The Inovalon ONE® Platform
Our Platform brings together national-scale connectivity, real-time primary source data access, and advanced analytics to power 100+ cloud-based solutions that enable improved clinical outcomes and economics across the healthcare ecosystem.
Data Cloud
Drive better health outcomes and economics, informed by diverse, longitudinally linkable data.
Payer Cloud
Improve member care and outcomes while achieving greater performance with sophisticated analytics and dynamic business intelligence.
Provider Cloud
Optimize revenue cycle management, care quality management, and workforce management in one single-sign-on, easy-to-use portal.
Pharmacy Cloud
Streamline pharmacy operations and improve performance with automated processing, real-time data exchange, and electronic decision support.

DataStream
Improve the patient experience and care coordination with comprehensive, patient-specific data at the point of care.
Real-World Data
Accelerate research and improve healthcare outcomes with longitudinally linkable, deidentified data.
Data Solutions
Partner with our research and analysis experts to answer the complex healthcare questions of today for a better tomorrow.
SDOH Market Insights
Identify and address social determinants of health (SDOH) to drive better access, higher engagement, improved outcomes, lower costs, and equitable healthcare.
Health Equity Index Dashboard
Data analytics to help Medicare Advantage plans understand their performance on the new CMS Health Equity Index.

Converged Quality
Discover how our leading HEDIS® software and deep industry expertise enable health plans to achieve high-quality performance in today’s data-driven healthcare ecosystem.
Converged Risk
Ensure compliance with advanced analytics and flexible member engagement solutions enabling efficient and accurate documentation of member conditions.
Converged Outreach
Customize and coordinate integrated, patient-specific intervention programs and outreach for better patient outcomes and economics.
Converged Provider Enablement
Translate organizational goals to the provider point of care with shared insights into patient care quality, documentation, program performance, utilization, and custom initiatives.
Electronic Record On Demand
Exchange data with more than 750,000 providers connected to the Inovalon ONE® Platform today to access relevant digital patient medical records 10 times faster than manual retrieval.
Consumer Health Gateway
Give members quick, reliable access to their health data, enabled by a secure, compliant solution.

Back-end Revenue Cycle
Improve back-end revenue cycle efficiency, accuracy, and ultimately, speed to payment with streamlined SaaS-based workflows.
Front-end Revenue Cycle
Enhance front-end revenue cycle workflows with accurate patient data collection, automated eligibility verification, and reducing uncompensated care.
Care Quality Management
Optimize reimbursement and CMS Star Rating performance with enhanced post-acute quality reporting and care management.
Workforce Management
Streamline and automate the scheduling process across teams, job levels, and locations. Track licenses, credentials, staffing trends, and more.
Strategic Partnerships
We’re better together. Discover how a seamless, successful partnership can provide your customers with endless possibilities.

ScriptMed Specialty
Reduce time and cost to fill with real-time healthcare connectivity, advanced analytics, and automated processing.
ScriptMed Infusion
Access meaningful clinical data at the point of care to enable better treatments and patient outcomes.

Home › Products › Inovalon Provider Cloud › Revenue Cycle Management › ABILITY AUTOMATE esMD

Medicare ADR Submission Software

Easily submit and track ADR responses, RAC audit information, and appeals to maximize efficiency through automation.

esMD Management, Powered by the Inovalon ONE® Platform

Receive reimbursement faster and resolve appeals more quickly by eliminating manual tracking and responses to ADRs, audits, and appeals.

Overview

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

Increase speed and efficiency

Expedite your Medicare claim review process by assembling and uploading documents in a convenient, web-based interface.

Track audits and appeals online

Say goodbye to multiple spreadsheets. Track all audits and appeals in one place with a simple, color-coded dashboard.

Reduce overhead

Save time and eliminate paper, printing and mailing costs with secure, HIPAA-compliant electronic delivery of all documentation.

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Benefits

Strengthen staff productivity with a color-coded audit status dashboard and work list to assign tasks to other users for the creation, completion, and submission of ADRs or appeals documentation.

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Speed things along

Resolve appeals electronically and get paid faster.

Connect with many programs

Enjoy real-time connectivity to multiple Medicare esMD programs.

Avoid delays

Get started with fast and easy implementation.

How it Works

Turn the previously time-consuming process of submitting and tracking ADRs, audits and appeals into an efficient and automated experience.

Discover why providers choose Inovalon's Medicare ADR submission software to help maximize time and resources.

As CMS toughens its claims scrutiny, your organization may be subject to an increase in post-payment reviews. In addition, shifting payment models are increasing the number of denials and the need for appeals.

With esMD Management, you can simplify your process for secure submission, tracking, and reporting for Medicare claim review programs. Inovalon’s easy-to-use application guides you each step of the way, from entering needed information and uploading files to sending and tracking documentation.