Unleashing Scale and Efficiency Within Care Management
Determine medical appropriateness and real-time reimbursement clarity through industry-leading technology.
Unleashing Scale and Efficiency Within Care Management
Determine medical appropriateness and real-time reimbursement clarity through industry-leading technology.
Health Plan Care Management
Advent Health Partners’ CAVO® technology supports the need for extracting key information from medical records and various attachments to ensure they are supported and reflected in the provider-submitted forms. CAVO can review complex authorizations in which multiple parties within the care management function must collaboratively review and make determinations from information within the medical record.
Utilization Reviews
Health plans can use utilization review to ensure appropriate care, as it’s an evidence-based process. Advent’s proprietary CAVO technology uses various AI components to identify elements containing specific characteristics such as vital signs, labs, medications administered, and diagnosis codes within the medical record. CAVO can capture EMR data within the medical record and present the item, value, and dates to the user so they can easily navigate and efficiently make UR determinations with confidence.
Prior Authorizations
CAVO can streamline the authorization workflow process with real-time reimbursement clarity and clinical determinations. Our CAVO technology is supported by ML/NLP with the ability to automate 60%-75% of the administrative tasks utilizing coverage rules and clinical data. CAVO reduces the need for peer-to-peer reviews with timely receipt of information for immediate decisions.
Claims Management
CAVO solves common medical record review challenges. The technology removes the need to index medical records as all text is automatically indexed, allowing it to be searched. On average, leveraging AI technology can perform 3x the workload with the same resources.
Why Use Advent for Care Management Solutions?
Enhanced Accuracy
CAVO reduces medically inappropriate services and streamlines the authorization workflow.
Boosted Productivity
Incorporate clinical and coding guidelines all on one screen within the CAVO platform.
Increased Efficency
Easily aggregate, compile, and review relevant clinical information throughout the entire length of stay.
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