ABILITY services
SIMPLE, COMPLIANT VIRTUAL VISITS
ABILITY Virtual Care streamlines digital interactions, from scheduling and hosting visits to managing appointment reminders and calendar adjustments. It’s transforming how providers and patients utilize telehealth. Learn more
Comprehensive, all-payer revenue cycle management
ABILITY EASE® All-Payer speeds up reimbursements and strengthens revenue with eligibility, claims and remittance management – all in a single system. With the most up-to-date payer rules and real-time eligibility integration, you can achieve a 99% or higher clean claims rate Learn more
Patient Payments
ABILITY SECUREPAY® is a comprehensive patient payment platform that enables you to accept all forms of payment at any point in the revenue cycle. Learn more
ACCELERATE PAYMENTS WITH STREAMLINED STATEMENT PROCESS
ABILITY Patient Statements accelerate payments by streamlining the billing process. Whether you currently use an outside vendor or send patient statements through an in-house process, moving your process to ABILITY can help you deliver fast, accurate statements to your patients. Learn more
Medicare billing management made easy
ABILITY EASE® Medicare automates time-consuming processes and gives more control over revenue cycle management. Choose your line of business to learn more about the ABILITY EASE Medicare application that is customized to meet the specific needs of your organization:
Medicare performance benchmarking and analytics
ABILITY INSIGHT™ helps you turn operational insights into action. Dive into your Medicare performance, discover your “time to reimbursement” and benchmark comparisons against peer organizations in your regional, state and national markets. Learn more
Electronic ADR, RAC audits and appeals management
ABILITY | AUTOMATE esMD® gives you an efficient, automated way to take charge of a previously time-consuming process: submission and tracking of ADR responses, RAC audit information, and appeals. Learn more
Keep your all-payer claims on track
ABILITY CHOICE® All-Payer Claims is a secure claims submission and remittance service for all your commercial payers and Medicaid, helping you resolve claims issues faster and keeping your revenue on track. Learn more
Transform your all-payer eligibility verification
ABILITY COMPLETE® puts you in the driver’s seat with a powerful workflow dashboard and 24×7 access to Medicare and 600+ commercial payers. Learn more
Medicare eligibility and benefits at your fingertips
ABILITY CHOICE® Medicare Eligibility provides secure, simple 24×7 access to Medicare’s HETS database and enables real-time, detailed eligibility status and medical benefit information. Learn more
Accelerate your Medicare insurance claims
ABILITY CHOICE® Medicare Claims is a secure claims submission and remittance advice solution, giving you fast, automated processing and payment of claims for Medicare. Learn more
Simple all-payer claims processing software
ABILITY PC-ACE® is a complete electronic claims submission and management software, used in a stand-alone configuration or in conjunction with your existing claims management system. Use this efficient, easy-to-use software tool to enter, import, and manage claims, or to convert your electronic remittance and acknowledgment files to a readable format. Learn more
Get connected to DDE/FISS
ABILITY IVANS NOW® uses your existing high-speed Internet connection to access the Medicare Fiscal Intermediary Standard System (FISS) for Direct Data Entry (DDE). Learn more
INSURANCE COVERAGE DISCOVERY
ABILITY Insurance Discovery reduces uncompensated care and underpayments by identifying additional billable insurance coverage for patients. Our superior discovery tool goes above and beyond to identify more complex cases involving multiple commercial and government payers, which means more reimbursement dollars for you. Learn more
INFECTION SURVEILLANCE/ANTIBIOTIC REPORTING
ABILITY INFECTIONWATCH® provides comprehensive infection surveillance and antibiotic reporting for skilled nursing facilities. By enhancing access to relevant and actionable data, this application helps facilities quickly identify problem areas, reduce antibiotic resistance, improve resident outcomes and meet CMS requirements. Learn more
STAFF SCHEDULING
ABILITY SMARTFORCE® Scheduler is a next-generation, 100% cloud-based and fully mobile scheduling and open shift management application that transforms scheduling for departments, facilities or enterprise-wide. Learn more
CREDENTIAL TRACKING
ABILITY SMARTFORCE® Credentialer helps you track and store staff credentials online to improve visibility, eliminate compliance penalties and save time. Learn more
TIME & ATTENDANCE TRACKING
ABILITY SMARTFORCE® Attendance is a time and attendance application with geolocation that supports punching in and out from mobile phones. Learn more
PBJ Reporting
ABILITY CAREWATCH® PBJ helps ensure that you send accurate, thorough direct care staffing or payroll data to CMS, and that you can use that data to improve performance. Learn more
MDS Management
ABILITY CAREWATCH® helps skilled nursing facilities (SNFs) across the U.S. improve resident assessment data accuracy and enhance care plans via analysis of the Minimum Data Set (MDS). ABILITY CAREWATCH helps you prepare for surveys, obtain correct reimbursement, lower costs and enhance resident quality of life. Learn more
UB Claim review
ABILITY UBWATCH® helps skilled nursing facilities detect unintended billing patterns — and avoid suspended claims, CMS audits, demand for repayments, False Claim Act issues, under/over billing, and other missed opportunities that may results in lower revenue. Add this feature to your ABILITY CAREWATCH application. Learn more
occurrence reporting and analysis for SNFs
ABILITY RISKWATCH® can help skilled nursing facilities strengthen their incident management with a process that focuses attention on each occurrence to ensure thorough investigation, proper response, and review for every event. Learn more
Quality reporting and analytics for home health
ABILITY OPTIMIZE® Analytics offers access to the most accurate daily, comparative, patient-level, and executive dashboard reporting available to help improve Star Ratings, reduce readmissions, and more. Another function that analyzes up-to-date CMS requirements, clinical processes, and best practice documentation alerts you to errors and inaccuracies in OASIS forms. Learn more
POST-ACUTE MARKET ANALYTICS AND COMPETITIVE INSIGHTS
ABILITY INSIGHT™ Referral Mapper gives post-acute care providers visibility into hospital referral patterns. Use market data to track hospital discharges to PAC providers and compare your market share to your competitors. ABILITY INSIGHT Referral Mapper allows you to see referral patterns by diagnosis and includes a mapping feature to visualize patient movement using Google Maps. Learn more
READMISSION PERFORMANCE ANALYSIS AND BENCHMARKS
ABILITY INSIGHT™ Readmission Tracker uses Medicare Part A data to provide detailed readmission reports for acute and post-acute care providers aiming to reduce avoidable rehospitalizations and uncover new partnership opportunities to build high-performing networks. This easy-to-use platform can help your organization establish itself as a high-value, preferred post-acute partner. Learn more
ACUTE AND POST-ACUTE LENGTH OF STAY BREAKDOWN FOR YOUR MARKET
ABILITY INSIGHT™ Length of Stay provides data for acute and post-acute providers in your market area, allowing you to evaluate your organization’s length of stay by diagnosis relative to your peers. Demonstrate your organization’s value and quality of care to your partners with this simple-to-use application. Learn more
Connect to all of your ABILITY services via myABILITY, a SaaS delivery offering within the Inovalon ONE® Platform that gives you on-demand access to everything you need. Whether you need quality analytics, eligibility and claims, revenue cycle management or workforce management services, ABILITY can help your clinical, financial, operational and administrative areas work more effectively and efficiently.
