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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 DRG Claims Management?

It is indeed true that "not all DRG vendors are created equal." While their promotional tactics might appear alike, these vendors typically fall into two distinct groups: those that primarily serve provider hospitals and those that concentrate on identifying overpayments for health plans and payers. Similar to how lawyers often specialize in either defending or prosecuting cases, auditing vendors usually focus on the unique requirements, cultures, and interests of their particular client base. Among the vendors that prioritize payers, there exists a wide variety of strategies for DRG auditing and overpayment detection. Additionally, our service portfolio features a dedicated team of physicians who conduct clinical reviews to produce validation findings, specifically targeting situations where recognized problems arise from unsupported clinical diagnoses made by attending physicians, which surpasses the capabilities of coders. Our results consistently indicate that our coding compliance model leads to verified savings, thus enhancing financial efficiency for healthcare providers. Therefore, the choice of the right vendor can have a profound effect on the financial stability of both hospitals and payers alike, highlighting the importance of careful vendor selection in the healthcare landscape. Furthermore, this distinction among vendors underscores the necessity for stakeholders to understand their specific needs when seeking partnerships for effective revenue management.

Media

Media

Integrations Supported

Aerial
Rackspace Cloud Files

Integrations Supported

Aerial
Rackspace Cloud Files

API Availability

Has API

API Availability

Has API

Pricing Information

Pricing not provided.
Free Trial Offered?
Free Version

Pricing Information

Pricing not provided.
Free Trial Offered?
Free Version

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Customer Service / Support

Standard Support
24 Hour 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

DRG Claims Management

Date Founded

2009

Company Location

United States

Company Website

www.drgclaims.com/solutions/

Categories and Features

Categories and Features

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