CAVO® is a enterprise technology platform that streamlines the medical record review process as a single comprehensive source for payment integrity solutions.
CAVO streamlines informed decision-making by leveraging hundreds of customizable, pre-defined searches and incorporating payer policies and industry guidelines that account for all legalities and regulatory practices.
With CAVO, payment integrity teams can easily create detailed review packets that only include necessary supporting information. The software delivers transparent, actionable feedback with highlights and annotations to help streamline processes and ensure clarity and accuracy at every step.
Do you want to discover how you can increase review productivity by up to 300% and expand audit capabilities for your payment integrity team? Fill out the form to schedule a demo and see what CAVO can do for your review process.
CAVO streamlines informed decision-making by leveraging hundreds of customizable, pre-defined searches and incorporating payer policies and industry guidelines that account for all legalities and regulatory practices.
With CAVO, payment integrity teams can easily create detailed review packets that only include necessary supporting information. The software delivers transparent, actionable feedback with highlights and annotations to help streamline processes and ensure clarity and accuracy at every step.
Want to see how you can increase review productivity by up to 300% and expand audit capabilities for your payment integrity team? Fill out the form to schedule a demo and see what CAVO can do for your reviews process.
Payment Integrity Reviews Powered by CAVO
Medical Necessity
Leverage clinical time for medical necessity and level of care audits and streamline nurse and physician review time with Annotate, Highlight, and Notes functions.
DRG
CAVO facilitates escalation of medical record reviews to clinicals, typically surfacing DRG information in 1-2 searches for coding determinations.
Itemized Billing
Sort and filter by revenue codes, dates, and item descriptions, make line-by-line accept/reject decisions with customizable reason codes, QA data against corresponding itemizations with the auto-highlight tool, and auto-sum totals in real-time, including line detail of adjusted amounts.
Fraud, Waste & Abuse
Searches may be carried out across FWA cases or specific provider cases to prioritize suspects. Custom reports help surface medical record review trends by providers, DRG codes, and more. The software also delivers a scalable solution for FWA audits, regardless of database size or total records.
Evaluation & Management
Using Advent’s NLP resources, CAVO works with clients to automatically capture appropriate codes for large volumes of E/M cases. The software systematically assigns E/M codes with confidence scores based on documentation meeting history, exam, and medical decision-making.
Payment Integrity Reviews Powered by CAVO
Medical Necessity
Leverage clinical time for medical necessity and level of care audits and streamline nurse and physician review time with Annotate, Highlight, and Notes functions.
DRG
CAVO facilitates escalation of medical record reviews to clinicals, typically surfacing DRG information in 1-2 searches for coding determinations.
Itemized Billing
Sort and filter by revenue codes, dates, and item descriptions, make line-by-line accept/reject decisions with customizable reason codes, QA data against corresponding itemizations with the auto-highlight tool, and auto-sum totals in real-time, including line detail of adjusted amounts.
Evaluation & Management
Using Advent’s NLP resources, CAVO works with clients to automatically capture appropriate codes for large volumes of E/M cases. The software systematically assigns E/M codes with confidence scores based on documentation meeting history, exam, and medical decision-making.
Fraud, Waste & Abuse
Searches may be carried out across FWA cases or specific provider cases to prioritize suspects. Custom reports help surface medical record review trends by providers, DRG codes, and more. The software also delivers a scalable solution for FWA audits, regardless of database size or total records.
Payment Integrity Reviews Powered by CAVO
Medical Necessity
Leverage clinical time for medical necessity and level of care audits and streamline nurse and physician review time with Annotate, Highlight, and Notes functions.
DRG
CAVO facilitates escalation of medical record reviews to clinicals, typically surfacing DRG information in 1-2 searches for coding determinations.
Itemized Billing
Sort and filter by revenue codes, dates, and item descriptions, make line-by-line accept/reject decisions with customizable reason codes, QA data against corresponding itemizations with the auto-highlight tool, and auto-sum totals in real-time, including line detail of adjusted amounts.
Evaluation & Management
Using Advent’s NLP resources, CAVO works with clients to automatically capture appropriate codes for large volumes of E/M cases. The software systematically assigns E/M codes with confidence scores based on documentation meeting history, exam, and medical decision-making.
Fraud, Waste & Abuse
Searches may be carried out across FWA cases or specific provider cases to prioritize suspects. Custom reports help surface medical record review trends by providers, DRG codes, and more. The software also delivers a scalable solution for FWA audits, regardless of database size or total records.
Benefits of CAVO
- Seamless Health Plan EMR Access In Real-Time
- Trend Root Causes and Improve Communication
- Minimize Administrative Investments
What Our Clients Are Saying:
How CAVO Works
1
Aggregates
Intake medical record documents into a single repository.
2
Answers
Deliver searchable platform of medical record data—including images.
3
Assembles
Streamline findings summaries with highlight and annotate tools.
4
Analyzes
Expand medical record review reporting, including staff productivity.
How CAVO Works
Aggregates
Intake medical record documents into a single repository.
Answers
Deliver searchable platform of medical record data – including images.
Assembles
Streamline findings summaries with highlight and annotate tools.
Analyzes
Expand medical record review reporting, including staff productivity.
How CAVO Works
Aggregates
Intake medical record documents into a single repository.
Answers
Deliver searchable platform of medical record data – including images.
Assembles
Streamline findings summaries with highlight and annotate tools.
Analyzes
Expand medical record review reporting, including staff productivity.
About Advent Health Partners
Advent Health Partners was founded as an outsourced review vendor in 2010 in Nashville. As our business grew, the Advent healthcare claims review solutions team of registered nurses, credentialed coders, and business analysts spent most of their time sifting through medical record documentation, trying to find decision data – instead of making decisions. Our team began building solutions to increase review efficiencies and pinpoint process improvement opportunities for health plans and hospitals.
Today, we share our technology and best practices with plans, providers, and partners to accelerate appropriate reimbursement and increase review team productivity.