Advent Health Partners’ CAVO® Net Promoter Score® Results

NPS® Score

Advent Health Partners is excited to share our Net Promoter Score®, where we asked our clients and partners to discuss their experiences using CAVO® and working with the CAVO support team to streamline their medical claims review processes. With a Net Promoter Score® of 80, Advent blew the average 2022 score for B2B Software & […]

National Managed Care Payer Saves Over $2 Million in 10 Minutes

Multi-line Managed Care Enterprise Reviews FI

A National Multiline Managed Care Payer serving as a central intermediary for government-sponsored and privately insured healthcare programs needed to audit one of their larger itemized bills. The extensive audit would be a time-intensive process involving a variety of formats and long documents. To help optimize the process for speed, efficiency, and accuracy, the Managed […]

Plan Client Success – CAVO DRG Validation Client

Nurse reviewing a medical chart in a hospital.

/ PRE-PAY / DRG / Northeastern Regional Health Plan Covering 1M+ Lives Advances DRG Nurse Review Team Productivity using CAVO DRG Validation THEN → Chasing the Records Before CAVO DRG Validation, the record intake team gathers the medical records, depending upon facility, by: Utilizing third-party electronic delivery services, Obtaining encrypted disks from the facility, Accessing […]

Plan Client Success – CAVO Prepay IB Reviews

Glowing yellow arrow pointing up on a black background.

/ PREPAY REVIEWS / ITEMIZED BILL REVIEWS / Regional Health Plan Decreases Pre-Pay Hospital Bill Review Time by 500+% Per Case Using IB Reviews THEN This regional health plan has an internal team of RNs performing hospital bill pre-pay IB reviews. Nurse reviewers previously either:  requested the itemized bill (IB) directly from the provider based on […]

Plan Client Success – CAVO Cost Containment Readmission Reviews

Large modern building with blue letter H sign for hospital.

/ POST-PAY / Cost Containment Readmission Reviews Unit Experiences 6:1 ROI During CAVO® Kick-Off Training THEN Client reviewers had to first locate the records associated with the case. Next, reviewers located appropriate documentation within the case (e.g., ED notes, Admission notes, H&P) to find presenting symptoms and reasons for admission. Nurses then pulled up their […]

Plan Client Success – CAVO Post-Pay DRG Validation

Growing, rising chart and businessman in background.

/ POST-PAY / DRG / Large National Payer’s Post-Pay DRG Validation Team Achieves 300+% Productivity Increase with CAVO THEN This large national payer applies enterprise rules, edits, and analytics to all post-pay DRG claims to pinpoint “suspects” for potential overpayment, which are then reviewed by a team of RNs. Analytics were performed on claims that […]

Plan Client Success – CAVO Pre-pay DRG reviews at Regional Payer

Nurse sitting in front of computer at a desk.

/ PRE-PAY / DRG / Regional Health Plan’s Pre-Pay DRG Review Team Uses CAVO to Increase Productivity by 200% THEN RNs performed DRG validation reviews primarily from providers’ EMRs. Reviews were a page-to-page comparison (often averaging 500+ pages per case) within slow systems with cumbersome navigation. Once RNs located decision information, they created screenshots and […]

Plan Case Study – Using CAVO for Medical Necessity Reviews

Doctor filling in patient paperwork on a clipboard.

The Case Let’s see how CAVO Medical Necessity Reviews can help in the following scenario. Patient is a 50-year-old male who had a neurostimulator placed for pain control related to chronic back pain and right lower extremity numbness. He is a former police officer who was injured while on duty with nine subsequent back surgeries […]