Inovalon Provider Cloud

Optimize revenue cycle management, care quality management, and workforce management all in one single-sign-on, easy-to-use portal.

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Inovalon Provider Cloud

Powered by the Inovalon ONE® Platform

More than 47,000 provider sites rely on our innovative tools to simplify complicated operations across the patient care journey.

Overview

Improve the patient financial experience and simplify administrative and clinical complexities with the Inovalon Provider Cloud – all while saying goodbye to siloed workflows.

Our SaaS solutions help you strengthen financial and clinical outcomes across the patient journey, from creating front- and back-end revenue cycle processes for better reimbursement to ensuring appropriate staffing levels for optimal care. This is all managed in one comprehensive portal to take your organization to new heights improving revenue, staff equity, and care quality.

Enhance your organization’s efficiency, productivity, and overall effectiveness. Discover what the Provider Cloud can do.

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Gain End-to-End Revenue Cycle Visibility

Understand where your revenue processes are missing the mark and adjust accordingly with detailed performance data. Monitor financial performance trends, identify and correct operational risks, and streamline commercial and government claims management processes.

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Achieve Staff Equity

Strengthen engagement and retention by setting staff up for success with adequate staffing across departments, shifts, and credential requirements.

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One Enterprise-Wide Solution

Bring your organization together in one comprehensive portal to better align initiatives, identify areas of improvement, and boost your bottom line.

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Revenue Cycle Management

Automate and streamline the revenue process from patient registration and intake through patient payment, with customizable configurations to enable patient data accuracy and staff efficiency.

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Care Quality Management

Enable post-acute quality reporting management, infection control, risk management, and more through one consolidated system for documentation, submission, and advanced reporting.

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Workforce Management

Manage staffing and credentialing across units, departments, and locations, with detailed insights on overtime, turnover, and special labor costs.

Revenue Cycle Management

Automate and streamline the revenue process from patient registration and intake through patient payment, with customizable configurations to enable patient data accuracy and staff efficiency.

Patient Claims & Billing

All-Payer Revenue Cycle Management

Keep revenue flowing with a powerful tool that helps staff focus on real-time eligibility checks, claims status tracking and simple payment posting for both government and commercial claims.

Medicare Revenue Cycle Management

Automate your Medicare billing management with specialized software that corrects complex and multi-step claims, flags receivables at risk and allows you to perform easy eligibility look-ups.

Patient Payment

Patient Payment Management is a comprehensive patient payment software that enables you to capture more revenue and improve patient satisfaction.

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Revenue Cycle Management Analytics

Improve first-pass yield on all claims. Inovalon All-Payer RCM Intelligence delivers analytic dashboards to identify performance trends, enabling decision makers to easily discover, predict, visualize, model, and manage data all in one application.

All-Payer Claims Management

Our easy-to-use electronic claims management application allows users to submit, edit and receive claims for Medicare, Medicaid and thousands of commercial insurance companies – all in one place.

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Patient Statements

Inovalon Patient Statement Management software provides your patients easy-to-read breakdowns of outstanding balances, with statements white labeled to your organization.

Medicare ADR Submission

Simplify your process of secure submission, tracking, and reporting for Medicare claim review programs. This specialized software features connectivity to multiple Medicare esMD programs including ADR, RAC Audits, first- and second-level appeals, PERM, CERT, and more.

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Medicare Claims Management

ABILITY CHOICE Medicare Claims is a secure claims submission and remittance advice solution, giving you fast, automated processing and payment of Medicare claims.

Patient Access

Patient Registration

Reduce downstream denials and reimbursement delays through accurate patient data collection at intake. Empower staff to validate patient identity, verify eligibility, and identify all available insurance coverage, all within a few steps powered by a single patient registration software application.

Healthcare Insurance Coverage Discovery

Insurance Discovery reduces uncompensated care and underpayments by identifying active billable coverage previously unknown to the provider. Using sophisticated search capabilities, this solution identifies if patients have multiple active payers to help boost reimbursement opportunities.

All-Payer Health Insurance Eligibility Verification

Eligibility Workflow streamlines patient access and billing workflows by enabling staff to assign and prioritize patients, payers, and tasks during eligibility verification. This technology goes beyond basic eligibility needs, providing a dashboard to confirm, manage, and store every inquiry.

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Healthcare Propensity to Pay

Realize the power of patient identity verification combined with custom propensity to pay scoring in one easy-to-use, cloud-based healthcare application. Lower the risk of uncompensated care and collect more revenue with more patient data readily available to make better-informed billing decisions.

