by | Aug 30, 2021 | Article, CAVO, CAVO AI, CAVO for Payment Integrity, Health Plans & Partners
So you’ve selected the DRGs that you want to review…now what? Next in the process is the record exchange. One of the biggest hurdles to moving DRG reviews into the prepay process is the actual record exchange between payer and provider. Traditionally, all too often,...
by | Aug 23, 2021 | Article, CAVO, CAVO for Payment Integrity, Health Plans & Partners
To effectively move into DRG prepay process, it’s crucial for health plans to decide which claims they want to work and when. Workflow factors that ultimately determine the ability of a plan to manage the DRG prepay process, include but are not limited to: Number of...
by | Jun 29, 2021 | Appeal & Claim Technology, Article, CAVO for Payment Integrity, Health Plans & Partners, Health Systems & Hospitals, Interoperability
In final rules issued on March 9, 2020, the CMS Mandate for healthcare interoperability requires a patient to have instant access to their medical information via a third-party application. Effective July 1, 2021, convenient patient access to personal medical records...
by | Jun 24, 2021 | Appeal & Claim Technology, Article, CAVO for Payment Integrity, Health Plans & Partners, Health Systems & Hospitals, Interoperability
Here at TREND, our expertise as a solution provider in the healthcare ecosystem is to convert clinical information to FHIR® standard and provide an open API that allows its exchange between payers and providers, effectuating efficiency and reduced administrative costs...
by | Jun 17, 2021 | Appeal & Claim Technology, Article, CAVO for Payment Integrity, Health Plans & Partners, Health Systems & Hospitals, Interoperability
According to a study conducted by Johns Hopkins, 44% of medical error deaths were preventable. As the CMS Mandate for healthcare interoperability approaches, the requirements come not a moment too soon for an industry lacking effective data exchange capabilities....
by | Mar 18, 2021 | Article, CAVO, CAVO for Payment Integrity, Health Plans & Partners
CHALLENGES – Health Plans SOLUTIONS – CAVO IB Reviews CHALLENGE DESCRIPTION FUNCTIONALITY RESULTS Accessing accurate data Those beginning to utilize other technologies to attempt IB data capture are experiencing limited success with accuracy. Automatically...
