
Utilization Management in Healthcare: A Comprehensive Guide
Utilization management is a process within healthcare that serves as a framework for ensuring…


83K ADMISSIONS
EMR Epic
10 Hospitals
Minneapolis, MN
Increase in
Query Rates
Monthly Growth
in Review Rates
Physician
Response Rate
Review Rate
Exceeds Best-Practice Standards
The adoption of Iodine’s Concurrent CDI platform has transformed M Health Fairview’s clinical documentation processes. By addressing workflow inefficiencies, improving query quality, and leveraging advanced prioritization tools, the organization achieved measurable gains in efficiency, physician engagement, and overall documentation quality.
Volume and Complexity of Work
Managing documentation across 10 hospitals created challenges in workload distribution and prioritization including struggling to address high-impact cases effectively.
Workflow Inefficiencies
Multiple worklists created disparities in workload assignments, leading to staff burnout or delayed reviews reducing the team’s ability to impact documentation quality in real time.
Change Management
Staff apprehension about adopting new systems required a structured change management strategy to address mistrust and ensure buy-in.
Query Quality
Developing standardized, high-quality queries took nearly a year, delaying the ability to achieve desired outcomes.
Query Integration
Queries were initially excluded from the legal medical record, limiting physician engagement and compliance.
IodineCDI helps identify and correct documentation gaps, preventing denials and ensuring accurate, reliable reimbursement.
CDI Solution Drives Documentation Excellence and Improves Revenue Performance.

Utilization management is a process within healthcare that serves as a framework for ensuring…

Healthcare systems today face mounting financial pressure. Billions of dollars are lost every year…