by Trend HP | Apr 2, 2024 | Article, CAVO, CAVO for Payment Integrity, Health Plans & Partners, Interoperability
Payers and providers in the United States spend approximately $496 billion annually on billing and insurance-related costs (BIR). Another study by the National Academy of Medicine estimates that the U.S. spends about twice as much as is necessary on BIR costs. These...
by Trend HP | Mar 26, 2024 | Article, CAVO, CAVO for Payment Integrity, Health Plans & Partners
Health plans are working harder than ever to avoid inaccurate claims payments upfront to minimize the cost and resources required to recover overpayments on the back end. Although pre-payment itemized bill review (IBR) is still in its infancy stages of mass adoption,...
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...