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What is Riversoft?

We guarantee our unwavering dedication! RiverSoft provides extensive billing functionalities that are compatible with all payers and rigorously adhere to both state and federal guidelines. With a single click, users can produce reports that outline unbilled claims along with their justifications, promoting clarity. Our RiverSoft pathways significantly streamline the EMR entry process, enabling precise charting and impeccable claims submission. We possess comprehensive insights into the requirements of your payers and the applicable regulations. Moreover, we ensure strict compliance with care plans, resulting in Perfect Claims. Unlike one-size-fits-all solutions, we customize our services to align with your agency's specific operational demands. With an array of integrated clinical consistency checks, you will be thoroughly equipped for any audits that arise. You can easily oversee patient aide assignments, gather vital signs, and secure patient signatures with efficiency. Additionally, arrival and departure times are recorded with GPS accuracy, and office schedules are promptly confirmed upon leaving. Our commitment to customization ensures that the distinctive workflows of your agency are fully accommodated, making our solutions even more effective. In doing so, we empower your agency to deliver the highest level of care without unnecessary complications.

What is Inovalon Claims Management Pro?

Achieve a consistent revenue flow by leveraging a powerful platform designed to expedite reimbursements through eligibility checks, claims status monitoring, audit and appeal processes, and remittance management for both governmental and commercial claims, all within a unified system. Benefit from an advanced rules engine that swiftly corrects claims in alignment with the latest regulations from CMS and commercial payers, enabling you to fix any errors before submission. During the claim upload procedure, verify eligibility with all payers and pinpoint any issues that require attention, allowing for essential modifications prior to dispatching the claims. Decrease the days in accounts receivable by utilizing automated workflows to manage audit responses, submit appeals, and oversee administrative dispute resolutions efficiently. Customize staff workflow tasks according to the type of claim and the actions needed for resolution. Moreover, automate the process of submitting secondary claims to avoid the risk of timely filing write-offs. Ultimately, improve your claims revenue through streamlined workflows that support faster and more effective audits and appeals, ensuring your organization remains financially robust. Additionally, the adaptable nature of this comprehensive system allows it to grow alongside your operations, providing sustained advantages over time. This flexibility not only enhances operational efficiency but also prepares your organization for future changes in the healthcare landscape.

Media

Media

Integrations Supported

Inovalon Provider Cloud

Integrations Supported

Inovalon Provider Cloud

API Availability

Has API

API Availability

Has API

Pricing Information

$140 per user per month
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

Riversoft

Company Location

United States

Company Website

www.riversoft.net

Company Facts

Organization Name

Inovalon

Date Founded

1998

Company Location

United States

Company Website

www.inovalon.com/products/provider-cloud/revenue-cycle-management/all-payer-revenue-cycle-management/

Categories and Features

Reservations

Activities Booking
Booking Notes
CRM
Customer Support
Group Reservations
Guest Management
Payment Processing
Promotions Management
Rate Management
Room Booking Management
Third Party Booking

Categories and Features

Insurance Claims Management

CRM
Claims tracking
Customer portal
Document management
EDI data exchange integrations
Electronic claims
Fraud management
Reporting

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