Introducing Cavo Health for
Risk Adjustment compliance problems begin when either the submitted HCC code is not fully documented and supported in the medical record or is not the most specific code for the documentation.
Cavo Health’s Precise Word Matching AI solves both compliance problems before they happen. Cavo Health finds only documented codes and shows coders the relevant supporting information so coders can quickly make accurate decisions on whether to confirm the code. This level of detailed information helps ensure that your HCC submissions will stand up to the government’s RADV audits.
Cavo Health always finds the most specific code for the documentation. That’s because its unique Precise Word Matching AI engine always matches the words in the medical record that map to the most specific code.
#1: Cavo Health delivers higher HCC coding accuracy
Internal studies show that Precise Word Matching AI consistently helps coders confirm over 96% of the documented HCCs. This means improved financial performance while lowering RADV Audit and other compliance risks.
#2: Cavo Health finds all documented codes in every chart.
Because Cavo Health finds all documented codes, you can code for any government program, including every state Medicaid program, just by choosing the proper mapping. In addition, you can filter all the documented codes on the fly. For instance you can switch between coding for all documented diagnoses, only new codes found by Cavo Health, or only those codes matching claims diagnoses.
#3: Cavo Health highlights only documented codes.
Precise Word Matching AI™ highlights only documented diagnoses and always gives coders the correct and most specific code to confirm. Machine learning solutions suggest possible codes.
#4: Cavo Health highlights much fewer False Positives
Because Precise Word Matching AI can be precisely tuned for negating terms in medical records, Cavo Health filters out a much higher percentage of False Positives than machine learning solutions -- and does so without creating False Negatives.
Your CFO and Compliance Officer will shake hands on Cavo Health.
Here are just some of the many benefits that Cavo Health can bring to your risk adjustment coding efforts.
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