For Utilization Management and CDI Teams

Improve clinical defensibility

Payers answered rising code capture with enhanced clinical validation. Extend your mid-cycle capabilities with Sayvant Reflect^™ to analyze medical necessity, defensibility, and complexity of care in real time.

Talk to Partnerships Start with a chart audit

The Clinical Validation Problem

The denials you fight hardest were decided at the bedside

Medical necessity, diagnosis capture, and plan defensibility are baked into the clinical narrative dictated on rounds, days prior to review.

UM and CDI improve note quality, but specialists reconstruct clinical intent retrospectively and query physicians who have moved to the next patient. Revenue integrity suffers as a result.

Sayvant Reflect

Scale clinical review to 100% of encounters

Traditional case management (UM) and CDI touch 20% of charts (MDaudit). Sayvant Reflect extends their reach so you see which denials were preventable at authorship, where DRG and medical-necessity dollars leak, and how defensibility varies by diagnosis, clinician, and facility. It's the only concurrent quality scoring solution in acute care, built on 3,000+ clinical documentation checks.

Recommendations

Admission Advisory

Sepsis / Septicemia · Inpatient Admission

Inpatient admission is supported.

Consider strengthening documentation of

Bacteremia on blood cultures
Temperature <35°C or severe immunocompromise

Critical CareSKIP

This encounter may qualify for critical care based on sepsis without shock: altered mental status, persistent hypotension with SBP in the low 90s, multiple IV fluid boluses, and treatment with ≥2 IV antibiotics, with ICU admission.

Flag improvement opportunities before the patient is discharged

Sayvant reviews every note against clinical evidence and approved guidelines to show the treating clinician what a payer audit would flag. Personalized per-note recommendations drive immediate behavior change.

Extend Your Mid-Cycle Capabilities

Deliver autonomous clinical validation reviews with Sayvant

Retrospective Analysis

Closed Accounts

Benchmark settled discharges to identify documentation opportunities that resulted in clinical validation denials and lost DRG revenue opportunities. Pinpoint documentation patterns, benchmark groups against their peers, and share findings with system leadership to drive education and change management.

Pre-Bill Review

Signed Charts

Flag patient status, plan defensibility, and care complexity improvement opportunities before patients are discharged. High confidence recommendations go directly to treating clinicians, judgement calls are escalated to case management and CDI teams.

Point of Care

Draft Notes

Highlight improvement opportunities for clinicians in real time, while they're still at the bedside. Improve clinical narrative and defensibility as notes are drafted to reduce rework and query volume.

Drive measurable outcomes

Hospital Medicine · Patient Status

33%

of inpatient admissions had weak medical necessity documentation

Flagged admissions at a 4-hospital community health system in the Southeast where clinical data would justify inpatient level of admission, but clinical narrative supporting medical necessity exposed denial risk.

Emergency Medicine · Dx Quality

12%

of charts missed explicit
interpretation of EKGs

Identified charts where EKGs were performed but Medical Decisionmaking lacked explicit interpretation of results at a Level 2 Trauma Center.

Emergency Medicine · Pro Fees

of encounters meeting criteria did not contain critical care documentation

Identified systemic under-identification of critical care at a Level 2 Trauma Center. Trends surfaced to medical directors, corrected via coaching, and built into Sayvant generation.