by Trend HP | Mar 19, 2024 | Article, CAVO, CAVO AI, Health Plans & Partners
Estimated administrative costs in the U.S. healthcare system related to billing and insurance hit $496 billion in a 2019 report released by Centers for Medicare and Medicaid Services. Central to this cost riddled with excess is the claims process between payer and...
by Trend HP | Sep 8, 2023 | 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...
by Trend HP | Jul 12, 2022 | Article, CAVO, CAVO AI, Health Plans & Partners
Line-by-line, nurses and coders meticulously review itemized bills during the IB review process in search of findings and savings. This time-consuming review requires focused attention to search through potentially hundreds of pages and thousands of line items. The...
by Trend HP | 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 Trend HP | Sep 2, 2021 | Article, CAVO, CAVO AI, CAVO for Payment Integrity, Health Plans & Partners
Let’s face it: the modern-day DRG review process is laborious, cumbersome, and quite often…exhausting. Every step from requesting the record to exchange, to preparing the document to review, and then notifying the provider of downgrades or changes takes time, effort,...