Skilled Nursing Facility

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

The myABILITY Portal, Powered by the Inovalon ONE® Platform

Deliver a better resident experience and improve revenue with SNF solutions that reduce errors and enhance reporting and claims tracking. Our software integrates with leading EHR used by skilled nursing facilities.

Overview

Imagine saving time by entering multiple residents and checking eligibility for multiple payers in a single step. What if you could improve CMS reporting and easily track infections from a customizable dashboard? Our apps for SNFs make it happen, helping you maintain a high level of care and keep revenue on track.

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

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.

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.

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.

Medicare Billing

This complete electronic claims submission and management application can be used in a standalone configuration or in conjunction with your existing claims management system.

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.

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.

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.

Elderly patient in wheelchair

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.

Doctor representing infectionwatch solution

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.

Photo of happy woman in healthcare

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

SMARTFORCE Scheduler 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

ABILITY SMARTFORCE® Staffing Insights 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

ABILITY SMARTFORCE® Attendance 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, ABILITY SMARTFORCE Credentialer 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.

health workers enjoying job

Physician Scheduling

ABILITY SMARTFORCE Physician is a cloud-based, fully mobile application that simplifies the unique complexities associated with physician scheduling. This powerful, rules-based software streamlines the process of creating and managing fair and balanced schedules for providers.

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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