Clinical reviews are our specialty—throughout the life of a case, from referral-to-reimbursement.
Delivering expertise across
What Our Clients Are Saying
“Being able to prevent some of these problems before we ever dropped the bill was really powerful. We were even closer to getting our DNFB to three days or fewer, reducing our rate of denials, and winning by getting the claim paid correctly the first time.”
Operations Executive, Large Hospital
Our clinical review services help hospitals and health systems:
Across the continuum of care in both pre-bill and post-pay spaces
To help ensure correct authorizations/timely filings – and ultimately improve clean claim rates
Since an increased clean claims rate equals fewer outsourced claims
With additional bandwidth provided by the Advent team, whose payer expertise translates into streamlined updates and document sharing
Receive Provider Insights
Your Benefits from Choosing Advent for Pre-Bill and/or Clinical Denial Backlogs
Our team includes doctors, nurses, coders, and claims analysts with experience in:
- medical necessity,
- inpatient/outpatient, and
- severity of illness.
Having worked for – and with – many payers, our team leverages this expertise to:
- align cases with contracts and guidelines
- initially articulate cases correctly.
based on your current needs, including:
- new regulations,
- target area (by payer, by claim type, etc.).
Based on organizational goals, choose your reporting:
- by specific claim, and/or
- by aggregated process improvement trend.