Michelle Wyatt, DNP, MSN, RN, CMS, is Senior Director, Clinical Best Practices at Xsolis and has over 20 years experience in healthcare, most recently serving as Director of Case Management and Utilization Review at HCA Healthcare. Prior, she was Director of Utilization Management at Vanderbilt University Medical Center and received her Doctorate of Nursing Practice, Nursing Administration, from Vanderbilt University School of Nursing. She began her career in utilization review performing care management reviews for Universal Care of TN and currently oversees the Xsolis clinical teams that lead customer implementation.
While prior authorization has made many headlines over the past year, concurrent review has not. Yet missteps in both processes leave hospitals in danger of not getting paid, which can result in higher costs being passed down to patients.