Inovalon Patient Payment Management

3 reviews

Patient Payment Management (formerly ABILITY SECUREPAY) is a comprehensive patient payment software that enables you to capture more revenue and improve patient satisfaction. By accepting all forms of payment and offering flexible payment options, you can help patients quickly understand what they owe and better facilitate payments.

Inovalon Insurance Discovery

2 reviews

Inovalon Insurance Discovery is a robust Software-as-a-Service (SaaS solution designed to assist healthcare providers in maximizing reimbursements and minimizing uncompensated care. By leveraging advanced algorithms, it identifies primary, secondary, and tertiary insurance coverage, ensuring that every applicable payer is recognized for a claim. This process significantly reduces claims denials and accelerates the revenue cycle, leading to improved financial outcomes for healthcare organizations. Key Features and Functionality: - Automated Insurance Discovery: Utilizes sophisticated algorithms to search patient information against public and private payers, identifying all applicable insurance coverage. - Confidence Scoring: Provides confidence scores for identified coverage, differentiating between managed care and advantage plans to ensure accuracy. - High Identification Rate: Achieves an average insurance identification match rate of 39.5% on uninsured accounts, enabling more claims to be processed directly by payers rather than being categorized as self-pay, charity, or bad debt. - Seamless Integration: Integrates with existing registration and Electronic Health Record (EHR systems, complementing current workflows without disruption. - Real-Time Eligibility Checks: Conducts real-time eligibility verifications, contributing to a clean claims rate exceeding 99%. Primary Value and Problem Solved: Inovalon Insurance Discovery addresses the critical challenge of uncompensated care and revenue loss due to unidentified or incorrect insurance information. By automating the insurance discovery process, it ensures that healthcare providers can accurately identify all available coverage options for patients. This leads to a reduction in claims denials, faster reimbursements, and a more efficient revenue cycle. Additionally, by decreasing the reliance on manual processes, it allows front-end staff to focus more on patient care and less on administrative tasks, ultimately enhancing the overall patient experience.

Inovalon ONE Platform

2 reviews

The Inovalon ONE Platform is an integrated, cloud-based platform of more than 80 individual proprietary toolsets that can be rapidly configured to empower the operationalization of very large-scale data-driven healthcare initiatives that are highly differentiated, efficient, modular and flexible.

Inovalon RCM Intelligence

0 reviews

Inovalon RCM Intelligence is a cloud-based software solution designed to enhance healthcare providers' revenue cycle management by offering comprehensive data visualization and analytics. By integrating real-time insights into key performance indicators such as payer performance, denial rates, and claims corrections, RCM Intelligence empowers providers to optimize financial operations and focus more on patient care. Key Features and Functionality: - Real-Time Revenue Insights: Provides interactive dashboards that display payment trends, cash flow projections, and payer performance metrics, enabling informed financial decision-making. - Denial Management: Identifies root causes of claim denials and suggests corrective actions to improve first-pass yield rates, reducing the need for rework and accelerating reimbursements. - Automated Reporting: Delivers pre-configured reports that predict potential denials, allowing proactive measures to prevent revenue loss. - Clearinghouse Compatibility: Supports integration with all electronic data interchange claims clearinghouses, ensuring seamless connectivity with various payers, including commercial, Medicare, and Medicaid. Primary Value and Problem Solved: RCM Intelligence addresses the challenges healthcare providers face with revenue leakage and inefficient claims processing. By offering actionable insights and automating key aspects of the revenue cycle, the solution helps reduce claim denials, improve cash flow by up to 15%, and achieve first-pass yield rates of up to 93%. This leads to enhanced financial performance, allowing providers to allocate more resources toward delivering quality patient care.

Inovalon Eligibility Verification Medicare

0 reviews

ABILITY | CHOICE Medicare Eligibility provides secure real-time patient eligibility and benefit determination, with access to Medicare’s secure eligibility HETS database (HIPAA Eligibility Transaction System).

Inovalon Patient Statement Management

0 reviews

Featuring an easy-to-read breakdown of outstanding balances, ABILITY Patient Statements increase your patients ability to understand your bills, decreasing both patient phone calls and payment delays for your practice.

ScriptMed Cloud

0 reviews

"Designed to drive efficiency, lower costs, and improve patient outcomes, ScriptMed Cloud focuses on the holistic needs of patients with complex health conditions and high-cost medication therapies, and the clinicians who care for them. The application’s unique capabilities allow you to make a difference for your patients and your business. Powered by 9 modules including Reporting and Analytics, Revenue Cycle Management, and Infusion Management, ScriptMed can deliver 15-17% savings in cost to serve while remaining endlessly scalable so your software grows with you. A pharmacy software solution you can trust. That’s ScriptMed Cloud."

ABILITY SMARTFORCE Scheduler

0 reviews

Our innovative 100% web-based Scheduling & Open Shift Management (OSM) application can help managers efficiently schedule their staff 24/7

Inovalon Agency Management

0 reviews

Inovalon's Agency Management is a cloud-based software solution designed to help healthcare providers efficiently manage third-party staffing agencies alongside their in-house workforce. Seamlessly integrating with Inovalon's Schedule Management system, it offers comprehensive workflows and analytics to effectively oversee staff schedules, attendance, and credentials. This integration enables healthcare organizations to identify workforce gaps, streamline external staffing requests, assign open shifts, and strategically manage agency resources, thereby reducing administrative costs and providing valuable insights into utilization trends. Key Features and Functionality: - Seamless Integration: Works in conjunction with Inovalon's Schedule Management software to provide a unified platform for managing both in-house and agency staff. - Workforce Gap Identification: Helps pinpoint staffing shortages and facilitates the efficient allocation of resources to address these gaps. - Streamlined Staffing Requests: Simplifies the process of requesting and assigning external staff, reducing administrative burden. - Strategic Resource Management: Offers tools to manage agency resources effectively, leading to lower administrative costs and improved operational efficiency. - Enhanced Visibility: Provides comprehensive insights into staffing utilization trends and associated costs, aiding in informed decision-making. Primary Value and User Benefits: Inovalon's Agency Management addresses the critical challenge of staffing shortages in the healthcare sector, which have been exacerbated by the COVID-19 pandemic. By facilitating the efficient management of third-party agency staff, the solution reduces the time-consuming administrative tasks associated with external staffing. This leads to a potential reduction in overall agency management costs by up to 25%. Additionally, the software enhances connectivity between healthcare organizations and staffing agencies, providing a clear overview of available workers, schedule gaps, and historical staffing trends. This improved visibility enables nurse managers, schedulers, and agency administrators to prioritize staffing needs effectively, ensuring that all shifts are adequately staffed and ultimately contributing to superior patient care.