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Average Ratings 0 Ratings

Total
ease
features
design
support

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Write a Review

Description

Ensure a steady stream of revenue by utilizing a robust platform that accelerates reimbursements through eligibility verification, tracking claims status, conducting audits and appeals, and managing remittances for both government and commercial claims, all integrated into one cohesive system. Take advantage of a sophisticated rules engine that promptly cleanses claims in accordance with the latest CMS and commercial payer regulations, enabling you to rectify any inaccuracies prior to submission. During the claim upload process, confirm eligibility across all payers and identify any flagged issues, allowing for necessary edits before the claims are sent. Reduce the days in accounts receivable by implementing automated workflows for handling audit responses, submitting appeals, and tracking administrative dispute resolutions. Tailor staff workflow assignments based on the specific claim type and required actions. Additionally, automate the submission of secondary claims to prevent timely filing write-offs. Ultimately, enhance your claims revenue through automated workflows that facilitate quicker and more successful audits and appeals, ensuring your organization remains financially healthy. Furthermore, this comprehensive system can adapt to your evolving needs, providing long-term benefits as your operations grow.

Description

We assure you of our commitment! RiverSoft offers comprehensive billing capabilities compatible with all payers while maintaining full compliance with state and federal regulations. With just a click, users can generate reports detailing unbilled claims and their reasons, ensuring transparency. Our RiverSoft pathways enhance the efficiency of EMR entry, facilitating meticulous charting and flawless claims submission. We possess in-depth knowledge of your payers’ requirements and the relevant regulations. Furthermore, we ensure that care plans are adhered to, leading to Perfect Claims. Unlike generic solutions, we tailor our offerings to meet the specific operational needs of your agency. With hundreds of integrated clinical consistency checks, you’ll be well-prepared for any audits. Effortlessly manage patient aide tasks, collect vital signs, and obtain patient signatures. Additionally, arrival and departure times are stamped with GPS data, and office schedules are instantly verified upon departure. Our dedication to customization guarantees that your agency’s unique workflows are fully supported.

API Access

Has API

API Access

Has API

Screenshots View All

Screenshots View All

Integrations

Inovalon Provider Cloud

Integrations

Inovalon Provider Cloud

Pricing Details

No price information available.
Free Trial
Free Version

Pricing Details

$140 per user per month
Free Trial
Free Version

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

Vendor Details

Company Name

Inovalon

Founded

1998

Country

United States

Website

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

Vendor Details

Company Name

Riversoft

Country

United States

Website

www.riversoft.net

Product Features

Insurance Claims Management

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

Product 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

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