CAVO® PAYER SERVICE
Itemized Bill (IB) Reviews
Auto-convert hospital bills & increase review productivity 5x.
CAVO® IB Reviews intakes hospital bills and extracts the data so your review team can:
Sort and filter IB data
by revenue codes, dates of service, and item descriptions
Make line adjustments
for accept/reject by line using organization-specific reason codes
Utilize real-time totals
with auto-summed adjustments and charges
Create provider reports
with auto-generated headers
Client Snapshot
Regional Health Plan, Pre-Pay Hospital Bill Reviews
THEN
Nurse reviewers had to request the itemized bills (IBs) directly from the provider or export from the EMR. They then reviewed the charges line-by-line and manually keyed denial reason and reported rejections to the provider.
NOW
The nurse review team replaced the manual line-by-line review process with a targeted approach based on filterable, sortable IB data. They are leveraging CAVO’s open API to import the captured IB data directly into their internal workflow—ensuring their team completes reviews within a single platform.
What Our Clients Are Saying
“As a member of the beta group for the CAVO IB Reviews initiative, I was impressed with how well the technology translated our itemized bills into usable, sortable data. I found that the technology cut my average itemized bill review time by two-thirds. As a CAVO user of more than a year, I’ve experienced the platform evolving, and I’m excited about the possibilities as CAVO IB Reviews is also continually enhanced to improve efficiencies throughout the review process.”
Claims Analyst, IB Reviews Partner
BENEFITS OF USING CAVO FOR IB REVIEWS
Less Cost
- Cost savings on incremental reviews
- Reallocate data entry resources to higher value activities
More Reviews
- Increase productivity of current provider bill review team
- Dramatic decline in time per review enables increase (or implementation) of pre-pay reviews
Create Efficiencies
- Negate the need for itemized bill transcription
- Replace manual page-by-page review with online hospital bill search
Post-Pay Hospital Bill Reviews
Perform post-pay reviews with CAVO + CAVO IB Reviews
- Increase productivity
- eliminate data entry
- replace manual page-by-page review with sort and filter functionality
- search for related medical record information within a single platform
