Streamlining the Medical Claims Review Process

Streamlining the Medical Claims Review Process

Unify technology systems, simplify documentation, use resources effectively, and speed up time-to-payment.

Advent Health Partners is thrilled to have the results of our recent NPS® survey 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.

On average, over 9/10 participants reported that they’d recommend Advent Health Partners to their colleagues in the industry for their flexibility, problem-solving, communication, training, and guidance. And for overall customer satisfaction, we received an average score of 4.86/5. This directly reflects the unique combination of industry-leading service and powerful solutions like CAVO®.

Fill out the form to speak with one of our specialists about how Advent Health Partners and CAVO® improve claim review productivity, simplify documentation, eliminate gaps in staffing and expertise, and consistently meet timely filing requirements.

Advent Health Partners is thrilled to have the results of our recent NPS® survey 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.

On average, over 9/10 participants reported that they’d recommend Advent Health Partners to their colleagues in the industry for their flexibility, problem-solving, communication, training, and guidance. And for overall customer satisfaction, we received an average score of 4.86/5. This directly reflects the unique combination of industry-leading service and powerful solutions like CAVO®.

Fill out the form to speak with one of our specialists about how Advent Health Partners and CAVO® improve claim review productivity, simplify documentation, eliminate gaps in staffing and expertise, and consistently meet timely filing requirements.

Why CAVO?

Up to 3x faster claims reviews with searchable records

Complete Healthcare Ecosystem Interoperability

Advanced Machine Learning Capabilities

What Our Clients Are Saying:

“The support we’ve received on using CAVO® is top-notch! Advent Health Partners is available at all times, willing to work with us on anything we ask about, and are very cordial, understanding, and patient with questions and concerns. Training is always well-planned, they answer all of our questions, and they are very knowledgeable.”
- Manager, Charge Audits, RN, Health Plan Consulting Vendor
“Communication and follow-through are top-notch. I know I can reach out to the Advent team with questions and get a quick response or offer to demo it to me, which is great. The CAVO platform is powerful, and it has been great to see it evolve to leverage OCR capabilities to improve IB and clinical audits. While there are some competitors, CAVO has a clear lead in the space with the opportunity to continue doing even more for us over time.”
- Director, Payment Integrity, Northwest Regional Health Plan
“The real-time auditor support is amazing, they show a complete willingness to help auditors problem-solve, and they always help adjust the CAVO platform as our needs change. And, the education platforms are so interactive and informative!”
- Supervisor, IB Audit, Health Plan Consulting Vendor
“Advent provides quick responses to all issues, and they have a good product. They show a constant desire to improve upon every process and have been easy to work with, fully collaborating with our plan.”
- Sr. Payment Integrity, RN, Southeast Regional Health Plan
"The CAVO support team is very available and responds promptly to all my questions and those from our team. Advent provides a simple way to OCR documents in a reviewable format for an itemized bill review that’s usable for our systems and formatting, which has become invaluable. "
- Manager, Payment Integrity, Clinical, Southeast Regional Health Plan
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Our Payment Integrity Solutions

Medical Record Review

The CAVO® enterprise technology platform streamlines medical records reviews by solving payment integrity challenges in one convenient place.

DRG / DRG Predict

CAVO® exponentially increases DRG audit efficiencies by minimizing administrative burdens and maximizing coders’ skillsets.

Automated Chart Retrieval

CAVO® Connect combines with Apello™ Apps to simplify clinical documentation and claims review record retrieval processes.

IB Reviews / IB Predict

CAVO® Itemized Bill Reviews intakes itemized bills and auto-extracts data to increase review productivity by at least 5x.

Featured Case Study

National Managed Care Payer Saves $2,000,000 in 10 Minutes

Download this case study to learn how one national multiline managed care payer saved more than $2 million in under 10 minutes using the CAVO® platform to audit a $10,000,000, 300+ page claim.

Download Case Study
tablet with advent health partners payer case study on screen

About Advent Health Partners

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 most 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 pinpoint process improvement opportunities for health plans and hospitals.

Today, we share our technology and best practices with plans, providers, and partners to accelerate appropriate reimbursement and increase review team productivity.  

Learn More About Advent