Product Avatar Image
Product Avatar Image

Back-End Revenue Cycle Management

Back-End Revenue Cycle Management

Solution:

Fewer Denials. Faster Payments. One system.

Fewer Denials. Faster Payments. One system.

Manage every claim from submission to payment in one system built for all payers.

Manage every claim from submission to payment in one system built for all payers.

Claims Management Software

Improve first-pass payments and reduce denials with claims management software that prevents delays, errors, and rework.

Claims Management Software

Improve first-pass payments and reduce denials with claims management software that prevents delays, errors, and rework.

Claims Resubmission - Healthcare Claims Management
Patient Data Security - Healthcare Claims Management
Claims Scrubbing - Healthcare Claims Management
Claims Data Automation - Healthcare Claims Management
Electronic Submissions - Healthcare Claims Management
Clearinghouse Integration - Healthcare Claims Management
Claims Process Workflow - Healthcare Claims Management

Products for RCM Teams

Claims shouldn't drain your time, energy, and revenue. Whether you run a small practice or lead a large billing team, you need a reliable way to get claims out the door — without the stress. Our claims management software meets you where you are and grows with you.

Products for RCM Teams

Claims shouldn't drain your time, energy, and revenue. Whether you run a small practice or lead a large billing team, you need a reliable way to get claims out the door — without the stress. Our claims management software meets you where you are and grows with you.

Product Avatar Image

Inovalon Claims Management Medicare Pro

4/5(3)

Inovalon's Claims Management Medicare Pro is a specialized cloud-based solution designed to enhance Medicare revenue cycle management for healthcare providers. By integrating seamlessly with existing systems, it offers real-time insights and automation to streamline billing processes, reduce errors, and accelerate reimbursements. This solution empowers providers to proactively monitor and verify Medicare status, manage billing efficiently, and automate tasks such as RAC audits and Additional Development Requests , ultimately improving financial performance and patient satisfaction. Key Features and Functionality: - Automated Eligibility Checks: Conduct unlimited, real-time eligibility verifications at no extra cost, ensuring accurate billing and reducing claim denials. - Proactive Monitoring: Receive weekly alerts on changes in Medicare eligibility, including Medicare Advantage, to stay informed and responsive. - Claims Management: Access intuitive dashboards displaying timely claims information, facilitating efficient tracking and resolution. - Automated Workflows: Streamline claims resolution with automated processes, reducing manual tasks and expediting reimbursements. - Seamless Integration: Utilize single sign-on capabilities to integrate with platforms like PointClickCare, enhancing user experience and data accessibility. Primary Value and Solutions Provided: Claims Management Medicare Pro addresses the complexities of Medicare billing by offering a comprehensive, automated solution that reduces administrative burdens and financial risks. By ensuring a 99% or better clean claims rate across commercial, Medicare, and Medicaid payers, it minimizes errors and accelerates cash flow. The system's proactive monitoring and real-time insights enable providers to make informed decisions, optimize revenue cycles, and focus more on patient care.

What users say on G2

What users say on G2

5/5

"Its fast and everything is done with a click of a button. It eliminates the need to make a phone call to the payer which can take upto an hour"

Areeba K.
AK
Senior Reimbursement Specialist at 5,001-10,000 employees Company

Senior Reimbursement Specialist

5,001-10,000 employees

4/5

"A combination of real-time eligibility checks, claim status tracking and ease of payment posting focuses your labor activities to get cash flowing."

Gautam K.
GK
Gautam K.

Team Leader

51-200 employees

5/5

"I really enjoy the interoperability in claims management pro. I can review a remit, look at the claim, send a correction, run eligibility all in the same application."

KS
User at 501-1,000 employees Company

501-1,000 employees

5/5

"Having Inocalon Claims Management Pro has cut my billing time in half. We used to bill through several different insurance portals. I love having Claims Management Pro because all of our claim's are in one location."

DR
Dominique R.

2-10 employees

5/5

"What we link about the claims managemnt pro is that we are able bill secondary insurances automatically. We also enjoy being able to easily pull up patient claims and see how they were previously billed why they were rejected and correct the issues right away."

DH
Diana H.

General Manager

11-50 employees

5/5

"I do like how organized the claims are kept. They are also sent in a timely manner, and we can get errors we need to fix before the claim is processed by ins."

KB
A/R specialist at 11-50 employees Company

A/R specialist

11-50 employees