Business Software for Inovalon Provider Cloud

BambooHR is an award-winning HR platform that helps your growing organizations automate, centralize, and connect your people data all in one place. It gives you a one stop shop to manage data, hire talent, run payroll, and help employees grow.

MedEZ, your all-in-one paperless solution, is here. MedEZ has been in business since 1995 and has simplified the entire process of clinical notes and practice management/EHR. MedEZ specializes automating the daily operations in behavioral health and substance abuse facilities. These include administration, patient management and billing. MedEZ offers customized EHR products that optimize financial, operational, clinical, and other performance aspects for medical practices. MedEZ makes it easy to create customized programs and treatment plans for behavioral health centers. MedEZ handles all required documentation and reporting efficiently. It ensures HIPAA compliance with checkpoints that are user-definable and based on permission.

EZBIS is a unique software solution for managing your chiropractic practice. EZBIS is a trusted electronic medical records software that offers modules for patient billing and patient accounting, appointment scheduling, collection tools and patient self-check in. EZBIS is an ONC Authorized Testing and Certification Body product. It meets the needs of chiropractors. EZBIS offers a variety of features, including digital patient sign-in sheets and pop-up reminders. It also allows for electronic delivery of month statements and patient search options.

Insurance Discovery enhances financial outcomes by uncovering previously unrecognized billable coverage that providers may not be aware of, thereby minimizing underpayments and uncompensated care. By employing advanced search functionalities, this solution reveals instances where patients possess multiple active payers, which can significantly improve reimbursement prospects. Additionally, it helps to prevent delays in reimbursement and accelerates revenue collection by ensuring that claims are submitted to the correct payers on the first attempt, thanks to more precise coverage details. When utilized with verified demographic information, Insurance Discovery provides reliable coverage and eligibility insights. This modern approach replaces outdated manual methods of insurance discovery with a swift and thorough search that queries numerous databases in mere seconds, yielding detailed and accurate coverage information. Furthermore, it enhances the overall experience for patients and residents by facilitating accurate estimates of out-of-pocket expenses, ultimately contributing to a more favorable financial journey for them. By streamlining these processes, providers can focus more on patient care rather than administrative tasks.

Offer 24/7 direct access for patients, residents, and their caregivers to easily manage payments for healthcare services, featuring secure and adaptable payment methods that cater to individual preferences. A user-friendly portal allows for the acceptance of various payment types, ensuring that users clearly understand their financial responsibilities and boosting overall satisfaction. Payments can be made at the point of service, online, through payment plans, by storing cards on file, over the phone, or via mail. Enhance cash flow by streamlining payment collections from patients and residents. Consolidate all payment information under a single login, simplifying access. Utilize standard reporting tools or generate and export an unlimited number of custom reports to reduce manual workload. Monitor and reconcile payments in real-time to ensure precision and facilitate efficient end-of-day reconciliation. Enhance the payment experience for patients, residents, and staff alike, while implementing flexible solutions like text-to-pay to bolster cash flow and improve convenience. This comprehensive approach not only simplifies payment processes but also fosters better relationships between healthcare providers and those they serve.

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.

The Eligibility Verification Standard enhances both patient access and billing procedures by allowing staff to efficiently assign and prioritize patients, payers, and tasks throughout the eligibility verification process. This advanced technology surpasses mere eligibility checks by offering a comprehensive dashboard for confirming, managing, and archiving every inquiry made. It accelerates the verification process through automated enrichment, correcting incomplete or improperly formatted transactions from payers. Additionally, staff can conduct multiple eligibility inquiries simultaneously via batch file uploads that swiftly verify Medicaid, Medicare, and commercial coverage. Team members can be easily assigned tasks, follow-up flags can be set, and eligibility documentation can be generated for future use. Managing patients across batches and resolving issues is simplified, requiring just a few clicks. Ultimately, this cloud-based, all-payer health insurance eligibility verification software saves time and enhances coverage accuracy, while empowering staff to handle benefit inquiries in the manner that suits them best, ensuring operational efficiency. With its user-friendly design and powerful capabilities, it transforms the way eligibility verification is approached in healthcare settings.

Careficient AMS is a cloud-based management system that allows users to manage employees, payroll schedules and doctors' orders. Refer sources, patients and many other things. Careficient AMS allows users the ability to store all employee information on one platform. Careficient AMS makes it easy to identify the right staff members for your company.

Introducing Optimum, an innovative solution designed to enhance hospital operations by improving workflow automation and achieving superior financial outcomes for patient care. This platform allows for the intelligent and secure exchange of data. With the increasing emphasis on value-based care, there is a growing demand for enhanced security, expedited access to essential information, and more efficient methods for care coordination. Optimum facilitates seamless care transitions and fosters open communication among various healthcare systems using multiple data sources, including HL7, all while ensuring peace of mind. Isn't it important for denial claim management to prevent missed payments and minimize uncollected claims? We believe it is. Optimum empowers healthcare providers to effectively address issues such as missing or duplicate information early in the billing cycle, enhancing efficiency and timeliness. Furthermore, Cantata Health Solutions provides top-tier electronic health record and financial management software tailored for hospitals, skilled nursing facilities, and assisted living communities, ensuring they can meet the complex demands of modern healthcare. By utilizing these advanced solutions, healthcare providers can significantly improve their operational capabilities and patient satisfaction.