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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.
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    • 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
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          • Converged Quality
          • Converged Outreach
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          • 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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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
Courtney.Donlan@inovalon.com
Courtney.Donlan@inovalon.com

Preventing Harm to Achieve Harmony: How Patient Safety Software Transforms Care

Three healthcare professionals in blue scrubs stand together indoors, with one holding and pointing at a tablet, possibly discussing patient safety software, while the others look on and smile. Large windows let in natural light in the background.
Patient safety isn’t just a priority. It’s a promise – to patients, to providers, and to the future of healthcare.…
Read More
Courtney.Donlan@inovalon.com
Courtney.Donlan@inovalon.com

Cracking the Code to Patient Safety Structural Measures: A Strategic Approach to Compliance

A smiling healthcare professional in blue scrubs uses a tablet in the foreground, supporting patient safety structural measures, while three colleagues, also in medical attire, converse in the blurred background of a modern hospital setting.
Patient safety isn’t just a benchmark – it’s a foundational element of quality care. The Patient Safety Structural Measures (PSSM)…
Read More
Mariaelisa.Papadeas@inovalon.com
Mariaelisa.Papadeas@inovalon.com

AI Isn’t Taking Your Job – It’s Changing It

A woman with curly hair sits at a desk, focused on a computer screen. Blurred code on a monitor hints she is working on a technical task, possibly exploring the impact of AI in careers.
The rise of AI in healthcare has sparked a debate: Will it replace skilled professionals or enable us to work…
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Mariaelisa.Papadeas@inovalon.com
Mariaelisa.Papadeas@inovalon.com

Empowering Healthcare: Seven Cloud Solutions Transforming Efficiency, Outcomes, and Care

A woman in a yellow blouse presents RISE National 2025 data on a screen while holding a tablet. A man seated nearby listens and works on a laptop. Charts with bar graphs are visible on the monitor in this modern office setting.
The healthcare landscape is ever-changing, and with it comes the constant pressure on providers, health plans, pharmacies, and life sciences…
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Mariaelisa.Papadeas@inovalon.com
Mariaelisa.Papadeas@inovalon.com

Streamlining Healthcare with the Inovalon Application Portal (IAP): A Unified SaaS Experience for Enhanced Care Delivery

A smiling healthcare worker in blue scrubs uses the Inovalon Application Portal on a tablet in the foreground, while three medical professionals, including one in a white coat, have a discussion in the blurred background.
Bouncing between portals, working in different platforms, and feeling the brunt of disconnected systems … that is the reality for…
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Mariaelisa.Papadeas@inovalon.com
Mariaelisa.Papadeas@inovalon.com

The Time is Now: Transforming Clinical Trials With the Inovalon Research Network

Two professionals stand in front of a large digital screen displaying data charts from the Inovalon research network. One is speaking and gesturing, while the other listens thoughtfully with a hand on their chin.
Every day, patients across your health system are waiting. Some of them need access to clinical trials that could offer…
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Mariaelisa.Papadeas@inovalon.com
Mariaelisa.Papadeas@inovalon.com

Unlocking Innovation at Empower 2024: The Future of Healthcare Awaits

Empower 2024 logo on top of DC skyline
What happens when the brightest minds in healthcare, technology, data analytics, and innovation gather to shape the future of patient…
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Joe.Edwards@inovalon.com
Joe.Edwards@inovalon.com

The Buck Starts Here: Front-End RCM’s Contribution to Claims Denials

A woman with short blonde hair and glasses works on a laptop at a desk in a bright office, surrounded by documents and binders related to claims denials.
The variables that influence a healthcare revenue cycle can resemble a tangled web. Even when things run efficiently, there are…
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Joe.Edwards@inovalon.com
Joe.Edwards@inovalon.com

New Infection Prevention and Control Requirements: Is Your Hospital Ready?

