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 23, 2021 | Health Plans & Partners, Payer Client Success
A National Multiline Managed Care Payer serving as a central intermediary for government-sponsored and privately insured healthcare programs needed to audit one of their larger itemized bills. The extensive audit would be a time-intensive process involving a variety...
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...
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...
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...
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...
