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    • PayersImprove quality performance and risk adjustment accuracy with in-workflow intelligence that prioritizes outreach and gap closure.
    • ProvidersReduce denials, accelerate reimbursement, simplify scheduling, improve patient safety and care outcomes, and lower administrative burden.
    • PharmaciesAutomate complex specialty and infusion workflows to prevent delays and keep patients on therapy – all in one connected system.
    • Life SciencesEngage research experts and access primary source data to find clinical trial participants faster, accelerate discovery, and get treatments to market on time.
  • Products
    • Extensive Data, Trusted SolutionsOur solutions connect healthcare teams with the right information, in the right workflow, at the right time to act with clarity, speed, and confidence.
    • Column 1
      • Real-World Data and Insights
        • Real-World Data and Insights Overview
        • Clinical Trials
          • Clinical Research Patient Finder
          • Clinical Trial Eligibility Screener
          • Medical Record Location
        • HEOR
        • Commercial Analytics
          • Commercial Analytics
          • SDOH Market Insights
          • Provider Market Insights
        • Real-World Data
          • Linked Datasets
        • Real-Time Patient Data
      • Payer
        • Payer Overview
        • Quality Measurement
          • Converged Quality
          • Converged Outreach
          • Converged Provider Enablement
          • Converged Analytics Benchmarking
          • Digital Quality Measures
          • Inovalon Healthcare Data Lake
          • See All Solutions
        • Risk Score Accuracy
          • Converged Risk
          • Converged Outreach
          • Converged Record Review
          • Converged Patient Assessment
          • Healthcare Data Lake
          • Converged Submissions
          • See All Solutions
        • Member Outreach
          • Converged Outreach
          • Converged Patient Assessment
          • Converged Provider Enablement
          • Electronic Record On Demand
          • See All Solutions
        • Value-Based Care Management
          • Converged Provider Enablement
          • Healthcare Data Lake
          • Converged Patient Assessment
          • See All Solutions
      • Provider
        • Provider Overview
        • Revenue Cycle Management
          • Registration Workflow
          • Insurance Discovery
          • Eligibility Verification
          • Claims Management
          • Claims Management Medicare
          • RCM Intelligence
          • See All Solutions
        • Care Management
          • Safety Management
          • Pharmacy Surveillance
          • Infection Prevention
          • MDS Intelligence
          • Audit Management
          • Quality Management
          • See All Solutions
        • Workforce Management
          • Schedule Management
          • Workforce Management
          • Attendance Management
          • Credential Management
          • See All Solutions
        • Strategic Partners
      • Pharmacy
        • Pharmacy Overview
        • Specialty Pharmacy Management
        • Infusion Pharmacy Software
    • Column 2
    • Column 3
  • Our Company
    • We Power the People Who Power CareWe help you turn complex data into decisive action for better patient and business outcomes.
    • Column
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      • Vision & Values
      • Leadership Team
      • Associate Engagement & Inclusion
      • Awards & Recognition
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  • Resources
    • CMO Conversations: Where Clinical Leaders Connect
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Courtney.Donlan@inovalon.com
Courtney.Donlan@inovalon.com

Simplifying Medicare Billing in PointClickCare

The impact of rising claims denials goes far beyond reimbursement delays – it leads to staff rework, billing disputes with…
Read More
Courtney.Donlan@inovalon.com
Courtney.Donlan@inovalon.com

What the 2026 CMS Expansion Means for ASC Software Vendors

The 2026 CMS expansion is more than about adding procedures to the Ambulatory Surgical Center (ASC) Covered Procedures List. It…
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Courtney.Donlan@inovalon.com
Courtney.Donlan@inovalon.com

Why RCM for Tribal Health Is One of Healthcare’s Toughest Challenges

Woman with short blonde hair and glasses working on a laptop at a desk in a bright office, surrounded by files and documents related to RCM for tribal health. She appears focused and is dressed in business attire.
Revenue cycle management (RCM) for tribal health is one of healthcare's most challenging reimbursement environments. Tribal health organizations navigate a…
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Joe.Edwards@inovalon.com
Joe.Edwards@inovalon.com

