CAVO® Medical Record Review Process | Trend Health Partners
Accuracy changes everything.
IDENTIFY
RESOLVE
PREVENT
Overpayments
Identify, resolve, and prevent unnecessary spend.
- ✓ Data Mining & Recovery
- ✓ COB Identification & Recovery
- ✓ ESRD Audit
- ✓ Clinical & Coding Validation
- ✓ AI Labs / Payer Intelligence
Credit Balance
The intersection of payment accuracy.
- ✓ Credit Balance Audit + TRENDSubmit
- ✓ Credit Balance Management & Prevention
Underpayments
Identify, resolve, and prevent revenue leakage.
- ✓ Denial Management
- ✓ Zero-Balance Accounts Analysis
- ✓ AR Rundowns
TREND TECHNOLOGY
How CAVO® Technology Works
Purpose-built enterprise architecture for health plan claims review use cases involving documentation.
Purpose-Built Enterprise Architecture
The CAVO platform, using artificial intelligence, automates the medical record review process, helping healthcare organizations quickly and efficiently make clinical and payment determinations.
- ✔ Searchable Images (regardless of format or data type
- ✔ Catalyst to ML/NLP (conducted by internal or external data scientists)
- ✔ Pre and Post Pay Workflow System(s) Interfaces
- ✔ Workflow Agnostic
- ✔ Open API to enable internal analytics teams access to text and data
- ✔ Innovative Validation of Concepts and Automated Models
- ✔ Built to FHIR Interoperability Standards
- ✔ Direct Cerner and Epic API Access (Advanced record and IB retrieval option)
Supercharge Your Data With CAVO's AI
1. Conversion
- ✔ Unstructured document conversion
- ✔ Any format from any source
- ✔ Proprietary MR OCR
- ✔ Populated in an intuitive interface
2. Classify
- ✔ Automated document organization
- ✔ Tagging of relevant clinical attributes
- ✔ Enables machine-supported clinical search
- ✔ Immediate verification that the required documentation was received
3. Capture
- ✔ Normalize clinical data from medical records
- ✔ Extract clinical attributes from all documents in real-time
- ✔ Structure clinical attributes in a user-specific interface for quick determinations
4. Predict
- ✔ Apply and customize a library of clinical models and concepts
- ✔ Enable Advanced claim selection and auto-approval capability
- ✔ Flag non-payable line items, including unbundling and MUE
5. Analytics
- ✔ Supports self-serve analytics with digital MR
- ✔ Interoperability/API
- ✔ Workflow automation
- ✔ Inventory prioritization
Featured Article
The New CAVO Interface
TREND Health Partners is excited to unveil the latest release of CAVO®. Its features will enable greater flexibility among users, increase the power of individual modules, and use cases facilitating the exact functions and descriptions users need to be successful.
Case Study
AI Technology for Itemized Bill Review Optimization
A multi-state health plan engaged TREND Health Partners to increase their volume of itemized bill reviews, and by leveraging CAVO®, increased their total program financial value by 61% after 18 months.