The healthcare landscape grows more challenging every day. Providers need to balance the pressures of providing the best care for patients with the ever-increasing complexities of administrative, clinical and regulatory standards and requirements. Providing sophisticated data-driven toolsets at the point of care, we empower providers to both navigate the financial and administrative burdens and meaningfully improving patient care and outcomes. Tens of thousands of providers—including more than 50,000 provider sites—nationwide rely on us for innovative tools to help them simplify complicated operations.
Hospitals and health systems are challenged by operational complexities in managing their revenue cycle in a changing payment landscape while also ensuring they are staffed to for optimum care and regulatory compliance without incurring unnecessary expense. The ABILITY suite of tools supports hospitals and health systems with sophisticated all-payer claims and eligibility workflow, as well as patient payment applications on a single platform. To meet cost and compliance needs in managing a clinical workforce, the ABILITY toolset of capabilities supports administrators and managers with a workforce management platform for flexible staff scheduling, time tracking and non-physician credentialing.
Providers in ambulatory settings face an array of reimbursement challenges from the complexity of navigating commercial and public payers and the urgent needs of patients who may struggle to pay. From basic claims submission to advanced revenue cycle management, the ABILITY suite of toolsets meets all-payer claims and eligibility needs for any size or type of setting. With streamlined workflow management, the ABILITY capabilities help providers overcome barriers to revenue collection, while improving the staff and patient experience.
Bringing together the Inovalon ONE® Platform and the myABILITY Network, we provide workforce management applications and analytics to improve efficiency, outcomes, and financial performance in the post-acute setting. Our applications help with advanced capabilities to inform and improve:
Organizations in the post-acute space are subject to the interrelated challenges of financial pressure, enhancing care quality and regulatory oversight. Offered in a software-as-a-service fashion, the ABILITY suite of applications offers revenue cycle management and care quality management applications that support financial health, operational efficiency and regulatory reporting requirements. Key functions include all-payer claims and eligibility, quality assurance and reporting, bench-marking, workforce management and patient and resident payment. All of these work to improve the experience of patients, residents, caregivers and staff and strengthen organizational performance.
In this era of a changing payment landscape, consumer-driven healthcare and rising healthcare costs, it’s more important than ever to stay close to your providers. Coordinated care and information flow are absolutely essential for managing the balance between healthcare and health costs. Software companies of all types take advantage of the nation’s largest, most secure web and private network infrastructure, which connects to Medicare and most commercial payers. With security protocols that exceed today’s industry standard, strategic partners of the ABILITY suite of capabilities get the benefits of our industry-leading services with less stress about the administrative details of providing them.