by Trend HP | Aug 30, 2021 | Article, CAVO, CAVO AI, CAVO for Payment Integrity, Health Plans & Partners
So you’ve selected the DRGs that you want to review…now what? Next in the process is the record exchange. One of the biggest hurdles to moving DRG reviews into the prepay process is the actual record exchange between payer and provider. Traditionally, all too often,...
by Trend HP | Aug 23, 2021 | Article, CAVO, CAVO for Payment Integrity, Health Plans & Partners
To effectively move into DRG prepay process, it’s crucial for health plans to decide which claims they want to work and when. Workflow factors that ultimately determine the ability of a plan to manage the DRG prepay process, include but are not limited to: Number of...
by Trend HP | Feb 19, 2021 | Article, CAVO, CAVO for Payment Integrity, Health Plans & Partners
Combating Common Health Plan Challenges If you’re an executive at a health plan, you likely spend a fair amount of time and energy thinking about minimizing provider abrasion, but what about the health plan challenges you face on the payer side of the equation? Health...