Universal Billing Claims Management Software

Universal Billing (UB-04) claims management software that helps skilled nursing facilities avoid costly billing mistakes with speed and accuracy.

Powered by the Inovalon ONE® Platform

Submit cleaner claims and drive revenue with billing software built specifically to help manage UB-04 requirements.

Overview

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.

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Submit cleaner claims

Find unintended billing patterns before claims are submitted, coordinate clinical MDS and financial UB records, and resolve clinical and billing discrepancies before submitting every claim.

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Drive revenue

Find untapped, justifiable revenue using the RUG Potential tool. View your RUG groups before transmitting your assessments and plan ahead for the next MDS.

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Minimize audit risk

Get alerts about billing that's unsupported by the underlying MDS, receive exception alerts that allow corrections to be made prior to submitting claims, and minimize delays and revenue reductions.

Benefits

Find unintended billing patters before they affect your bottom line, by automatically comparing clinical claims data with UB-04 forms prior to submission.

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Built-in Triple Check

Scan for any costly formatting inconsistencies or errors and identify claims resolutions with built-in checks reviewing every UB-04 claim.

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Easy implementation

Seamlessly add this Universal Billing claims management software into your workflow with a quick implementation on any industry-leading browser.

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Dedicated training and support

Learn from a team of trained nurses via webinars, newsletters, and other support resources ready to help you get the most out of this application.

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Enhanced capabilities

In conjunction with ABILITY CAREWATCH®, this application coordinates clinical and financial records to meet CMS expectations and organizational goals.

How it Works

Gain confidence, speed, and accuracy with one application that detects unintended billing patterns and provides resolution options to power accurate, timely claims submission.

Enhance billing processes with Universal Billing claims management software.

ABILITY UBWATCH empowers skilled nursing staff with the confidence they need to submit UB-04 claims accurately. It automatically reviews every claim and checks it against its corresponding Minimum Data Set (MDS) to ensure the clinical data is reflected correctly within the claim for billing.

The application identifies discrepancies and delivers correction guidance when errors are found, enabling faster speed to submission to help drive organization revenue. This helps skilled nursing facilities (SNFs) avoid suspended claims, CMS audits, demand for repayments, False Claim Act issues, under/over billing, and more – all with one automated review process that eliminates human error and helps coordinate consistency across key records.

Frequently Asked Questions

How does this help our Triple Check process?

ABILITY UBWATCH gives all staff visibility to the Triple Check, regardless of where they are in the facility. This makes it easier to fill out the Triple Check – saving time and improving staff participation in ensuring an accurate, fully completed form.

How does this help ensure UB claim accuracy?

The MDS assessments in ABILITY CAREWATCH are matched to the UB claims in ABILITY UBWATCH. When a UB claim is missing its corresponding MDS, or the principal diagnosis in the claim doesn’t match the information in the corresponding MDS, ABILITY UBWATCH will identify that for you. This catches the claim error prior to submission and makes sure all details are aligned for proper, timely reimbursement, and, provides logic around the UB-04 manual for data accuracy.

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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