by | Nov 24, 2020 | Article, Client Success, Health Plans & Partners, Payer Client Success
Regional Health Plan’s Pre-Pay DRG Review Team Uses CAVO to Increase Productivity by 200% THEN RNs performed DRG validation reviews primarily from providers’ EMRs. Reviews were a page-to-page comparison (often averaging 500+ pages per case) within slow systems...
by | Nov 20, 2020 | Article, Case Study, Client Success, Health Plans & Partners, Payer Client Success
The Client A health plan is reviewing a medical necessity claim for a 50-year-old male with a neurostimulator placed for pain control related to chronic back pain and right lower extremity numbness. He is a former police officer injured while on duty with nine...