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 […]
Denial Management Trends for 2021
Denial Management Trends for 2021 While medical necessity remained the number one type of denials in 2021, our team has seen three additional denial management trends emerge as significant sources of denials. If your hospital or health system is experiencing any of these denials, know that there are answers and ways to prevent them from […]
5 Strategies to Help Interpret Denial Data
Data and data analysis are an integral part of denial prevention and management. In some cases, denial management teams need help identifying the important information or the trends they should be looking for. The five strategies below can help teams interpret denial data and best utilize it within the denial appeal process. 1. Analyze your […]
Clinical Expertise Overview [VIDEO]
A Strategic Partner With Clinical Expertise At Advent Health Partners, we consider ourselves a strategic partner that works as an extension of your team to provide client-specific appeal expertise, real-time reporting, and knowledgeable recommendations. What makes us unique is the diverse clinical expertise that makes us successful as subject matter experts: 95% of our nurses […]
3 Considerations for Denial Avoidance
3 Considerations for Denial Avoidance Imagine a scenario where a patient needs a necessary surgery like a prostatectomy due to prostate cancer. When the provider and patient decide to move forward with the surgery, it’s essential to set a precedent by talking to both the patient and the insurance company to find out what the […]
Client Success Strategy [Video]
https://vimeo.com/613690679/f4d5350381?share=copy Our team invests in a strategic partnership with our clients, focused on minimizing denials and ensuring appropriate reimbursement. Advent’s clinical expertise, joined with revenue cycle technology, provides an unparalleled client success strategy. Our objective is to be the partner utilized to bridge current and future gaps within clinical reviews and provide detailed information and […]
Payment Integrity DRG Validations Featuring TruCode [Video]
Most payment integrity coders face the challenge of allocating time jumping platform-to-platform to complete their DRG validations. With the CAVO and TruCode Essentials Encoder integration, your team can easily assign and validate appropriate codes all in one platform – increasing their productivity. Watch this 2-minute video to see how!
Payment Integrity Platform Features [Video]
See CAVO’s Payment Integrity Platform Features CAVO gives health plans the ability to streamline their payment integrity review process by allowing its users to: organize cases, instantly search them, articulate their findings, and pull in additional data from other external sources with CAVO’s open API. Watch this video to learn how your team can increase […]
50%+ Faster DRG Claim Reviews [WEBINAR]
WEBINAR REPLAY 50%+ Faster DRG Claim Reviews Health plan industry veterans share three best practices for getting 50%+ faster DRG claim reviews. Hear recommendations you can apply for almost immediate productivity increases. Create a scalable DRG review process by applying three principles Filter claims with the highest potential to align your team’s time Reduce cost […]