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How the Technology Works

5 A’s of the CAVO® Medical Record Review Process

The CAVO platform streamlines the medical record review process, helping healthcare organizations more quickly determine appropriate reimbursement. Learn more by reading about our 5 A’s – including CAVO Answers, which utilizes our proprietary OCR to deliver smart search capabilities within the medical record.

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AGGREGATES

Your benefits: Combines needed review documentation into a single platform

Our technology: CAVO intakes structured and unstructured data from medical record and itemized bill documents and images. It then combines all information into a central, searchable cloud-based data repository designed to streamline medical record reviews.

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ANSWERS

Your benefits: Creates searchable data to streamline review time

Our technology: Health plan medical record review teams instantly search large data sets and receive relevance-ranked results, helping them efficiently locate the information needed to make a clinical or coding determination. Reviewers may utilize 100+ pre-defined searches available within CAVO or create and save custom organizational searches.

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ASSEMBLES

Your benefits: Enables efficient creation of “findings” summaries within single platform

Our technology: Reviewers create “findings” summaries utilizing select, highlight, and annotate tools to pinpoint the decision data within the imaged medical record. They may also leverage customizable, organization-specific letter templates available within CAVO.

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ANALYZES

Your benefits: Expands medical record review data and reporting – and includes images

Our technology: CAVO’s open API enables health plan enterprise-level analytics that can be coupled with data from other internal sources, such as workflow tools, to deliver actionable insights related to medical record reviews.

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AUTOMATES

Your benefits: Facilitates health plan machine learning for medical claims reviews

Our technology: Leverage CAVO’s data from your own team’s reviews to automate an audit segment based on predefined rules and/or established queries. Create (or enhance) NLP or machine learning to further streamline your payment integrity and/or utilization review teams.

Medical record search with CAVO

Our medical record review solution enables digital searching within – and across – records

MORE ABOUT SEARCH
CAVO Payment Integrity Solutions - Client Success Story

Client Snapshot

Cost Containment, Readmission Unit

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THEN

Client reviewers had to locate records associated with cases plus find the appropriate documentation within the case. Nurses manually compared their notes to the documentation.

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NOW

Reviewers start with cases pre-populated with all documents. CAVO functionality enables reviewers to tag pages, utilize pre-defined searches to find common determination data, and reference their notes without interruption.

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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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