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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
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Joe.Edwards@inovalon.com
Joe.Edwards@inovalon.com In Provider

Lower costs and ease regulatory compliance burdens for healthcare providers

Four healthcare professionals sit at a table in a meeting room, focused on notes and documents related to regulatory compliance. Three are writing and one is reading, with glasses of water and papers spread out before them.
Administrative spending accounts for approximately 25% of the nearly $4 trillion in annual healthcare spending in the U.S.1,2 The highly…
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Joe.Edwards@inovalon.com
Joe.Edwards@inovalon.com In Provider

Overcoming 3 top workforce challenges driving RN turnover

Two female healthcare workers in scrubs and stethoscopes stand leaning against a hospital hallway wall, looking thoughtful and serious—perhaps reflecting on the challenges of nursing turnover.
Healthcare provider organizations continue to grapple with high rates of nurse turnover, worsening the existing staffing shortages that are impacting…
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Joe.Edwards@inovalon.com
Joe.Edwards@inovalon.com In Provider

HBMA 2023 wrap-up: top challenges and opportunities for billing companies

Group of healthcare professionals meeting, with image focused on one of the men with glasses shaking hands with another person
A recent poll from MGMA found that more than half (56%) of providers saw increases in A/R days in 2022.1…
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Joe.Edwards@inovalon.com
Joe.Edwards@inovalon.com In Provider

New MDS 3.0 regulatory changes are here: Is your SNF ready?

A smiling nurse or doctor with a stethoscope talks to an older woman with gray hair, placing a reassuring hand on her shoulder in a bright, sunny room while discussing recent MDS 3.0 regulatory changes.
The new MDS 3.0 regulatory changes will have a major impact on skilled nursing facilities (SNFs). Ever since the draft…
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Heather.Perella@inovalon.com
Heather.Perella@inovalon.com In Provider

4 time-saving features of an integrated RCM solution

A smiling woman in scrubs sits at a desk, typing on a keyboard and looking at the camera. A computer monitor displays graphs and data dashboards from an RCM solution. Another person in scrubs stands in the background.
Many RCM solutions are marketed as “integrated,” but what does that actually mean? When you take a closer look, you’ll…
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Heather.Perella@inovalon.com
Heather.Perella@inovalon.com In Provider

4 tactics to improve profitability with revenue cycle predictive analytics

A doctor uses a tablet, with transparent medical icons and data graphs overlayed, symbolizing digital healthcare, data analysis, and revenue cycle predictive analytics.
The financial challenges of running an independent practice fall into two main categories: revenue loss and rising expenses. Together, this…
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Mariaelisa.Papadeas@inovalon.com
Mariaelisa.Papadeas@inovalon.com In Provider

How healthcare scheduling software can help clinical resources to optimize patient care

A nurse in blue scrubs with a stethoscope smiles and puts her arm around an older woman with white hair and glasses, who is also smiling, in a medical office that uses healthcare scheduling software.
Achieving optimal staffing levels in skilled nursing facilities (SNFs) has long been an issue, which is why many leaders in…
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Mariaelisa.Papadeas@inovalon.com
Mariaelisa.Papadeas@inovalon.com In Provider

How to overcome common claims management challenges

biller managing claims management challenges
Reimbursement in healthcare has witnessed a concerning trend: an alarming surge in claim denials, primarily attributed to consistent claims management…
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Heather.Perella@inovalon.com
Heather.Perella@inovalon.com In Provider

3 ways to use claims analytics to thrive as an independent practice

A woman wearing glasses sits at a desk, working with financial documents and claims analytics on her calculator. She faces two large computer monitors displaying spreadsheets and data tables as sunlight streams in from a nearby window.
Managing an independent practice is becoming increasingly difficult in the face of growing administrative, regulatory, and financial burdens.
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Mariaelisa.Papadeas@inovalon.com
Mariaelisa.Papadeas@inovalon.com In Provider

