Meet Avande
Driving Excellence in Healthcare
Avandé ensures that all stakeholders – providers, employers, plans, and payors – make informed, data-driven decisions. Our subject matter experts in clinical, regulatory, legal, and financial healthcare data management are the key to providing the highest quality medical reviews.
With a deep understanding of the complexities of the healthcare industry, we strive to streamline processes, reduce costs, and improve outcomes for our clients. Our expertise spans across health plans/TPAs, self-funded employer groups, reinsurers, law firms, medical group underwriters, and pharmacy benefit administrators.
At Avandé, we are committed to leveraging cutting-edge technology and data-driven insights to deliver tailored solutions that meet the unique needs of each client. Our goal is to foster a more efficient, transparent, and patient-centric healthcare ecosystem.
LeaderShip Team
We are physicians. We understand the practice of medicine. We have scientific training, clinical practice experience, and certification to confirm our expertise. Avandé’s physician reviewers are uniquely qualified to provide informed decisions based on published clinical practice guidelines. Our leadership team at Avandé comprises seasoned professionals with extensive experience in healthcare, technology, and business management. Their combined expertise drives our mission to deliver exceptional service and innovative solutions to our clients.
Advanced Data Analysis and Clinical Expertise for Informed Decisions
By combining advanced data analyses with clinical expertise, Avandé ensures that informed decisions are made, enhancing patient outcomes and operational efficiency.
Clinical Review
Each medical record is reviewed against current standards of care, published clinical practice guidelines, and randomized controlled clinical trials. Many of our reviewers are academicians as well as clinicians. Our distinguished physician reviewers bring decades of clinical experience to each review.
Financial Review
Each invoice is reviewed for bunding and unbundling, resource utilization, and established lengths of stay. We consider severity of illness and any special clinical circumstances. Our database allows comparison with referenced based pricing and local facilities by region, state or zip code.
Regulatory Review
Resource utilization is evaluated using regulations established by the US Food and Drug Administration, Department of Health and Human Services, and any other applicable laws and regulations. This review ensures compliance with applicable law.
Legal Review
Avandé's healthcare and litigation attorneys provide legal expertise to defend Avandé decisions and help to negotiate disputes. All work products are performed to a reasonable degree of medical probability. Avandé will defend its decisions and recommendations in court. We also provide legal support in cases involving provider billing disputes, accuracy, and customary and reasonable determinations.
Technology built by healthcare experts
Our technology is purpose-built for healthcare, using deep industry expertise to help you better operate and stay current with changing regulations in the complex and evolving healthcare financial landscape.
Expert Physicians
Independent, qualified and experienced Avandé physicians review patients' diagnostics, treatment, and outcomes. The importance of evidence-based medical claim analysis by experienced physicians cannot be overstated; they provide thorough, quality medical reviews unlike the superficial reviews conducted by staff without appropriate credentials or training.
Client-Centric Service
Avandé provides outstanding, personalized service. Clients can access their secure data anywhere there's an Internet connection. Our cloud-based decision support system is fully customizable. Our user-friendly portal offers an at-a-glance overview of the decision-support process and automatically generates custom approval and denial letters.
We help insurers to take the right decision, every time, with the power of our technology and expertise
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