A healthcare claims review solutions technology company solving clinical and coding challenges
Advent Health Partners was founded as an outsourced review vendor in 2010 in Nashville. As our business grew, the Advent healthcare claims review solutions team of registered nurses, credentialed coders, and business analysts spent the majority of their time sifting through medical record documentation trying to find decision data – instead of making decisions. Our team began building solutions to increase review efficiencies and pinpointing process improvement opportunities at both health plans and hospitals.
Performed reviews and proactively addressed growth challenges
- Added staff and evaluated third-party technologies
Built in-house, review-specific technology
- Developers shadowed and interviewed the Advent review team
Added plan and provider solutions teams
- Focus on use cases specific to that healthcare business
Continually building technological solutions
- Drive process efficiencies and appropriate reimbursements
Today, we share our story, technology, and best practices with plans, providers, and partners to accelerate appropriate reimbursement and increase review team productivity.