by | Jul 1, 2022 | Article, CAVO, Client Success, Health Plans & Partners, News, Payer Client Success
TREND Health Partners is excited to share our Net Promoter Score®, where we asked our clients and partners to discuss their experiences using CAVO® and working with the CAVO support team to streamline their medical claims review processes. With a Net Promoter Score®...
by | Jun 27, 2022 | Article, CAVO, CAVO AI, CAVO for Payment Integrity, Health Plans & Partners
The administrative burden is difficult to manage in the DRG review claims process. With millions of patients being treated on a daily basis, the sheer number of medical records is overwhelming and can block health pans from being able to move into pre-pay DRG reviews....
by | Jun 9, 2022 | Article, CAVO, Health Plans & Partners, Payer Video, Video
In 2020, insufficient documentation accounted for 63% of all improper payments, followed by incorrect coding (16%), medical necessity (11%), and no documentation (4%), equating to a $25.74 billion loss of revenue. Knowing and having strict standards for what is...
by | Jun 2, 2022 | Article, CAVO, Health Plans & Partners, Payer Video, Video
Solving medical record review challenges can be similar to a game of Tetris – you have to manage your resources carefully to productively complete medical records and itemized bill reviews properly. A survey we issued recently asked 450 people what method their...
by | May 25, 2022 | Article, CAVO, Health Plans & Partners, Payer Video, Payer Webinar Replay, Video
Machine learning (ML) isn’t just an algorithm that queries information. Machine Learning learns and adapts over time through a data feedback loop. Normal queries require human intervention to capture behavior changes, whereas machine learning recognizes this and makes...
by | Sep 20, 2021 | Article, CAVO, CAVO for Payment Integrity, Health Plans & Partners
Introduced in the 1980s, a DRG is a crucial component of today’s healthcare system. Most DRGs today are reviewed in a post-pay environment – providing challenges for both provider and payer alike. For the provider, the post-pay DRG review comes with...
