CAVO-LS_Bkgrd2

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+%

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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

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8 MINUTES

Immediate ROI in payment integrity review areas

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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
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DRG

  • Facilitates escalation of medical record reviews to clinicians
  • Typically surfaces DRG information in 1-2 searches for coding determinations
MORE ABOUT FASTER DRG AUDITS
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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
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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
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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+

All About CAVO IB Reviews
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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

Schedule healthcare claims review technology demo

1:1 LIVE DEMO

Schedule 20 minute CAVO tour

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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

READ MORE
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Proven Platform

0+%
faster medical record reviews
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completed case reviews
0+M
lives covered by clients
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end-users in single organizations
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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

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BEST-IN-CLASS REVIEW TECHNOLOGY

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Enterprise platform

Scalable architecture promotes stability, strong SLAs, and adoption

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Advanced search

Full text search functionality and pre-defined queries

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Open API

RESTful API endpoints allow real-time system interactions with CAVO

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Designed for end users

Friendly user interface, optional functionality for multitude of use cases

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By the Numbers:
A CAVO Client Success Story

CAVO payment integrity technology client data
CAVO payment integrity technology claims review process improvement
CAVO payment integrity technology 30 day review results
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3 REASONS TO USE CAVO

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STREAMLINE
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.

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EFFICIENTLY
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.

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PLAN FOR
TOMORROW’S MEDICAL
CLAIMS REVIEWS

Leverage CAVO to automate audit segments today while facilitating future machine learning for claims reviews.