How to combat rising commercial claims denials with intelligent RCM analytics

healthcare providers looking over data on commercial claims denials
Commercial payers may offer superior reimbursement rates for health insurance claims, but recent data shows collecting from these payers can…
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Mariaelisa.Papadeas@inovalon.com
Mariaelisa.Papadeas@inovalon.com In Provider

How to supercharge your RCM workflow

healthcare provider professional looking at data
In today’s fast-paced and ever-evolving healthcare landscape, optimizing and streamlining your revenue cycle management (RCM) workflow has become more crucial…
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Inovalon Admin
Inovalon Admin In Provider

Tips for accepting online bill payment for healthcare providers

A person wearing a yellow sweater smiles while holding a credit card and a tablet, suggesting they are accepting online bill payment for healthcare services.
In today's rapidly advancing digital era, healthcare providers are increasingly embracing the convenience and efficiency of online payment options. This…
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Joe.Edwards@inovalon.com
Joe.Edwards@inovalon.com In Provider

How to healthcare providers can improve patient insurance verification

A person hands over an identification card to another across a counter during patient insurance verification, with a clipboard and papers visible in the foreground.
Smart healthcare providers know when things are done right, the billing process begins before the patient is ever seen. Insurance…
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Heather.Perella@inovalon.com
Heather.Perella@inovalon.com In Provider

3 ways RCM analytics can ease healthcare staffing challenges

Three healthcare professionals in blue scrubs sit together indoors, holding papers and a tablet, discussing healthcare staffing needs in a modern medical setting.
In a statement before Congress, the American Hospital Association called the current staffing challenges in healthcare a “national emergency.” With…
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Heather.Perella@inovalon.com
Heather.Perella@inovalon.com In Provider

How Revenue Cycle Analytics Can Improve Your RCM Performance

A person works on a laptop while holding a smartphone, with a digital graph showing rising bars and data points from 2016 to 2022 overlaid in the foreground, symbolizing financial growth or revenue cycle management analytics.
In an industry where reimbursements define revenue, your survival depends on the transactions that take place between provider and payer.
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Heather.Perella@inovalon.com
Heather.Perella@inovalon.com In Provider

Improving the patient financial experience through staff satisfaction and collaboration

A city skyline in dark blue with HFMA 2023 in large white text, set against a gradient background of green and yellow waves, highlighting the theme of patient financial experience.
After another successful HFMA conference, we further confirmed that delivering exceptional patient care goes hand in hand with providing a…
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Heather.Perella@inovalon.com
Heather.Perella@inovalon.com In Provider

Hollywood math and the reluctant heroes of the revenue cycle

We've enjoyed being part of the HFMA experience and having insightful discussions about innovative solutions for many years. Last year…
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Inovalon Admin
Inovalon Admin In Provider

The Power of Workforce Management Analytics: The Best Way To Improve Healthcare Staffing Efficiency

Healthcare professional looking at workforce management analytics on a tablet
It’s hard to effectively allocate resources to healthcare staffing, especially in the midst of growing turnover rates and rising labor…
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Joe.Edwards@inovalon.com
Joe.Edwards@inovalon.com In Provider

Preventing revenue leakage from registration to billing

Illustrated infographic titled Slow Leaks & Tools for Mitigating Them shows strategies to improve healthcare processes, reduce revenue leakage, and enhance patient access and insurance discovery, all set around the U.S. Capitol building silhouette.
Revenue leakage, like a slow but constant drip from a hidden water pipe, accumulates over time to steadily erode margins.…
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Mariaelisa.Papadeas@inovalon.com
Mariaelisa.Papadeas@inovalon.com In Provider

SNF QAPI program: How to monitor and improve quality measurement performance issues

SNF nurses going over QAPI program analytics
Optimizing a QAPI program in a skilled nursing facility (SNF) can be challenging. The detailed and evolving requirements at the…
Read More
Mariaelisa.Papadeas@inovalon.com
Mariaelisa.Papadeas@inovalon.com In Provider

