DRG Validation and an AI Approach to Sepsis
CAVO® DRG Predict Video Series | DRG Validation In this video series, our Principal Scientist Lance Hahn, Ph.D., and our Machine Learning Engineer, Cam Carver, discuss medical record documentation and technology, including machine learning, natural language processing, artificial intelligence, named-entity recognition, and how these technologies are used for DRG validation and how to identify sepsis […]
HFMA Western Symposium 2022
HFMA Western Symposium 2022 On January 16-19th 2022, Advent Health Partners will be at the HFMA Western Symposium in Las Vegas! Please join us at Booth 331 so we can discuss your current challenges and how Advent can help, including with the below solutions: Denial Recovery & Prevention – With a clinical team representing over […]
91+% Denial Overturn Rate
How We Achieve Our 91+% Denial Overturn Rate In this 1-minute video, you will discover tips on our strategic appeal process for achieving a 91+% denial overturn rate. With this insight and leveraging clinical and payer expertise, you could enhance your overturn rate to ensure maximum appropriate reimbursement from the payer.
Sepsis Diagnosis: The Impact of Age and Comorbidities
CAVO® DRG Predict Video Series | Sepsis Diagnosis Advent Health Partners Clinical Product Director, Julie Scates, BSN RN, speaks with Clinical Products Specialist Amanda Curran regarding the impacts of age and comorbidity on a sepsis diagnosis. This builds on our discussion in part one about how the differences between sepsis definitions result in variance in […]
US Staffing Crisis: Nurses in High Demand
Across the US, nursing shortages are close to reaching a critical level. A McKinsey survey from May 2021 reported that 22% of the nurse respondents suggested they were considering leaving their current positions driven by factors that have developed during the pandemic. To make a bad scenario even worse, over half of these nurses are […]
Sepsis-2 vs Sepsis-3 Criteria: Their Impact on Medical Records & Claims
CAVO® DRG Predict Video Series | Sepsis and DRG Validations Join Advent Health Partners’ Clinical Product Director, Julie Scates, BSN RN, and our VP of Clinical, Deborah Horne, as they discuss clinical diagnostic criteria utilized for clinical DRG validations. This presentation will review how the differences between sepsis definitions result in variance in billing and […]
4 Ways to Prevent Disallowed Charges From Bundled Claims
For the past few years, Medicare has been testing out new ways to bundle claims. The goal of this bundled claim switch is to improve care and reduce costs. A few apparent benefits in the bundled claims model have already been tested. One is simplifying the billing process by instituting a single price for all […]
3 Things to Look for in a Revenue Integrity Partner
A revenue integrity partner is necessary for building a broader understanding of organizational claims processes and improvement opportunities. A strategic partner can help decrease time to revenue and reduce administrative costs. Finding and onboarding a partner for your revenue integrity program involve both time and resources, making it important to find the right fit from […]
The Importance of Client Success in Your Revenue Integrity Partner
Hospitals and health systems seek partnerships that provide solutions to improve revenue integrity. A partner that fosters client success is essential and allows you to manage your revenue cycle more effectively, creating a decreased time-to-money ratio. A sense of urgency, root cause analysis, subject matter expertise, open and consistent communication, and frequent reporting are all […]
The Importance of Technology Solutions From Your Revenue Integrity Partner
Why Technology? One of the most important elements in a revenue integrity partnership is technology. When considering engaging a revenue integrity partner or optimizing your current strategy, a commitment to technology will be an asset to the revenue integrity management teams. Healthcare has changed dramatically, even in the last decade, with greater access to technology. […]