How Larry H. Miller Senior Health Achieved RCM Clarity, Speed, and Peace of Mind With Inovalon
Written by
Inovalon
Quick Navigation
Larry H. Miller Senior Health provides care across 26 facilities, 16 home health and hospice teams, and one assisted living location. Leading all billing operations is Tiffany McElheny, SVP of Revenue Cycle, who oversees claims spanning Medicare, Medicaid, and commercial payers.
McElheny and her team have relied on Inovalon solutions for over 20 years, starting as a direct connection to Medicare and evolving into a fully integrated front- and back-end revenue cycle management (RCM) workflow. Today, that system connects directly with their electronic health record (EHR), MatrixCare, supporting operational consistency across all locations.
“There were a lot of companies out there that offered the user-friendly interface, but nothing was as robust as this; nothing ever really checked all the boxes for me,” McElheny explained.
Clarity across the enterprise
For McElheny, every morning begins with a single report, delivered automatically via Inovalon’s Claims Management Medicare Pro™. It summarizes thousands of claims, denials, and expected revenue into a clear update she can use to direct her day.
“The report tells me exactly where my focus needs to be on any given day. Across all my lines of business, I can go there and see what needs my attention,” she said.
With enterprise-level visibility, McElheny doesn’t need to manage each location individually to ensure nothing is missed, and her staff receives the report to guide their priorities, too. Inovalon’s Eligibility Verification Standard™ also plays a key role in their workflow, helping confirm patient coverage across payers before claims are submitted.
Timing that protects revenue and residents
The team handles claims for all payer types within Inovalon’s software. When it comes to Medicare specifically, McElheny noted that speed has become increasingly important. Because claims are linked to a resident’s benefit period, submission order determines which provider receives payment.
If her team doesn’t submit in time, another organization could collect reimbursement for services rendered on overlapping days. Delays could leave residents facing unexpected out-of-pocket costs and add financial stress. Inovalon’s software helps ensure claims are submitted promptly and accurately, reducing the risk of delays and supporting a better experience for residents and staff.
Software that’s easy to use and trust
McElheny said Inovalon’s solutions are easy to use, which helps both new and experienced staff succeed.
“It’s kind of hard to make mistakes because the software lays everything out for you.”
That usability improves staff satisfaction and shortens onboarding time. McElheny noted that new staff are able to get up to speed quickly, which has helped improve team productivity and reduced training time across the organization.
An RCM solution that truly delivers
With integrated tools that connect billing, eligibility, and analytics to their EHR, McElheny described the experience as comprehensive and dependable.
“I love that Inovalon really is a one-stop shop. Anything you can really think of from an RCM perspective, anything you need is there,” she said.
One stop for revenue clarity, speed, and confidence
Gain full visibility and control with revenue cycle management software that connects your entire workflow – from eligibility checks to clean claims and faster payments.
Inovalon and design® and Inovalon® are trademarks of Inovalon, Inc.
