efficient way to review cases and prove medical necessity, the center partnered with vendor XSOLIS and implemented its Dragonfly Utilize platform (previously known as CORTEX) along with its Physician Advisory Services.

By using XSOLIS's AI-driven solution, Valley Medical Center achieved significant results. The team improved its daily case review volume by 67%, reduced extended observation rates by 25%, and right-sized its overall observation rate to mitigate audit risk. The implementation also led to more timely claim submissions, improved payer relations, and increased job satisfaction for staff, allowing them to work at the top of their license.

Valley Medical Center