HFMA 2026 Recap: Daring to Solve the Revenue Cycle’s Toughest Challenges

A man wearing glasses sits at a desk, looking thoughtfully at a large computer monitor with a pen resting on his chin. Surrounded by a laptop, office supplies, and open tabs displaying mobile scheduling software, he works in a modern, well-lit workspace.
This year’s HFMA Annual Conference gathered more than 4,000 healthcare finance leaders under the fitting theme of “Dare to Solve.”…
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Courtney.Donlan@inovalon.com
Courtney.Donlan@inovalon.com

AI in Healthcare Claims Processing: Best Practices to Predict and Prevent Denials

Smiling business professional working on a laptop in a modern office setting.
Most denials are set in motion well before a claim is ever submitted. In a survey of more than 400…
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Courtney.Donlan@inovalon.com
Courtney.Donlan@inovalon.com

5 Trends Shaping How ASCs Reduce Claims Denials

A woman sitting at a desk in an office talks on the phone while taking notes about strategies to reduce claim denials in ASCs, with a computer monitor and office supplies visible in front of her.
After a few days on the ground at ASCA SAMBA, one priority came up repeatedly among revenue cycle leaders: how…
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Mariaelisa.Papadeas@inovalon.com
Mariaelisa.Papadeas@inovalon.com

5 Steps to Finding the Right Medical Billing Software

smiling woman looking at a laptop
Medical billing teams are under pressure to reduce denials, accelerate reimbursement, and improve billing accuracy, even while managing fragmented tools…
Read More
Joe.Edwards@inovalon.com
Joe.Edwards@inovalon.com

From Healthcare Claims Novice to 5X Monthly Collections

A woman in business attire sits at a desk with two monitors, reading a document. The monitors display charts and graphs. There are plants and framed pictures in the background, giving the office a modern feel.
Roots Food Group delivers medically tailored, ready-to-eat meals to people with chronic illnesses. They’re experts at using food to help…
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Joe.Edwards@inovalon.com
Joe.Edwards@inovalon.com

How Paramount Healthcare Fixed a Fragmented Revenue Cycle

man and woman in a corporate setting looking at a tablet
Running billing for a single skilled nursing facility is complicated enough. For Paramount Healthcare, multiply that by 12. With hundreds…
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Courtney.Donlan@inovalon.com
Courtney.Donlan@inovalon.com

Reactive to Proactive: Using Denial Management Software for Healthcare

A woman with long curly hair, wearing a light blouse, sits at a desk smiling while working on her laptop in a modern, bright office environment, efficiently managing claims with denial management software for healthcare.
The impact of rising claims denials goes far beyond reimbursement delays – it leads to staff rework, billing disputes with…
Read More
Courtney.Donlan@inovalon.com
Courtney.Donlan@inovalon.com

Best Claims Management Software for Hospitals: What to Look For

Man sitting at a desk looking at desktop computer
Hospitals face relentless pressure to reduce denials, expedite payments, and provide their staff with relief from repetitive claims work. Yet…
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Courtney.Donlan@inovalon.com
Courtney.Donlan@inovalon.com

What Is Insurance Verification: A Guide for Providers

Woman smiling while talking on the phone and looking at laptop computer
A positive healthcare experience for the patient, resident, and even the provider, depends on so many factors. One seemingly minor…
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Courtney.Donlan@inovalon.com
Courtney.Donlan@inovalon.com

How Kern Medical Closed a $963K Gap and Gained $3M in 60 Days

Woman smiling while talking on the phone and looking at two monitors at a desk
Kern Medical, a 222-bed acute care teaching hospital serving Central California, faced a complex challenge: how to streamline its revenue…
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Courtney.Donlan@inovalon.com
Courtney.Donlan@inovalon.com

Inside a Mental Health Provider’s Revenue Cycle Transformation

Female mental health therapist sitting down and talking with a patient
Lakeland Mental Health Center (LMHC), a nonprofit serving west central Minnesota since 1949, had a clear goal: keep behavioral healthcare…
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Courtney.Donlan@inovalon.com
Courtney.Donlan@inovalon.com

Reducing Claims Denials: Healthcare Leaders Weigh in on the Future of Revenue Cycle Management

smiling woman looking at a laptop
Reducing claims denials is a top priority for healthcare providers across care settings. From a 10-bed skilled nursing facility to…
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Courtney.Donlan@inovalon.com
Courtney.Donlan@inovalon.com