Medicare Eligibility Verification

Get fast, detailed eligibility status and medical benefit information, without the hassle of juggling multiple login IDs and passwords. Eligibility Verification Medicare software enables you to submit inquiries 24/7 and receive real-time responses.

Medicare DDE/FISS Connectivity

IVANS NOW delivers secure, online connections for Part A and Part B providers. If you need connectivity to DDE through the Professional Provider Telecommunication Network (PPTN), Regional Home Health and Hospice Intermediary (RHHI), or Claim Status Inquiry (CSI), we have you covered.

Patient Engagement

Telehealth

Inovalon’s Virtual Care software is user-friendly, reliable, and built by a team of healthcare experts with the full patient journey in mind. The solution easily integrates with eligibility, claims, and patient payment tools powered by the Inovalon ONE Platform, so you can bring key care delivery functions into one place.

Care Quality Management

Enable post-acute quality reporting management, infection control, risk management, and more through one consolidated system for documentation, submission, and advanced reporting.

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MDS Assessment

Thousands of skilled nursing facilities nationwide rely on this application to help them improve resident assessment data accuracy and enhance care plans via analysis of the MDS.

Payroll-Based Journal (PBJ) Reporting

ABILITY CAREWATCH PBJ eases the burden of preparing and validating your PBJ files and helps ensure compliance with CMS rules. User alerts help you identify and correct errors quickly so you can submit with confidence.

CMS OASIS Validation & Analytics

OPTIMIZE Analytics is the go-to resource for your home health agency’s performance improvement needs. From organizational performance analysis to accurate and rapid validation of OASIS data, our cloud-based application has you covered.

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Infection Surveillance

Improve infection surveillance, gain a broader and more detailed overview of antibiotic use, and meet CMS requirements – all with greater ease and efficiency made possible by advanced, easy-to-use software.

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Universal Billing Claims Management

Review each UB-04 claim prior to submission to ensure consistency and compliance for timely payment – and do so automatically with the power of ABILITY UBWATCH.

Healthcare Risk Management & Reporting

Strengthen incident management and prevention with RISKWATCH. Our software draws attention to each occurrence so you can assure a thorough investigation, proper response, and review – and use those learnings to reduce future risk, decrease liability, and improve resident care.

Workforce Management

Manage staffing and credentialing across units, departments, and locations, with detailed insights on overtime, turnover, and special labor costs.

Healthcare & Nurse Scheduling

Schedule Management is a fully mobile, cloud-based scheduling and open shift management application that empowers single units, departments, clinics, facilities, and enterprises to streamline scheduling processes and make more effective, data-driven staffing decisions.

Healthcare & Nurse Staffing Analytics

Workforce Intelligence delivers intuitive dashboards that provide on-demand access to workforce financial performance and staff wellness metrics. Powerful staffing analytics reports give insight into staff sentiment so you can resolve issues before they happen.

Healthcare Time & Attendance

Attendance Management simplifies the collection and tracking of staff attendance data. The software leverages the cutting-edge technology that today’s users expect, including geolocation and streamlined pay code management, and is fully integrated with Inovalon's Schedule Management.

Healthcare Credential Management

Integrated with Inovalon's Schedule Management, Credential Management streamlines non-physician credential management. Define and track credentials and licenses (such as NP, CNM, CRNA, APRN, and more), required training, certifications, and expiration dates – all in a one secure application.

Who We Help

Manage staffing and credentialing across units, departments, and locations, with detailed insights on overtime, turnover, and special labor costs.

Ancillary Services

Easily file claims and track remittances with software that’s ideal for providers of services such as radiology, cardiac monitoring, sleep diagnostics and more.

Federally Qualified Health Center (FQHC)

Discover software solutions that address the unique challenges of operating as an FQHC.

Health System

Strengthen revenue, improve efficiency, and simplify staffing with smart software.

Home Health

Enhance billing and star ratings with applications created for the unique challenges of home health agencies.

Hospice

Improve Medicare billing with software specially designed to help hospice organizations maximize both accuracy and efficiency.

Hospital

Improve your hospital’s cash flow with software that simplifies complex reimbursement processes.

Physicians & Clinical Practices

Simplify administrative complexities with software that enhances billing, staff scheduling and more, helping you focus on what matters most – patient care.

Skilled Nursing Facility

Strengthen your care quality and revenue cycle with SNF-focused software that enhances accuracy, efficiency, and reporting.

Strategic Partnerships

We’re better together. Discover how a seamless, successful partnership can provide your customers with endless possibilities.

Resources

Provider Resources

Gain insights from Inovalon case studies, infographics, videos, and other resources to get the most out of our products and solutions.

Let’s transform healthcare
together.

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Questions? Call (301) 809-4000

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