A woman in blue medical scrubs with a stethoscope around her neck is smiling and typing on a laptop at a desk in a bright, organized office, focused on infection prevention and control.
On July 1, 2024, The Joint Commission (TJC) implemented new and revised infection prevention and control requirements, significantly impacting critical…
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Joe.Edwards@inovalon.com
Joe.Edwards@inovalon.com

How Data Analytics for Revenue Cycle Management Can Transform Your Organization

A woman with braided hair sits at a desk, smiling as she types on her laptop. Dressed in a light blue sleeveless top, she appears focused on data analytics work, with a pencil holder and notebook neatly arranged in front of her.
A healthy revenue cycle is the foundation for a strong healthcare organization. But optimizing revenue cycle management can be difficult,…
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Joe.Edwards@inovalon.com
Joe.Edwards@inovalon.com

How Hospitals Can Save Big With Effective IV to PO Conversion

Smiling woman in scrubs working on computer
Balancing exceptional patient care with financial sustainability is a priority for every hospital. Inovalon’s new IV to PO Dashboard, an…
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Joe.Edwards@inovalon.com
Joe.Edwards@inovalon.com

Gaining Efficiency and Accuracy in Medical Billing by Overcoming Manual Processes

A woman wearing glasses sits at a desk, looking at a computer monitor with charts and data displayed. She holds a pen and points at the screen, focused on optimizing manual processes in her work.
Each year, U.S. healthcare providers spend billions of dollars on filing medical claims and billing – from verifying insurance coverage…
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Joe.Edwards@inovalon.com
Joe.Edwards@inovalon.com

4 Ways to Detect Changing Patient or Resident Insurance Coverage

A smiling woman wearing glasses and a blazer sits at a desk, talking on the phone about changing patient insurance coverage while using a laptop in a bright, modern office setting.
Changing employment status, choosing a new plan during open enrollment, joining a family member’s insurance plan – these changes and…
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Joe.Edwards@inovalon.com
Joe.Edwards@inovalon.com

How to Achieve a Strong Eligibility Verification Process

Smiling woman in scrubs working on computer
While a strong revenue cycle is the financial heart of every successful organization, healthcare providers often struggle to keep revenue…
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Joe.Edwards@inovalon.com
Joe.Edwards@inovalon.com

HFMA 2024 Recap: Revolutionizing Revenue Cycles From Prior Authorizations to Peak Productivity

Nashville city skyline with modern buildings under a blue sky, next to text that reads “Can’t-Miss Revenue Cycle Management Trends From HFMA 2024” and the Inovalon logo.
HFMA 2024 offered enlightening perspectives on some of today’s most pressing topics in revenue cycle management.
Read More
Mariaelisa.Papadeas@inovalon.com
Mariaelisa.Papadeas@inovalon.com

Understanding the Medical Billing Process and How Claims Submission Works

A smiling woman wearing medical scrubs and a headset sits at a computer in a brightly lit office, appearing to assist someone over the phone with the medical billing process.
Any provider knows medical billing can be a long, winding road. With many steps from patient intake to capturing full,…
Read More
Mariaelisa.Papadeas@inovalon.com
Mariaelisa.Papadeas@inovalon.com

Inovalon and the EHR – A Powerful Synergy for Patient Safety

Two female healthcare professionals in blue scrubs work together at a desk, one using a computer and the other reviewing patient safety information on a tablet.
Electronic health records (EHRs) are an essential part of healthcare as we know it today. While almost all modern healthcare institutions use…
Read More
Mariaelisa.Papadeas@inovalon.com
Mariaelisa.Papadeas@inovalon.com

How Patient Safety Drives Smarter Hospital Innovation

A man with gray hair and glasses wearing a dark blazer and light blue shirt stands next to large blue text that reads Q&A with David Goldsteen on a light background, discussing patient safety with a gradient glow behind them.
Even as hospitals make efforts to improve patient safety, adverse events continue to be all too common. A recent study of…
Read More
Mariaelisa.Papadeas@inovalon.com
Mariaelisa.Papadeas@inovalon.com