How Interim HealthCare Cut Claims Denials by 75%

A woman wearing glasses works on a laptop at a desk in a well-lit room with potted plants, papers, and office supplies, creating a productive workspace—ideal for remote tasks like those at Interim Healthcare.
Delivering home health and hospice care takes more than clinical excellence; it requires coordination, compassion, and clarity at every step,…
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Courtney.Donlan@inovalon.com
Courtney.Donlan@inovalon.com

Revenue Clarity and Control: How MatrixCare Simplified Claims for Better Results

A woman sits at a desk in a bright home office, holding a white mug and smiling at her computer monitor, which displays MatrixCare. Bookshelves and green plants create a lively background.
MatrixCare, a provider of EHR and care management software for post-acute and out-of-hospital care, saw an opportunity to strengthen its…
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abilityinov
abilityinov

Behind the Scenes of Better Care: South Florida Psychiatry’s Revenue Cycle Transformation

therapist sitting with a patient during a session, looking at notes
As South Florida Psychiatry's practice grew to meet rising demand, staying focused on care meant rethinking what happened behind the…
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abilityinov
abilityinov

The High Cost of Manual Claims Processing – and How to Fix It

A woman wearing a yellow sweater sits at a desk, looking thoughtfully at a laptop screen while holding a pen to her chin, contemplating manual claims processing. Large windows in the background let in natural light.
Manual claims processing is costly – both in terms of time and money. Manually processing a claim takes an average…
Read More
abilityinov
abilityinov

The Top Post-Acute Revenue Cycle Management Challenges — and How to Overcome Them

A woman with long curly hair and glasses, wearing an orange blouse, sits at a desk using a laptop. The background features shelves with decor and a window letting in natural light.
Billing isn’t just a task. It’s a balancing act for providers across post-acute care, from skilled nursing facilities and home…
Read More
Courtney.Donlan@inovalon.com
Courtney.Donlan@inovalon.com

PointClickCare SUMMIT 2025 Recap: What If Your Revenue Cycle Felt Like a Continuous Stream?

A woman with short blond hair and glasses sits at a desk working on a laptop, surrounded by papers and binders, preparing for the PointClickCare SUMMIT 2025 in a bright office with large windows.
For many skilled nursing facilities (SNFs), the revenue cycle has become a relentless loop of claims denials, delays, and do-overs…
Read More
abilityinov
abilityinov

What AR in Medical Billing Means and How It Affects Cash Flow

Three people reviewing analytics on screens
A/R in medical billing stands for accounts receivable. It’s a measure of the outstanding balances that payers, like insurance companies…
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Courtney.Donlan@inovalon.com
Courtney.Donlan@inovalon.com

Medical Billing Services for Small Practices: Solving Your Revenue Cycle Challenges

A woman wearing glasses sits at a desk, focused on medical billing for small practices as she reviews paperwork and uses a calculator. A computer monitor, office supplies, and a large window are visible in the background.
Small medical practices face an uphill battle when it comes to billing. With limited staff and resources, managing the complex…
Read More
Courtney.Donlan@inovalon.com
Courtney.Donlan@inovalon.com

Choosing the Right Physician Billing Software: A Guide for Healthcare Providers

A person sits at a desk using a laptop and calculator while looking at a computer monitor displaying medical billing software. Papers and office supplies are on the desk, with sunlight streaming through a window in the background.
Healthcare providers are under a lot of pressure to improve revenue cycle management (RCM). But that’s tough to do without…
Read More
Joe.Edwards@inovalon.com
Joe.Edwards@inovalon.com

AI in RCM: Bridging the Gap Between Enthusiasts and Doubters

A person works on a laptop displaying graphs and charts, likely analyzing data related to artificial intelligence in healthcare. A glass of water, documents, a smartphone, and a small plant are on the desk in a bright office setting.
As the healthcare industry faces increasing demands and complexities, artificial intelligence (AI) emerges as a transformative force, promising to unlock…
Read More
Joe.Edwards@inovalon.com
Joe.Edwards@inovalon.com In Provider

