Physicians & Clinical Practices

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

The myABILITY Portal, Powered by the Inovalon ONE® Platform

Deliver a better patient experience and improve revenue tracking and collection with technology solutions that expand patient payment options, reduce claims errors, and strengthen workforce management.

Overview

Running a successful practice can be complex and time-consuming, particularly on the administrative side. Inovalon specializes in helping you submit cleaner claims to prevent reimbursement delays and streamline the workflow between you, commercial payers, Medicare and Medicaid.

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.

Patient Payment

ABILITY SECUREPAY is a comprehensive patient payment software that enables you to capture more revenue and improve patient satisfaction.

Woman reviewing data

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.

Image of woman reviewing patient statement

Patient Statements

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

Photo of providers discussing medicare claims

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

ABILITY 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.

Photo of person paying with credit card

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. ABILITY CHOICE® Medicare Eligibility 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.

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 ABILITY SMARTFORCE® Scheduler.

Healthcare Credential Management

Integrated with ABILITY SMARTFORCE® Scheduler, 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.

Before I started to use ABILITY CHOICE All-Payer Claims, I could primarily see clients who were willing to pay out of pocket, because handling the insurance claims seemed too complicated and overwhelming. Now, I am able to serve clients I couldn’t see before and receiving insurance payments is easy. This has made such a difference in my monthly revenue, I was able to put my entire focus on my practice!

Felicia LiboLicensed Professional Counselor, Felicia Libo, LPC, LLC
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.

Request a Demo
Questions? Call (301) 809-4000

Stay in touch

Get our latest news and updates as they occur.

Subscribe