DRG and Clinical Validation for Hospitals & Health Systems | 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
Hospitals & Health Systems
DRG & Clinical Validation
Optimize your clinical coding and documentation for optimal reimbursement with TREND Health Partner’s industry-leading technology and deep clinical knowledge.
Implementing DRG & Clinical Validation
The current DRG landscape is cumbersome and costly. Even after acquiring all the necessary documents, different file types and coding inaccuracies make it challenging to complete reviews quickly. Performing audits is a manual process, and common issues arise from ambiguous and incomplete documentation, inaccurate diagnoses, or a misunderstanding of clinical criteria.
TREND Health Partners has a modern-day process for outdated solutions. Our CAVO technology not only intakes and extracts data from medical records but utilizes a proprietary search functionality that allows pertinent data to be extracted at the click of a button without requiring a cumbersome visual review. CAVO begins with an automated coding approach to ensure documentation supports the DRG and appropriate diagnosis sequencing. Dedicated TREND clinical experts then review documentation to validate the appropriateness of the DRG billed.
Our technology is clinician-led, and clinical expertise is incorporated into every line of code written to bring healthcare-focused organization and efficiency to your workflow.
ABOUT CAVO®
TREND Health Partners’ CAVO platform intakes and extracts data from medical records while utilizing a proprietary search functionality that allows pertinent data to be extracted at the click of a button without requiring a cumbersome visual review. CAVO supports coders, nurses, and physicians in searching for documents supporting the diagnosis sequencing if the DRG assigned is consistent with the documentation and treatment.
Platform Features
Pre-defined Searches
CAVO offers pre-defined searches to help you find what you’re looking for faster.
Payer Policies
Payer policies and medical records are accessible within the CAVO platform, so all of the information is displayed on one screen.
Open API for Reporting
CAVO augments current technology already in place within your organization.
Letter Templates & Snippets
CAVO contains saved appeal letter templates connected to the EMR, which will automatically populate with demographic information, reducing the risk of human error.
Robust Appeal History
Users can review a detailed appeal history of what was included in previous appeal packages, which can be helpful when writing future appeals.
The TREND Health Partners Difference
Productivity Increase
Increase productivity by 300-400% by streamlining decisions.
90+% Overturn Success Rate
Advent has a 90+% overturn success rate with our clients.
Timely Audits
Leverage our clinical expertise to decrease audit time and increase audit accuracy.