2022 CAVO® Client Experience Highlights

Going into 2023, Advent Health Partners remains committed to a high-quality, responsive, in-house client experience team and backs it up with measured proof. Outsourcing can be less client-focused and lead to low client satisfaction, lost productivity, and lost revenue. With a 100% U.S.-based support team, Advent’s clients receive faster and better support since our team […]

Optimizing Your Revenue Cycle: Best Practices & Recommendations

group of medical staff are indoors in a hospital wearing medical clothing

What is Utilization Management? Utilization Management assures your patients receive the care they need and provides a base to start focusing on denial prevention. Utilization Management comprises three assessments: prior authorization, pre-bill reviews, and concurrent reviews.  Prior Authorization: Also known as prospective reviews, prior authorization decreases denials and increases patient access by requiring approval before […]

Optimizing Your Revenue Cycle: Strategic Partnerships

doctor in a white doctor's coat is shaking the hand of someone wearing a blue shirt and another doctor is standing in the back holding a clipboard and smiling

More than one-third of nurses plan to leave their positions by the end of 2022, prolonging the nursing shortage. In addition to nurses, there is a strong trend of struggling to retain revenue cycle staff. Approximately 25 percent of healthcare finance leaders report that their revenue cycle team is short by approximately 20 people. Finding […]

Optimizing Your Revenue Cycle: Applying Analytics

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Following and understanding industry trends is one of the best ways to improve your revenue cycle. By nature, the healthcare industry is constantly evolving. This means that your revenue strategy won’t stand up to the test of time without optimization and development. The best revenue plan is strict, flexible, and keeps up with industry trends. […]

Optimizing Your Revenue Cycle: Denial Prevention

doctor and nurse examining reports of patient lying in icu

As of 2022, payer denial rates are hitting averages as high as 80%. This increase in denials severely affects hospitals by decreasing revenue and overloading staff. Why the increase in denial rates, though? Payers are rapidly gaining two things: knowledge and technology. Their algorithms are getting smarter, which drives up productivity without having to increase […]

Optimizing Your Revenue Cycle: Clean Claim Rate

stethoscope laying on charts next to a tablet

An efficient denial prevention process is based on the concept of clean claims. Your clean claim rate is the differentiating factor between denial prevention and appeal management. Ensuring clean claims is critical to your bottom line. Why? Clean claims are 1:1, dollar for dollar, every time. The farther a claim is in the denial process, […]

The Best Way To Maximize Your EMR

doctor filling out a patient medical record

Providers today are better informed and are prepared to take on more challenges due to the information and flexibility that EMRs provide, yet this technological tool is not without its downfalls. EMRs are notoriously hard to navigate, especially when performing manual reviews. Being a strong source of information is detrimental when people have to manually […]

Improving Hospital Denials by Department

doctors wheeling a patient in a bed down a hallway at a hospital

A hospital’s denial issues vary based on the organization, and because of this, sometimes pinpointing potential denials can be difficult. Moving from a management to a prevention model is a slow process, and issues can potentially arise if denials by department are overlooked. However, the point of denial prevention is to move towards a denial-free […]

Increase IB Review Findings and Savings With CAVO®

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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 volume of itemized bills generated daily throughout the healthcare system makes efficient and complete review impossible if […]

First Steps for a Denial Prevention Framework

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According to U.S. Healthcare Denial Management Market, a study conducted by Research and Markets, in 2021, the U.S. healthcare denial management market size was valued at $3.57 billion. By 2027 it’s expected to grow an additional 66% and reach $5.94 billion. Denial management can leave millions, if not billions, of dollars on the table if […]