5 A’s of the CAVO® Medical Record Review Process
The CAVO platform streamlines the medical record review process, helping healthcare organizations more quickly determine appropriate reimbursement. Learn more by reading about our 5 A’s – including CAVO Answers, which utilizes our proprietary OCR to deliver smart search capabilities within the medical record.
Aggregates
Answers
Assembles
Analyzes
Automates
Combines needed review documentation into a single platform
Creates searchable data to streamline review time
Enables efficient creation of “findings” summaries within single platform
Expands medical record review data and reporting – and includes images
Facilitates health plan machine learning for medical claims reviews
CAVO intakes structured and unstructured data from medical record and itemized bill documents and images. It then combines all information into a central, searchable cloud-based data repository designed to streamline medical record reviews.
Health plan medical record review teams instantly search large data sets and receive relevance-ranked results, helping them efficiently locate the information needed to make a clinical or coding determination. Reviewers may utilize 100+ pre-defined searches available within CAVO or create and save custom organizational searches.
Reviewers create “findings” summaries utilizing select, highlight, and annotate tools to pinpoint the decision data within the imaged medical record. They may also leverage customizable, organization-specific letter templates available within CAVO.
CAVO’s open API enables health plan enterprise-level analytics that can be coupled with data from other internal sources, such as workflow tools, to deliver actionable insights related to medical record reviews.
Leverage CAVO’s data from your own team’s reviews to automate an audit segment based on predefined rules and/or established queries. Create (or enhance) NLP or machine learning to further streamline your payment integrity and/or utilization review teams.
Client Snapshot
Cost Containment, Readmission Unit
THEN
Client reviewers had to locate records associated with cases plus find the appropriate documentation within the case. Nurses manually compared their notes to the documentation.
NOW
Reviewers start with cases pre-populated with all documents. CAVO functionality enables reviewers to tag pages, utilize pre-defined searches to find common determination data, and reference their notes without interruption.
