2023 Q1 Newsletter RCM

ABILITY Network is now Inovalon! Our website has moved.
We are proud to share that you can now find everything about Inovalon’s Provider Business Unit (formerly ABILITY Network) and discover other components of the Inovalon ONE® Platform in one place. Visit Inovalon.com for more information.

Introducing RCM Intelligence!
No matter where you sit in the healthcare landscape, tracking and capturing revenue is crucial, but isn’t always easy.
RCM Intelligence is our newest software solution to help providers see payer, payment, and performance trends to help you make data-based financial decisions. Powerful analytic dashboards show you at-a-glance views of where you could be losing revenue and opportunities to improve performance.
Get end-to-end visibility across your revenue cycle to view data at a high level, or drill down into specific claims – the choice is yours. To learn more about this tool, including how to get 95% of your claims paid in 20 days or less1, visit our webpage.
Stored card technology boosts convenience and reimbursements for pediatrics group
By leveraging ABILITY SECUREPAY® and card-on-file capabilities, one large pediatric group transformed their patient payment capture – while also offering more convenience and peace of mind for pediatric patients’ parents and guardians. Learn more in this case study.
Can you afford to lose 5-10% of your earned revenue?
With ABILITY EASE® All-Payer, you can protect your revenue and remove the sting from audits and appeals with automated workflows, claims integration, and intuitive dashboards.
Plus, we recently updated the solution’s Audits and Appeals user interface with a simplified workflow and expanded visibility! New workflows allow your team to take the next step to successful audits and appeals with minimal research and analysis. This enhanced approach allows staff to view and work with all audit and appeal information in one place, alleviating administrative burden and improving speed to resolving these challenges of the revenue cycle. Discover more about ABILITY EASE All-Payer.
First pass yield vs. clean claim rate
Healthcare leaders have traditionally focused on their clean claim rate as a metric to define their organization’s revenue cycle health. But is this really the most informative KPI for the revenue cycle? This blog explores another option that goes beyond measuring how good you are at getting claims accepted, diving deeper into the efficacy of your entire claims processing system.
Denial management for hospitals: Win by engaging every revenue cycle department
Revenue isn’t revenue unless it’s collected – and every department within the revenue cycle should play a part in your organization’s financial performance strategy. This blog explores how various departments impact revenue and explains how to tailor your denial management approach for different roles within your organization.
5 ways to design RCM workflows for the biggest impact
It seems providers across healthcare are challenged to do more with less recently, but there are creative solutions helping teams large and small make a positive bottom-line impact in their organization. Discover how to improve your first pass payment rate and reduce unnecessary steps in your RCM processes, in this blog.
Catch up from Customer Congress
Customer Congress was back in person this year after two years of virtual connections, and the excitement was evident throughout the event. We were so glad to welcome all parts of our business to learn about the latest in healthcare policy, analytics, and innovations. Get all the highlights from Customer Congress 2022 in this blog, and be on the lookout for information about next year’s event!

Check out our upcoming events in 2023!
The new year is quickly approaching, and with it, comes more opportunities to connect at industry events. Visit our events page for information on where to find us this year. We cannot wait to share all the exciting things happening at Inovalon!

Wishing you and yours a safe and healthy holiday season
From all of us at Inovalon, we hope you and your loved ones enjoy the holidays and ring in the new year feeling refreshed and ready to continue making healthcare better for patients, providers, and everyone in the healthcare ecosystem.1 Inovalon internal reporting. Average of customer results, accessed August 2022.