How Interim HealthCare Cut Claims Denials by 75%

Delivering home health and hospice care takes more than clinical excellence; it requires coordination, compassion, and clarity at every step, including the financial journey. At Interim HealthCare of the Upstate, a trusted provider serving communities across South Carolina for more than 46 years, that clarity became increasingly difficult to maintain as the organization grew.

Staff were juggling disconnected systems to verify eligibility, process claims, and manage billing, which added hours of administrative work and left less time for patient-facing priorities. For families already managing complex care needs, delays and confusion around coverage only added to the burden.

“We wanted our operations to reflect the same standard of excellence as our clinical care,” said Katie Spencer, the organization’s Director of Revenue Cycle. “That meant rethinking how we worked.”

Addressing fragmentation with integrated tools

With their clearinghouse contract coming up for renewal, Spencer led a strategic review of solutions. The goal: replace reactive, fragmented workflows with a connected system that could scale with the organization’s needs.

After evaluating several options, Interim HealthCare selected Inovalon’s revenue cycle management suite, delivered through their electronic health record (EHR) vendor, Homecare Homebase.

“Inovalon wasn’t just checking boxes,” Spencer said. “They offered a solution that connected the entire revenue cycle from start to finish.”

Simplification in action

What used to take hours now takes minutes, Spencer explained. The team eliminated the need to toggle between systems and dramatically accelerated day-to-day tasks by implementing Inovalon’s Eligibility Verification Pro™, Claims Management Pro™, RCM Intelligence™, and Patient Statement Management™.

The organization now has a complete view into what’s been paid, denied, or needs follow-up. In just six months, Interim HealthCare reduced claims denials by 75% and cut self-pay aging by nearly 90% – all while improving overall cash flow.

Improved visibility, stronger patient experience

With better data and a more connected process, Interim HealthCare’s team gained the ability to support patients more clearly and confidently. This ensured families receive accurate, timely financial information without unnecessary delays.

“We’re not just improving cash flow – we’re creating a better experience for our patients,” Spencer said. “They know what to expect. We’re transparent. We’ve made it easy.”

Built for scale

These results weren’t just temporary improvements, but a foundation for sustained success. Today, Interim HealthCare of the Upstate has a streamlined RCM foundation that supports both day-to-day needs and continued growth. With fewer delays, fewer denials, and a more empowered team, they’re delivering a more seamless experience clinically and financially.

Ready to move from complexity to clarity?

Discover how Inovalon can help simplify your revenue cycle, reduce claims denials, and deliver a better experience for your patients.

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