Average Ratings 0 Ratings
Average Ratings 0 Ratings
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
SimpleAnalyzer offers a thorough examination of both clinical and financial documents, notifying you of discrepancies, issues, and adverse patterns, enabling immediate corrective actions. The automatic MDS analysis conducted prior to submission not only saves you time but also helps avoid expensive mistakes. With its advanced PDPM analytics, SimpleAnalyzer equips you to thrive under the new payment structure by enhancing ICD-10 coding practices, providing in-depth comparisons by facility and resident, and allowing for tailored PDPM regulations. By utilizing SimpleAnalyzer, you gain the ability to identify issues proactively, maximize reimbursement opportunities, ensure compliance with regulations, minimize audit risks, and elevate the overall standard of care provided. This comprehensive tool ultimately allows healthcare providers to focus more on quality service delivery while efficiently managing financial and clinical data.
API Access
Has API
API Access
Has API
Integrations
Inovalon Provider Cloud
Pricing Details
No price information available.
Free Trial
Free Version
Pricing Details
$82 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
Simple
Founded
2003
Country
United States
Website
simpleltc.com
Product Features
Insurance Claims Management
CRM
Claims tracking
Customer portal
Document management
EDI data exchange integrations
Electronic claims
Fraud management
Reporting
Product Features
Long Term Care
Claims Management
Clinical Care
EHR
Electronic Health Record
For Home Care Providers
For Nursing Homes
Geriatric Care
MDS Review
Patient Records
Staff Scheduling