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Revenue Cycle Management
Improve revenue cycle efficiency, accuracy, and ultimately, speed to payment with streamlined, SaaS-based workflows.
The myABILITY Portal, Powered by the Inovalon ONE® Platform
Deliver a better patient experience and improve revenue with enterprise solutions that reduce errors, enhance claims tracking, and empower staff success from intake through patient payment.
Overview
Discover an easier, more efficient way to manage your revenue cycle.
Inovalon’s revenue cycle management solutions streamline and automate every aspect of RCM. Ranging from eligibility verification, patient access enhancements, patient payment applications, claims submissions, workflow analytics, and more, each solution helps providers simplify the complexities of revenue cycle management.
Through the myABILITY portal, we enable staff to automate and streamline the revenue cycle by leveraging smoother, cloud-based workflows. Front- and back-end teams gain speed and clarity in their workday while organizational leaders benefit from more accurate processes and claims that benefit their bottom line.
Patient Claims & Billing
Our connections to Medicare, Medicaid, and over 4,000 commercial payers replace siloed claims submission steps with a single source, helping some providers achieve a 99% or better first pass acceptance rate1.
Patient Access
Perform a single inquiry against expansive payer lists to quickly verify patient information for an individual patient and multiple patients via batch upload for faster, more accurate results.
Patient Engagement
Easily conduct virtual visits even before the first patient-provider interaction, with smoother front-end revenue cycle management workflows that allow patients to begin care smoothly and set up providers for success.
99
or Better Clean Claims Rate1
1
Claims and Remits Processed Annually
39.5
Average Insurance Identification Match Rate on Uninsured Accounts2
1Inovalon internal reporting, ABILITY EASE® All-Payer, November 2020.
2Inovalon internal reporting, September 2021. Individual results may vary.
Revenue Cycle Management
Automate and streamline RCM workflows from patient registration and intake through patient payment, with customizable configurations to enable patient data accuracy and staff efficiency.
Patient Claims & Billing
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
ABILITY COMPLETE® 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.
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 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.
Resources
Provider Resources
Gain insights from Inovalon case studies, infographics, videos, and other resources to get the most out of our products and solutions.
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