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Payment Integrity

Get payments right the first time with AI-enabled technology.

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Denial Management

Minimize the impact of denials through payer-provider collaboration.

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Credit Balance

Reduce overpayments and the administrative burden associated with credit balances.
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Case Study: AI Technology for Itemized Bill Review Optimization

by | Sep 8, 2023 | Article, Case Study, CAVO, CAVO AI, Client Success, Health Plans & Partners

A multi-state health plan engaged TREND Health Partners to increase their volume of itemized bill reviews, and by leveraging TREND’s medical review technology, CAVO®, increased their total financial value by 61% after 18 months. When the payer initially engaged...

TREND Health Partners’ CAVO® Net Promoter Score® Results

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®...

Plan Client Success – CAVO DRG Validation Client

by | Feb 16, 2021 | Article, Client Success, Health Plans & Partners, Payer Client Success

Northeastern Regional Health Plan Covering 1M+ Lives Advances DRG Nurse Review Team Productivity using CAVO DRG Validation THEN → Chasing the Records Before CAVO DRG Validation, the record intake team gathers the medical records, depending upon facility, by: Utilizing...

Plan Client Success – CAVO Prepay IB Reviews

by | Jan 29, 2021 | Article, Client Success, Health Plans & Partners, Payer Client Success

Regional Health Plan Decreases Pre-Pay Hospital Bill Review Time by 500+% Per Case Using IB Reviews THEN This regional health plan has an internal team of RNs performing hospital bill pre-pay IB reviews. Nurse reviewers previously either:  requested the itemized bill...

Plan Client Success – CAVO Cost Containment Readmission Reviews

by | Nov 25, 2020 | Article, Client Success, Health Plans & Partners, Payer Client Success

Cost Containment Readmission Reviews Unit Experiences 6:1 ROI During CAVO® Kick-Off Training THEN Client reviewers had to first locate the records associated with the case. Next, reviewers located appropriate documentation within the case (e.g., ED notes, Admission...

Plan Client Success – CAVO Post-Pay DRG Validation

by | Nov 24, 2020 | Article, Client Success, Health Plans & Partners, Payer Client Success

Large National Payer’s Post-Pay DRG Validation Team Achieves 300+% Productivity Increase with CAVO THEN This large national payer applies enterprise rules, edits, and analytics to all post-pay DRG claims to pinpoint “suspects” for potential...
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