Inovalon

Inovalon helps post-acute revenue cycle teams submit cleaner claims, work denials faster, and recover coverage they would otherwise write off. Built for both home health and hospice agencies and skilled nursing facilities (SNF), Inovalon’s integrated RCM solutions span across the revenue cycle workflow, including eligibility verification, patient access, claims submission, remittance, and the analytics that show where dollars are getting stuck.

Inovalon and MatrixCare have worked together for years, and the integration enables users to optimize their revenue cycle workflows. Claims, remittances, automated secondary billing, DDE integration, eligibility, patient statements, and insurance discovery all connect without a separate portal or manual re-entry. Revenue cycle leaders get more accurate processing and claim-level data they can tie straight to cash flow.

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Solutions for Home Health and Hospice

Inovalon’s eClaims integration handles front- and back-end billing for home health and hospice agencies:

Integrated claims management: Transmit Medicare and commercial 837 claim files, track file and claim status, and pull 835 remittances automatically, without leaving your workflow.
Automated Medicare Secondary Payer (MSP) billing: Limit the manual entry and rework that secondary claims can create.
Denial management: Payer messages, remittance reason codes, and status codes post back to each claim in near real-time, and the analytics dashboard surfaces the denial trends worth chasing.
Electronic Submission of Medical Documentation (esMD): Respond to Additional Documentation Requests (ADRs) electronically instead of through mail or fax.

Solutions for Skilled Nursing Facilities (SNF)

Tools that help SNF teams automate routine verification, find missed coverage, and stay in one system:

Eligibility Verification Standard™: Automate routine eligibility checks so staff can spend their time on the complex cases that need judgment. A customizable dashboard tracks coverage and flags exceptions your team can reassign, and the API keeps everything connected to your existing workflow.
Insurance Discovery™: Find active coverage patients did not report, so claims that would have been written off get billed and paid. It replaces the manual hunt for coverage and keeps your team out of separate systems.