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Providers 2018-12-03T11:26:42+00:00

Medical necessity is our specialty – throughout the life of cases and claims, from referral-to-reimbursement.

ADVENT’S SPECTRUM OF SERVICES

DENIAL PREVENTION
DENIAL MANAGEMENT
CAVO Provider

Advent’s provider solutions minimize denials and underpayments, improve patient access and eligibility verification, increase patient collections, improve medical coding accuracy, and maximize compelling appeals for managing denials. Our team is well-positioned to assist you in achieving timely and accurate reimbursement while reducing your operational expenses. We deliver expertise across:

INPATIENT

OUTPATIENT

DRG

We help hospitals and health systems:

  • Overcome clinical review backlogs across the continuum of care in both pre-bill and post-pay spaces.
  • Identify process improvements to help ensure correct authorizations/timely filings – and ultimately improve clean claim rates.
  • Improve vendor performance – since an increased clean claims rate equals fewer outsourced claims.
  • Enhance payer communications with additional bandwidth provided by the Advent team or technology platform plus our recommendations for communications process improvements.

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Our expertise spans decades of working with multi-level providers and multi-lines of business with payers to build revenue integrity while minimizing obstacles to timely, appropriate reimbursement.

Trend ERA and EOB data to evaluate recovering dollars more quickly

Utilizing sensitivity analytics is a key driver in determining the profitability of payer contracts. Additional tools that prove effective when evaluating payer contracts include:

  • cost to collect,
  • carve outs,
  • timely filing limits, and
  • net revenue.

If you’re ready to work with us but not sure where to begin, we recommend starting here.

GET STARTED WITH ADVENT

BENEFITS OF CHOOSING ADVENT FOR CLINICAL PRE-BILL AND/OR DENIAL BACKLOGS

 CLINICAL    EXPERTISE

Our team includes doctors, nurses, coders, and claims analysts with experience in medical necessity, inpatient/outpatient, and severity of illness.

PAYER PERSPECTIVES

We’ve worked for – and with – many payers, enabling us to align cases with contracts and guidelines.

FLEXIBLE PARTNERSHIP

Partner based on your current needs, including: staffing, new regulations, and target area (e.g., payer, claim type.).

ROOT CAUSE REPORTING

Based on organizational goals, choose your reporting by specific claim, and/or by aggregated process improvement trend.

Our Clients

Acute care and post-acute care facilities of all sizes
Outpatient centers – radiation, surgical, and imaging

Our goal is creating a collaborative partnership with both parties equally accountable, resulting in highly productive teams and realized revenue.

Let’s chat about your needs.

REQUEST CONSULTATION
855.789.6691