An Enterprise Medical Record Review Platform
Directly access EMR data and images
Digitally review, sum, sort, and share IBs
Immediately decrease cost containment spends
Expand audits
Increase productivity
by 300+%
Technology to scale up your payment integrity reviews
Organize cases
Single data repository – including images – accessible for multitude of use cases
Instantly search
Instantly pinpoint needed information with advanced searches and pre-defined queries
Articulate findings
Easily create review and findings packets, providing only decision-relevant details
Immediate ROI in payment integrity review areas
Medical Necessity
- Leverage clinical time for medical necessity and level of care audits – while maintaining quality
- Streamline nurse and physician review time with CAVO’s annotate, highlight, and notes functionalities
Evaluation & Management (E/M)
- Utilizing Advent’s NLP resources, CAVO works with clients to automatically capture appropriate codes for large volumes of E/M cases
- Systematically assigns E/M codes with confidence scores based on documentation meeting history, exam, and medical decision making
Fraud, Waste & Abuse (FWA)
- Searches across FWA cases, or through specific provider cases, to prioritize suspects
- Builds custom reports to surface medical record review trends by providers, DRG codes, and more
- Delivers scalable solution for FWA audits, regardless of database size or total records
Itemized Bills
- Sort and filter by revenue codes, dates, and item descriptions
- Easily make line-by-line accept/reject decisions with customizable reason codes for each
- Easily QA data against corresponding itemizations with auto-highlight tool
- Auto-sum totals in real-time – including line detail of adjusted amounts
Extract data from IBs Ι Increase review efficiencies 5X+
Enable nurse reviewers and coders to instantly search medical records
Search keywords or phrases to locate decision information
Leverage CAVO’s library of 100s of pre-defined searches, customizable to your payer policies
Receive instant, highlighted, and relevance-ranked results
Complete three payment integrity claim reviews in the average time of one review
CAVO Client Success Stories
Related Articles
How CAVO Works
AGGREGATES
Intake medical record documents into a single repository
ANSWERS
Deliver searchable platform of medical record data – including images
ASSEMBLES
Streamline findings summaries with highlight and annotate tools
ANALYZES
Expand medical record review reporting, including staff productivity
AUTOMATES
Leverage CAVO to create/enhance machine learning and NLP
Proven Platform
What Our Clients Are Saying
“Not only can reviewers easily pull up a patient’s entire file on the computer screen, now with a few keystrokes they can search a 10,000-page medical record and see all references to specific data points within seconds…[our] ultimate goal in switching to CAVO’s technology is to migrate all of our records into CAVO.”
Manager, Payment Integrity
BEST-IN-CLASS REVIEW TECHNOLOGY
Enterprise platform
Scalable architecture promotes stability, strong SLAs, and adoption
Advanced search
Full text search functionality and pre-defined queries
Open API
RESTful API endpoints allow real-time system interactions with CAVO
Designed for end users
Friendly user interface, optional functionality for multitude of use cases
By the Numbers:
A CAVO Client Success Story
A CAVO Client Success Story
3 REASONS TO USE CAVO
STREAMLINE
MEDICAL CLAIMS
REVIEW PROCESS
MEDICAL CLAIMS
REVIEW PROCESS
CAVO transforms the medical claims review process by intaking medical record documents and images to create searchable data with our proprietary OCR.
EFFICIENTLY
ASSEMBLE
DOCUMENTS
ASSEMBLE
DOCUMENTS
Use CAVO to create “findings” summaries within the imaged medical record. The result is an efficient packet including only data relevant to that claim.
PLAN FOR
TOMORROW’S MEDICAL
CLAIMS REVIEWS
TOMORROW’S MEDICAL
CLAIMS REVIEWS
Leverage CAVO to automate audit segments today while facilitating future machine learning for claims reviews.