Enhance RCM analytics and boost reimbursements with cutting-edge scorecard dashboards

healthcare leaders in a meeting referencing RCM analytics
There’s no doubt you’re well versed in smart revenue cycle analytics… but the right RCM dashboard can help you work…
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Heather.Perella@inovalon.com
Heather.Perella@inovalon.com In Provider

Using healthcare workflow automation to streamline RCM processes

Illustrated infographic titled 3, 2, 1… Blast Off! Simplifying the New Frontier of Payer Reimbursements, highlighting healthcare trends, patient experience, and launching RCM Intelligence—an interactive dashboard featuring healthcare workflow automation for payers.
Tight profit margins are nothing new to healthcare providers. But over the last few years, the margins have grown increasingly…
Read More
Joe.Edwards@inovalon.com
Joe.Edwards@inovalon.com In Provider

The MDS assessment: Three steps to higher quality care and reimbursements

A person with curly hair sits at a desk, smiling and working on a laptop while completing an MDS assessment. A plant, mug, and bookshelf are visible in the background near a large window with city buildings outside.
How confident are you that your skilled nursing facility (SNF) has captured all earned reimbursement for each resident? Complete, accurate,…
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Heather.Perella@inovalon.com
Heather.Perella@inovalon.com In Provider

Simplifying the complex: Propel your revenue cycle with healthcare data visualization

Two cartoon figures react to challenges and benefits of healthcare data visualization in revenue cycles. Surrounding text highlights slim margins and improved cash flow. Bold heading and message: A picture is worth 10,000 rows of data.
efficient revenue cycle process a top priority. Slowdowns or unexpected hiccups in the RCM process can lead to major organizational…
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Joe.Edwards@inovalon.com
Joe.Edwards@inovalon.com In Provider

Proven strategies to improve star ratings for skilled nursing facilities

A woman with long braids wearing a blazer and earphones smiles while looking at her laptop in a modern office setting, exploring ways to improve star ratings.
Skilled nursing facilities (SNFs) cannot afford to overlook the considerable (and growing) impact that the Centers for Medicare & Medicaid…
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Joe.Edwards@inovalon.com
Joe.Edwards@inovalon.com In Provider

Understanding the value of automating healthcare claims

A receptionist sits at a desk with a computer displaying charts that help automate healthcare claims, while a woman and a young girl stand on the other side of the counter, handing over a document in a bright, modern office lobby.
In today’s healthcare environment, provider organizations of all types are striving to deliver the best care for their patients while…
Read More
Mariaelisa.Papadeas@inovalon.com
Mariaelisa.Papadeas@inovalon.com In Provider

3 ways revenue cycle analytics can help you navigate the shifting payer landscape

Healthcare biller sitting at a computer
As providers continue to seek out strategies to boost their margins, they face a host of challenges: An aging population…
Read More
Mariaelisa.Papadeas@inovalon.com
Mariaelisa.Papadeas@inovalon.com In Provider

HIMSS 2023 Recap: Harnesssing the Power of Healthcare Data

HIMSS 2023 text with a Chicago skyline background
Over 35,000 healthcare leaders and innovators attended HIMSS 2023 (April 17-21) in Chicago to discuss the latest in delivering data-driven…
Read More
Joe.Edwards@inovalon.com
Joe.Edwards@inovalon.com In Provider

Beyond the COVID public health emergency: How to avoid reimbursement delays

A calculator, stethoscope, and pen rest on a medical invoice, symbolizing healthcare costs and medical billing during the COVID public health emergency.
As President Biden announced earlier this year, the COVID public health emergency is ending May 11. Though the pandemic and…
Read More
Joe.Edwards@inovalon.com
Joe.Edwards@inovalon.com In Provider

How to improve medical billing: 7 strategies to enhance your claims management

A smiling woman in blue scrubs and a headset sits at a desk in a bright, modern office, looking at a computer screen as she researches how to improve medical billing.
Poor claims management and failure to stay up to date on the latest rules and regulations can cost your organization…
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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