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What is Inovaare?

Inovaare is a pioneer in providing health plan solutions that drive digital transformation in the healthcare industry, specializing in the automation of complex workflows associated with Medicare, Medicaid, and Commercial appeals and grievances (A&G), in addition to Compliance Program Effectiveness (CPE). Their adaptable cloud-based modules collect real-time information from multiple internal and external sources, resulting in a cohesive compliance management system. With a strong focus on HIPAA compliance, the platform integrates the most up-to-date regulatory practices, allowing health plans to fulfill their unique business requirements, stay prepared for audits, minimize risks of non-compliance, and lower operational costs. By streamlining labor-intensive manual compliance tasks, Inovaare’s advanced Appeals & Grievances and Regulatory Compliance tools improve CMS reimbursements, reduce compliance audit risks, and cut down on operating expenses. The software’s flexibility not only enhances risk detection and boosts operational efficiency but also provides accessible analytics that support informed decision-making. This cutting-edge strategy simplifies processes and equips healthcare organizations with the necessary tools to adeptly navigate the intricate regulatory environment, ultimately fostering a more resilient healthcare infrastructure. With Inovaare’s solutions, organizations can confidently adapt to the ever-evolving demands of the healthcare landscape.

What is ACUITYnxt?

ACUITYnxt, our software-as-a-service platform, features a user-friendly interface and adopts a holistic method to care management. Designed to meet industry regulations and accreditation standards with little need for customization, it prioritizes security by incorporating strong security measures, privacy protections, data encryption methods, and compliance strategies. The newest iteration of ACUITYnxt adds valuable tools like member risk assessments and alert notifications, which utilize resources such as the John’s Hopkins ACG™, Medicare RAF scores, hierarchical condition categories (HCC), and health risk assessment (HRA) scores. As a fully operational SaaS solution, its goal is to improve clinical outcomes while ensuring compliance and fostering financial and operational success. The platform serves the varied requirements of health plans, third-party administrators (TPAs), accountable care organizations (ACOs), and other risk-taking entities. With built-in regulatory compliance, ACUITYnxt streamlines the process for organizations to achieve both URAC and NCQA accreditation, encouraging a more efficient path to excellence in care delivery. This all-inclusive solution not only enhances health management but also promotes collaboration among various stakeholders within the healthcare landscape, ultimately striving for better patient outcomes.

Media

Media

Integrations Supported

Aerial
Rackspace Cloud Files

Integrations Supported

API Availability

API Availability

Pricing Information

Pricing not provided

Pricing Information

Pricing not provided

Supported Platforms

SaaS

Supported Platforms

SaaS

Customer Service / Support

Standard Support
Web-Based Support

Customer Service / Support

Standard Support
Web-Based Support

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Company Facts

Organization Name

Inovaare

Date Founded

2006

Company Location

United States

Company Website

www.inovaare.com

Company Facts

Organization Name

Chordline Health

Date Founded

1983

Company Location

United States

Company Website

chordline.com/products/acuitynxt/

Categories and Features

Healthcare Compliance

Not specified

Categories and Features

Patient Case Management

Activity Tracking
Assessment Notes
Billing & Invoicing
Calendar Management
Candidate Identification
Case List Management
Eligibility Verification
HIPAA Compliant
Medical History Records
Patient Records
Referral Management
Treatment Planning

Social Work Case Management

Case Notes
Client Management
Document Management
Forms Management
Goal Setting / Tracking
Program Management
Referral Management
Reporting & Statistics

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