Adventist West’s success through redesigning and automating UM

Improving UM efficiency and the revenue cycle with automation

Adventist West, a large health system with more than 3,000 beds and 28 acute hospitals, is moving towards exception-based UM by redesigning and automating its 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, a 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.