Unlocking Patient Safety: The Power of Autodetection in Healthcare

A young healthcare worker in uniform sits with an older woman at a table, smiling and looking at a tablet together as they explore autodetection in healthcare. The healthcare worker has a hand gently on the older woman's shoulder.
At Inovalon, we believe the key to preventing safety events and reducing harm is not about what you know is…
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Joe.Edwards@inovalon.com
Joe.Edwards@inovalon.com

SNF Quality Reporting Requirements: Important Updates From CMS

An elderly woman with gray hair uses a cane while walking outdoors, smiling, assisted by a younger woman in blue scrubs—demonstrating the caring support seen in SNF quality reporting. They are surrounded by greenery and flowers.
SNF quality reporting requirements are among the many evolving regulations with which skilled nursing facilities (SNFs) must comply. In this…
Read More
Joe.Edwards@inovalon.com
Joe.Edwards@inovalon.com

SNF Regulations: Important Updates for Compliance

A smiling elderly woman with glasses and a cane sits beside a young healthcare worker in blue scrubs, both looking happy and relaxed on a sofa in a bright room, reflecting the compassionate care supported by SNF regulations.
The skilled nursing facility (SNF) landscape is continually evolving, which underscores the need to stay abreast of current SNF regulations.…
Read More
Joe.Edwards@inovalon.com
Joe.Edwards@inovalon.com

AAPACN 2024: Hot Topics for Skilled Nursing Facilities

An elderly woman with white hair and glasses smiles while sitting at a table with a younger woman in green scrubs. They appear to be engaging in a craft at AAPACN 2024 in a bright, cheerful room.
AAPACN 2024 is a wrap, but the learning doesn’t stop there. If you weren’t able to attend — or missed…
Read More
Mariaelisa.Papadeas@inovalon.com
Mariaelisa.Papadeas@inovalon.com

The Top 3 Reasons to Attend Empower 2024

Empower 2024 logo on top of DC skyline
Inovalon’s annual data-driven healthcare summit, Empower, is quickly approaching! Welcoming attendees to the Salamander hotel in Washington, D.C., on October…
Read More
Mariaelisa.Papadeas@inovalon.com
Mariaelisa.Papadeas@inovalon.com In Provider

HIMSS 2024 Recap: AI, Personalized Care, and Facing Industry Challenges Head-on

Seven people in business attire stand before a dark backdrop with “BEST IN KLAS” and “2024” text. A large blue banner across the image highlights the HIMSS 2024 Recap, emphasizing achievements at this year’s HIMSS conference.
Artificial Intelligence (AI) was undoubtedly the star of the show at HIMSS 2024, dominating presentations and conversations throughout the event…
Read More
Joe.Edwards@inovalon.com
Joe.Edwards@inovalon.com In Provider

Overcoming patient demographic data verification challenges with Insurance Discovery and Demographic Verification

A woman stands at a reception desk speaking to a receptionist about patient demographic data verification in a modern, bright waiting room, with several people sitting and talking in the background.
According to a survey by HIMSS, healthcare organizations spend nearly 110 hours per week on patient identity challenges – with…
Read More
Joe.Edwards@inovalon.com
Joe.Edwards@inovalon.com In Provider

LeadingAge 2023 wrap-up: Challenges and solutions for post-acute care

healthcare professionals meeting and smiling at a conference
With a centralized approach to staff scheduling, providers can not only reduce staff burnout – they may also be able…
Read More
Mariaelisa.Papadeas@inovalon.com
Mariaelisa.Papadeas@inovalon.com In Provider

Navigating healthcare reimbursement challenges with data and automation

A person types on a laptop keyboard, with a transparent overlay of digital financial graphs and rising stock charts, symbolizing data analysis, investment, healthcare reimbursement, or business growth.
Inovalon recently discussed providers’ healthcare reimbursement challenges with HFMA experts Shawn Stack and Erika Grotto. From navigating new regulations coming…
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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