The top 4 mistakes that lead to claims denials

A man in a light blue, striped shirt works at a computer handling claims denials in a modern, open office space with bright lighting and exposed ceilings.
Claims denials are one of the biggest challenges facing providers today. According to RevCycle Intelligence, from 2016 to 2021, the…
Read More
Heather.Perella@inovalon.com
Heather.Perella@inovalon.com In Provider

What is a clean claim rate vs. first pass yield? A complete guide to revenue cycle metrics

Two people wearing glasses stand close together, looking intently at a laptop screen. One points at the screen while explaining the difference between first pass yield vs. clean claim rate in a bright, modern office space.
Healthcare leaders have traditionally focused on clean claim rate as a metric to define an organization’s revenue cycle health. But…
Read More
Mariaelisa.Papadeas@inovalon.com
Mariaelisa.Papadeas@inovalon.com In Provider

A practical guide to improving revenue cycle management

woman sitting at a desk looking at a screen doing healthcare revenue cycle management work
Revenue cycle management, or RCM, is one of the most important business functions for many providers. It’s what “keeps the…
Read More
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  • Who We Help
    • PayersImprove quality performance and risk adjustment accuracy with in-workflow intelligence that prioritizes outreach and gap closure.
    • ProvidersReduce denials, accelerate reimbursement, simplify scheduling, improve patient safety and care outcomes, and lower administrative burden.
    • PharmaciesAutomate complex specialty and infusion workflows to prevent delays and keep patients on therapy – all in one connected system.
    • Life SciencesEngage research experts and access primary source data to find clinical trial participants faster, accelerate discovery, and get treatments to market on time.
  • Products
    • Extensive Data, Trusted SolutionsOur solutions connect healthcare teams with the right information, in the right workflow, at the right time to act with clarity, speed, and confidence.
    • Column 1
      • Real-World Data and Insights
        • Real-World Data and Insights Overview
        • Clinical Trials
          • Clinical Research Patient Finder
          • Clinical Trial Eligibility Screener
          • Medical Record Location
        • HEOR
        • Commercial Analytics
          • Commercial Analytics
          • SDOH Market Insights
          • Provider Market Insights
        • Real-World Data
          • Linked Datasets
        • Real-Time Patient Data
      • Payer
        • Payer Overview
        • Quality Measurement
          • Converged Quality
          • Converged Outreach
          • Converged Provider Enablement
          • Converged Analytics Benchmarking
          • Digital Quality Measures
          • Inovalon Healthcare Data Lake
          • See All Solutions
        • Risk Score Accuracy
          • Converged Risk
          • Converged Outreach
          • Converged Record Review
          • Converged Patient Assessment
          • Healthcare Data Lake
          • Converged Submissions
          • See All Solutions
        • Member Outreach
          • Converged Outreach
          • Converged Patient Assessment
          • Converged Provider Enablement
          • Electronic Record On Demand
          • See All Solutions
        • Value-Based Care Management
          • Converged Provider Enablement
          • Healthcare Data Lake
          • Converged Patient Assessment
          • See All Solutions
      • Provider
        • Provider Overview
        • Revenue Cycle Management
          • Registration Workflow
          • Insurance Discovery
          • Eligibility Verification
          • Claims Management
          • Claims Management Medicare
          • RCM Intelligence
          • See All Solutions
        • Care Management
          • Safety Management
          • Pharmacy Surveillance
          • Infection Prevention
          • MDS Intelligence
          • Audit Management
          • Quality Management
          • See All Solutions
        • Workforce Management
          • Schedule Management
          • Workforce Management
          • Attendance Management
          • Credential Management
          • See All Solutions
        • Strategic Partners
      • Pharmacy
        • Pharmacy Overview
        • Specialty Pharmacy Management
        • Infusion Pharmacy Software
    • Column 2
    • Column 3
  • Our Company
    • We Power the People Who Power CareWe help you turn complex data into decisive action for better patient and business outcomes.
    • Column
      • What We Do
      • Vision & Values
      • Leadership Team
      • Associate Engagement & Inclusion
      • Awards & Recognition
      • News
      • Events
  • Resources
    • CMO Conversations: Where Clinical Leaders Connect
    • Column
      • All Resources
      • Webinars
      • Customer Stories
      • INOvators
      • Meet the Experts
      • Research & Publications
      • Blog
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