Revisión de utilización

Revisión de utilización: plantillas de automatización

12 flujos de trabajo listos para usar en Revisión de utilización. Cada uno se encarga de un trabajo real que tu equipo hace cada semana, directamente en las herramientas que ya usas. Las apps que más aparecen aquí: XSOLIS, Slack y Outlook.

Revisión de utilización
Todas las categorías
Salud y medicina
Todo en Salud y medicina Atención médica Acupuntura Clínicas de alergias Centros de cirugía ambulatoria Grupos de anestesiología Centros de parto Cardiología Monitoreo de dispositivos cardíacos Quiropráctica Centros de investigación clínica Centros de salud comunitarios Dermatología Clínicas de cirugía de Mohs Atención y educación en diabetes Centros de diálisis Atención primaria directa Endocrinología Clínicas de terapia hormonal Otorrinolaringología Centros de endoscopia Clínicas de fertilidad Laboratorios de fertilización in vitro Medicina funcional e integrativa Gastroenterología Hematología Hepatología Oxigenoterapia hiperbárica Centros de diagnóstico por imagen Radiología intervencionista Infectología Centros de infusión Asesoría de lactancia Terapia de linfedema Masajes terapéuticos Medicina materno-fetal Facturación médica Certificación de cannabis medicinal Acreditación de médicos Equipamiento médico Genética médica Nutrición clínica Transporte médico Naturopatía Nefrología Neurología Consultorios de nutrición Ginecología y obstetricia Uroginecología Salud ocupacional Terapia ocupacional Oncología Ortopedia Osteoporosis y salud ósea Clínicas del dolor Laboratorios de patología Terapia pediátrica Pediatría Farmacias Fisioterapia Cirugía plástica Podología Prótesis y órtesis Neumología Reumatología Medicina del sueño Terapia del lenguaje Medicina deportiva Telemedicina Telerradiología Atención de urgencias Urología Cirugía vascular Cuidado de heridas
Automated XSOLIS Status Change Recommendations
WebRun reviews XSOLIS's status change recommendations every hour, drafts a physician facing note explaining the clinical reason for each suggested change, and posts a Slack alert to the UM lead listing every recommendation still waiting on a physician decision.
XSOLIS›Outlook›Slack
Automated XSOLIS Secondary Review Nudges
WebRun checks XSOLIS every morning for cases waiting on a secondary physician review past your target turnaround time, and drafts a polite Outlook nudge to the reviewing physician for each one still open.
XSOLIS›Outlook
Automated XSOLIS Peer to Peer Review Followups
WebRun checks XSOLIS every morning for cases flagged or due for a peer to peer review, drafts the scheduling request to the physician advisor in Outlook, and posts a Slack reminder of every peer to peer deadline still open this week.
XSOLIS›Outlook›Slack
Automated XSOLIS Payer Criteria Mismatch Report
WebRun compiles every case from the past week where a payer's stated criteria disagreed with XSOLIS's clinical assessment, logs the pattern to a Google Sheet by payer, drafts an Outlook summary for your physician advisor, and posts the weekly report to Slack.
XSOLIS›Google Sheets›Outlook›+1
Automated XSOLIS Observation Status Alerts
WebRun checks XSOLIS every hour for patients in observation status approaching the typical 24 to 48 hour decision window, flags anyone without a completed review, and posts a ranked alert to your UM Slack channel so a nurse can act before time runs out.
XSOLIS›Slack
Automated XSOLIS Medical Necessity Gap Flags
WebRun reviews XSOLIS's medical necessity findings every morning, flags any chart missing a clinical indicator the payer requires, logs each gap to a Google Sheet, and drafts an Outlook note asking the ordering physician for the missing documentation.
XSOLIS›Outlook›Google Sheets
Automated XSOLIS Inpatient vs Observation Alerts
WebRun compares each patient's ordered status against XSOLIS's clinical criteria every hour, flags any mismatch between the inpatient or observation order and what the documentation supports, logs it to a Google Sheet, and posts a Slack alert to the UM team for same day correction.
XSOLIS›Google Sheets›Slack
Automated XSOLIS Denial Risk Early Warning
WebRun reviews every open case in XSOLIS each night, flags the ones carrying a high denial risk signal, logs them to a Google Sheet with the reason, and posts a Slack alert so your UM team can act first thing tomorrow, while there's still time to fix the record.
XSOLIS›Google Sheets›Slack
Automated XSOLIS Daily UM Worklist Digest
WebRun pulls every open review from XSOLIS each morning, whether it's an admission review, continued stay review, or discharge planning check, logs the full worklist to a Google Sheet, and posts your UM team a prioritized Slack digest to start the day.
XSOLIS›Google Sheets›Slack
Automated XSOLIS Continued Stay Review Reminders
WebRun checks XSOLIS every morning for inpatients whose continued stay review is due today or overdue, drafts an Outlook reminder to the assigned case manager for each, and posts a Slack digest so the UM team knows exactly who still needs a review today.
XSOLIS›Outlook›Slack
Automated XSOLIS Avoidable Inpatient Day Flags
WebRun reviews XSOLIS every night for patients no longer meeting inpatient criteria who are still admitted, logs each avoidable day with its barrier to a Google Sheet, and drafts an Outlook note to the case manager so the barrier gets addressed first thing tomorrow.
XSOLIS›Google Sheets›Outlook
Automated XSOLIS Authorization Expiry Warnings
WebRun checks XSOLIS every morning for authorizations expiring within 48 hours, logs each to a Google Sheet, drafts the extension request in Outlook, and posts a Slack alert so your UM team can act before coverage lapses.
XSOLIS›Google Sheets›Outlook›+1

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