How CAVO® Technology Works
How CAVO® Technology Works
Purpose-Built Enterprise Architecture
Supercharge Your Data With CAVO's AI
CAVO Classify
Unstructured, complex data is quickly converted to a consistent and usable format through the use of AI to determine its unique source.
CAVO Extract
Critical components of usable and intelligently sorted data are quickly extracted and displayed to support particular business process use cases.
CAVO Predict
NLP and AI act as force multipliers for auditors, allowing them to focus their attention where needed instead of searching complex medical documents.
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.
1
Aggregates
Benefits: Combines needed review documentation into a single platform.
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.
2
Answers
Benefits: Creates searchable data to streamline review time.
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.
3
Assembles
Benefits: Enables efficient creation of “findings” summaries within single platform.
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.
4
Accepts
Benefits: Expands medical record review data and reporting—and includes images.
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.
5
Automates
Benefits: Facilitates health plan machine learning for medical claims reviews.
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.
Client Snapshot: Cost Containment, Readmission Unit
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.
VS
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.
Client Benefits
Enterprise Platform
Scalable architecture promotes stability, strong SLAs, and adoption.
Advanced Search
Full text search functionality and pre-defined queries.
Open API
RESTful API endpoints allow real-time system interactions with Apello.
Designed for End Users
Friendly user interface, optional functionality for multitude of use cases.
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