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Streamlining the Claims Review Process

Health Plans

Common Health Plan Payment Integrity Challenges

In the Claims Review Process

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SYSTEMS

Utilization of multiple systems with varied interfaces typically impede productivity during health plan claim reviews

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DOCUMENTATION

Retrieving clinical documentation for medical record reviews and itemized bill reviews is time-intensive and often produces PDFs requiring manual review

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PEOPLE

Nursing shortages and widely varying average medical record review and itemized bill review times create staffing challenges

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TIME

Timely filing requirements and consistently decreasing health plan payment integrity review thresholds require more productivity

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Our Health Plan Payment Integrity Solutions

CAVO

SOLVES FOR:   SYSTEMS  Ι  PEOPLE  Ι  TIME

Increase audit productivity 300+% by instantly searching medical records

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CAVO for Itemized Bill Reviews

SOLVES FOR:   SYSTEMS  Ι  PEOPLE  Ι  TIME

Extract, review, and adjust itemized bill (IB) charges line-by-line

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CAVO Connect

SOLVES FOR:   DOCUMENTATION

Directly access EMRs via validated Cerner and Epic apps

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CAVO Predict

SOLVES FOR:   PEOPLE  Ι  TIME

Prioritize reviews with suggested data points

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Schedule healthcare claims review technology demo

1:1 LIVE DEMO

Schedule a 20-Minute Payment Integrity Solutions Overview

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