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Inovalon Direct Data Entry Verification

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(11)3.6/5

Direct Data Entry Verification™ is a specialized solution that provides secure, online access to the Fiscal Intermediary Standard System (FISS) for Medicare Part A claims. It enables billing teams to enter new claims, check claim status, update claims, append Return to Provider (RTP) claims, and validate claim information in real time through a secure web-based connection. Intended for large acute and post-acute organizations, the solution serves revenue cycle teams that rely on FISS as part of their Medicare Part A claims workflow. It is best suited for organizations that primarily need secure, direct access to FISS to support Medicare Part A billing workflows. Organizations often need to support experienced Medicare Part A billers who are most effective working directly within FISS while also providing newer team members with secure, reliable access to the system. Direct Data Entry Verification helps organizations maintain established billing workflows while giving staff the tools they need to manage claims efficiently and confidently. It also scales to accommodate growing teams without per-user licensing limits, making it easy to expand access as organizational needs change. As a CMS-approved Network Service Vendor (NSV) and the largest and longest-standing network service vendor for Medicare connectivity, the solution provides organizations with dependable access to FISS. Key capabilities include: Connect securely to FISS to enter claims, check claim status, append RTP claims, perform updates, and validate claim information in real time. Support organizations of any size with a web-based application that allows additional users without per-user licensing limits. Access Medicare Enterprise Data Centers and Medicare Administrative Contractors (MACs) through a single, secure connection. Use built-in TN3270 access optimized for FISS to provide efficient connectivity from virtually any location. Maintain secure access through HIPAA-compliant connectivity while using an existing internet connection. The solution is designed for billing teams, revenue cycle leaders, and healthcare organizations managing Medicare Part A claims that require dependable, real-time access to FISS. It also integrates with Inovalon's Claims Management Medicare Pro™ for organizations that use both solutions as part of their Medicare claims management workflow. By combining secure connectivity, nationwide access, and real-time claims processing in a single application, Direct Data Entry Verification helps organizations maintain efficient billing operations while supporting the way their teams already work. Customer experience: “Everybody at Inovalon cares. I feel like we’re not just a number. It’s like your success is our success. It’s been like that from day one. There is no substitute for that.” — Allendys Gonell, Billing and EDI Manager, Careficient Direct Data Entry Verification is part of Inovalon's revenue cycle management suite, which was top rated by Black Book Research. Based on evaluations from more than 1,300 hospital and health system finance and revenue cycle leaders, the suite earned recognition for its full provider cloud RCM platform breadth and eligibility, benefits verification, and real-time payer rule interpretation capabilities.

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