Revenue Clarity and Control: How MatrixCare Simplified Claims for Better Results
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MatrixCare, a provider of EHR and care management software for post-acute and out-of-hospital care, saw an opportunity to strengthen its revenue cycle solutions. The team wanted to help customers move beyond manual workflows and time-consuming tasks by shifting toward a more streamlined, automated approach. With a focus on accuracy, insight, and innovation, MatrixCare turned to Inovalon.
From manual processes to smart solutions
With a goal of replacing patchwork processes with more clarity and control, MatrixCare asked Inovalon to help simplify and scale its product development. The impact has been significant.
“It’s like having night vision goggles,” said Rachael Feeback, the organization’s Group Product Manager, Solutions for Business. “We used to stumble in the dark [when trying to get enhancements out the door], but now we can see everything fast.”
Key changes and enhancements
With automation in place, MatrixCare eliminated the need for manual reruns. Secondary claims and billing workflows became more efficient, reducing repetition and saving time. Visibility also improved significantly. Within minutes, Feeback could access denial rates across all customers – data that helped convert insights into action.
MatrixCare also introduced new capabilities for Medicare Secondary Payer (MSP) and Third Party Liability (TPL) claims, tailored to customers’ specific needs.
“Secondary claims are handled automatically – accurate, timely, done,” Feeback said.
Results delivered
By integrating Inovalon’s Claims Management Pro™ and Claims Management Medicare Pro™, MatrixCare reported a drop in customer denial rates to approximately 2%, which is well below the 7.66% national average.1
Other key outcomes were faster, more accurate claims handling, fewer errors, and a real competitive edge for MatrixCare and their home health clients.
In addition, satisfaction rates among their customers’ patients and residents increased thanks to a smoother financial journey.
Continued collaboration
MatrixCare and Inovalon continue to work together on new initiatives, unlocking deeper insights and adapting to industry changes.
“We’re not standing still,” said Feeback. “With Inovalon, we’re constantly moving forward, together.”
MatrixCare is part of an innovative network of strategic partners using Inovalon’s technology and expertise to drive smarter, faster, and more efficient outcomes.
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