Inovalon Provider Cloud Integrations

BambooHR is a highly regarded HR solution designed to assist expanding organizations in streamlining, consolidating, and linking their employee information in a single platform. This comprehensive tool serves as a central hub for managing data, recruiting new talent, processing payroll, and facilitating employee development. By utilizing BambooHR, companies can enhance their operational efficiency and improve workforce management.

Introducing MedEZ, the comprehensive paperless solution that has been streamlining clinical notes and practice management since 1995. With a focus on enhancing daily operations in behavioral health and substance abuse facilities, MedEZ covers crucial areas such as administration, patient management, and billing efficiently. This innovative platform provides tailored EHR products designed to improve various performance metrics, including financial, operational, and clinical outcomes for healthcare providers. MedEZ also simplifies the process of developing personalized programs and treatment plans for behavioral health centers, ensuring that all necessary documentation and reporting are handled with ease. Furthermore, it prioritizes HIPAA compliance by implementing user-defined checkpoints based on specific permissions, thus promoting a secure environment for patient data. Overall, MedEZ stands out as an essential tool for healthcare professionals aiming to optimize their practice management capabilities.

EZBIS stands out as an innovative software platform designed specifically for the efficient management of chiropractic practices. Renowned as a reliable electronic medical records system, EZBIS includes various modules that facilitate patient billing, accounting, appointment scheduling, payment collection, and self-check-in for patients. Additionally, it holds certification from an ONC Authorized Testing and Certification Body, ensuring it aligns with the specific requirements of chiropractors. Among its many features, EZBIS provides digital patient sign-in sheets and helpful pop-up reminders to streamline workflow. Furthermore, the software enables the electronic distribution of monthly statements and offers robust options for searching patient information, enhancing overall practice efficiency. This comprehensive solution is tailored to improve both patient experience and practice management simultaneously.

Insurance Discovery improves financial results by identifying previously overlooked billable coverage that healthcare providers might not know about, which reduces both underpayments and uncompensated care. Utilizing sophisticated search capabilities, this tool can uncover situations where patients have multiple active insurance payers, thereby enhancing the potential for better reimbursement. Moreover, it aids in avoiding reimbursement delays and speeds up revenue collection by ensuring that claims are accurately directed to the correct payers on the first submission, attributed to more precise coverage information. When combined with verified demographic data, Insurance Discovery offers dependable insights into coverage and eligibility. This innovative method replaces conventional manual insurance discovery processes with a rapid and exhaustive search that accesses numerous databases within seconds, providing comprehensive and precise coverage details. Additionally, it improves the overall experience for patients and residents by allowing for accurate assessments of out-of-pocket costs, leading to a more positive financial journey. By simplifying these procedures, healthcare providers can devote more attention to patient care rather than getting bogged down by administrative duties, ultimately enriching the quality of service delivered.

Provide round-the-clock access for patients, residents, and their caregivers to effortlessly handle payments for healthcare services, featuring secure and versatile payment options tailored to individual needs. A straightforward portal supports multiple payment types, ensuring users comprehend their financial obligations while enhancing overall satisfaction. Payments can be processed at the service point, online, through payment plans, by retaining cards on file, over the phone, or via mail, allowing for maximum flexibility. Streamline payment collection to improve cash flow for providers and residents alike. Centralize all payment details under one login for easier access and management. Leverage standard reporting tools or create and export an unlimited array of custom reports to minimize manual tasks. Keep track of and reconcile payments in real-time, ensuring accuracy and facilitating smooth end-of-day reconciliations. Improve the payment experience for patients, residents, and staff through flexible solutions such as text-to-pay, which not only enhances cash flow but also boosts convenience. This holistic approach simplifies payment management and strengthens the relationship between healthcare providers and those under their care, ultimately leading to better service delivery and patient satisfaction.

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.

The Eligibility Verification Standard significantly improves patient access and billing processes by enabling staff to effectively prioritize and assign patients, payers, and tasks during the eligibility verification workflow. This cutting-edge technology goes beyond simple eligibility checks by providing a detailed dashboard for verifying, managing, and archiving all inquiries made. It speeds up the verification process through automated enhancement, rectifying incomplete or inaccurately formatted transactions from payers. Moreover, personnel can perform multiple eligibility inquiries at once through batch file uploads that quickly confirm Medicaid, Medicare, and commercial coverage. Additionally, tasks can be easily assigned to team members, follow-up flags can be established, and eligibility documentation can be created for future reference. The management of patients across batches and the resolution of issues becomes more straightforward, requiring only a few clicks. In the end, this cloud-based, all-payer health insurance eligibility verification software not only streamlines operations and enhances the accuracy of coverage but also empowers staff to manage benefit inquiries in a way that best fits their workflow, thereby ensuring greater operational efficiency. Its intuitive design, combined with robust features, fundamentally changes how healthcare settings approach the eligibility verification process, ultimately leading to improved patient experiences.

Careficient AMS is a comprehensive cloud solution designed to streamline the management of staff, payroll timelines, and medical directives. It also facilitates the referral of sources, patients, and various other elements integral to healthcare operations. This platform enables users to consolidate all employee data in a single location for enhanced accessibility. Moreover, Careficient AMS simplifies the process of selecting the most suitable personnel for your organization’s needs, ensuring efficient staffing. With its user-friendly interface, managing operational tasks becomes significantly more efficient.

Presenting Optimum, a groundbreaking platform aimed at streamlining hospital operations through enhanced workflow automation and improved financial performance in patient care. This solution enables secure and intelligent data exchange, crucial in a landscape increasingly focused on value-based care. As the demand for heightened security, quick access to vital information, and efficient care coordination grows, Optimum rises to the occasion by ensuring smooth transitions in care and promoting transparent communication across diverse healthcare networks, leveraging various data sources, including HL7, all while providing peace of mind. The significance of effective denial claim management cannot be understated, as it plays a critical role in preventing lost payments and reducing uncollected claims. Optimum equips healthcare providers to tackle challenges like missing or duplicate information proactively during the billing process, thereby boosting efficiency and ensuring timely resolutions. In addition, Cantata Health Solutions offers exceptional electronic health record and financial management software designed specifically for hospitals, skilled nursing facilities, and assisted living communities, empowering them to navigate the complexities of contemporary healthcare. By adopting these cutting-edge solutions, healthcare providers can profoundly enhance their operational effectiveness and elevate patient satisfaction levels, ultimately leading to a more cohesive healthcare environment. This commitment to innovation positions Optimum as a vital asset in the pursuit of excellence in healthcare delivery.