Success Story

Genesis HealthCare System’s way forward

Health system leverages AI to align
CDI + utilization management

Download case study

$4.9M

revenue gained from
observation-to-inpatient conversions

25%

reduction in wasted
CDI review time

98.1%

provider query
response rate

Download case study

CHALLENGES

The journey to unify CDI +
utilization management

With limited resources, Genesis HealthCare System needed a way to align CDI and
utilization management, eliminating duplicated work and uncovering revenue
opportunities often missed when teams operated in silos.

Actions

Steps to prioritize cases
earlier with AI

Genesis HealthCare System implemented Waystar solutions to surface high-impact cases
sooner, helping CDI and utilization management teams coordinate reviews, reduce wasted
effort, and act quickly on documentation and admission decisions.

The smarter way to focus reviews

AI surfaces the most impactful cases early, helping teams concentrate on reviews where clinical and financial outcomes matter most.

The clearer way to coordinated decisions

Early visibility into likely admission status has helped CDI and UM teams align documentation and admission decisions to support appropriate reimbursement.

The faster way to capture revenue

Coordinated CDI and utilization management reviews help teams identify documentation and admission opportunities earlier, accelerating appropriate reimbursement.

Get the full story

Learn how Genesis HealthCare System uses AI to align CDI
and utilization management to reduce wasted effort and
optimize financial performance.

Download case study

"Within two hours of ED presentation, we have a reliable prediction of inpatient vs. observation — helping both our UM and ED teams prioritize quickly. It’s fast, consistent, and puts everything our staff needs right at their fingertips."
Linda Supplee, Chief Population Health Officer, Genesis HealthCare System

Results

Propelling their mission forward

Leveraging Waystar solutions, Genesis HealthCare System has reduced wasted
review time, strengthened coordination between CDI and utilization management,
and unlocked meaningful financial results — empowering teams to act sooner and
drive stronger revenue cycle performance.

$4.9M

revenue gained from
observation-to-inpatient
conversions

25%

reduction in
wasted CDI
review time

98.1%

provider query
response rate

80

new care
locations opened

60%

of auths obtained
automatically in first year

61%

Epic Pulse score for
authorization*
*Top 25% of all Epic clients

Request demo

Searching for smarter ways to streamline reviews and capture revenue? We can help.
Log in Request demo

Search Waystar