Inovalon

  • SNF
  • HH
  • HO
  • PC

Inovalon’s revenue cycle management solutions streamline and automate every aspect of RCM for HomeHealth and Hospice agencies. Ranging from eligibility verification and patient access enhancements, to claims submissions, workflow analytics, and more, each solution helps providers simplify the complexities of revenue cycle management.

Inovalon and MatrixCare have enhanced their long-standing partnership to include seamless integration for claims, remittances, automated secondary billing, automated DDE integration, eligibility, patient statements, and insurance discovery. We are excited to offer the best in class post-acute workflow to customers.

Inovalon eClaims integration functionality was developed to optimize and integrate front- and back-end processes and offer tools to allow our customers to gain speed and clarity in their workday. Organizational leaders will benefit from more accurate processes and claims details that support their bottom line.

Streamlined claims management workflows:

  • Transmit Medicare and commercial 837 claim files, receive status of files and claims, and retrieve 835 remittances automatically within MatrixCare

Automated Medicare Secondary Payer (MSP) billing

Actionable insight for denial management:

  • All payer messages, remittance reason codes, and remittance status codes post back to every claim in real time, coupled with advanced analytics dashboard and reporting to identify denial trends.
  • Electronic Submission of Medical Documentation (esMD) capabilities to help eliminate the need to mail or fax paper documents to respond to Additional Document Requests (ADRs)

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Details

Eligibility Verification Standard (SNF)

Inovalon’s Eligibility Verification StandardTM helps automate routine tasks, freeing up staff to focus on more complex and strategic initiatives. With a customizable dashboard, users can monitor insurance coverage, manage exceptions by reassigning them as needed, and reduce system-hopping through easy API integrations – all while keeping workflows moving efficiently.

Insurance Discovery (SNF)

Inovalon’s Insurance DiscoveryTM helps teams reclaim hours and get paid faster by turning the wild goose chase for coverage into a smooth, efficient process. Uncover previously unknown insurance coverage to keep claims moving forward, reduce manual workloads, and enable teams to work without bouncing between systems or learning new workflows.