AwareUM

Optimize Your UM Workflow to Achieve Accurate Reimbursement

AwareUM uses machine learning to prioritize your workload, streamline reviews, and make the right patient status decisions the first time around.

Request a Demo

Why Iodine?

How Iodine Works

STEP 1: HOW IT WORKS

Continuous Case
Review

AwareUM continuously analyzes the full patient record, identifying potential status issues.

STEP 2: HOW IT WORKS

AI-Powered Prioritization

Your team receives a prioritized list of cases to review, based on both clinical evidence and payer rules.

STEP 3: HOW IT WORKS

Streamlined Review

Access to prediction transparency, relevant clinical data, and AI-generated summaries allow your team to focus on high-impact work and establish  medical necessity more effectively.

STEP 4: HOW IT WORKS

Insightful Analytics

Monitor key operational and productivity metrics to identify program trends and opportunities for improvement.

Accurate Reimbursement Starts
with Better UM

AwareUM leverages Generative AI, LLMs, NLP, and machine learning to intelligently
prioritize workloads, foster seamless communication between care teams, and guide accurate patient status decisions from the start.

UM Challenges That Impact
Your Revenue

Nurses spending hours digging through patient records, with no time for high-value work
Difficulty staying on top of complex and constantly changing payer rules
Inefficient collaboration between UM nurses, physicians, and case managers
Delayed status reviews that lead to missed revenue and denials

Discover the Complete UM Solution

AwareUM is designed specifically for the real-world challenges of utilization management in healthcare. It’s like having an extra pair of hands to help your team get through their workload faster and more accurately.

For UM Nurses

Let nurses be nurses

Optimize daily workflows with prioritized case lists, automated patient summaries, and transparent status predictions, helping nurses spend more time applying their clinical expertise and less time shouldering administrative tasks.

Proven Results:

Review times reduced by:

50%

Enhanced CDI & UM Collaboration

Seamless case escalations and cross-team  collaboration

Our platform enables easy collaboration between UM, Physician, and CDI stakeholders, cultivating more complete patient stories and enhancing documentation accuracy. Mobile review technology adds an extra dimension of flexibility and ease to physician reviewers.

Fewer Denials, More Revenue, and a Happier Team

With AwareUM, you’ll see real results:

Accurate Reimbursement

Prevent administrative denials
Speed up denial appeals
Get paid accurately for the care you provide
Capture the full revenue of your hospital deserves

Saved Time

Streamline reviews with AI-assisted summaries and clinical data extraction
Collaborate more effectively with your team and physicians
Make faster, more accurate patient status decisions

Consistent Compliance

Automatically track payer requirements to minimize compliance risks
Bulletproof your billing with clearly documented decisions

Add-on module: Forecast

Enhance UM Decision-Making with Predictive Insights

Go beyond day-to-day UM tasks and make smarter, proactive decisions with Forecast. This AI-powered module accurately predicts discharge DRGs and GMLOS for all inpatients, allowing you to:

Plan for potential complications or extended stays before they happen
Confidently determine the right status and level of care for each patient
Ensure you have the right staff and resources in place at the right time

The AI Engine That
Supports Clinical Judgment

AwareUM is powered by CognitiveML™, our custom-built AI-engine designed for the complexities of healthcare.

Using a powerful blend of Gen AI, LLMs, NLP, and machine learning, it continuously learns from real-time data to empower confident, informed decisions and drive revenue cycle performance.

Want to Supercharge Your UM Process?

Let’s talk about how AwareUM can make your UM workflow more efficient,
reduce denials, and help you boost revenue.