Electronic ADR, RAC audits and appeals management

As CMS toughens its claims scrutiny, your organization may be subject to an increase in post-payment reviews. In addition, shifting payment models are increasing the number of denials and therefore the need for appeals. You can simplify your process for secure submission, tracking, and reporting for Medicare claim review programs with ABILITY | AUTOMATE esMD.

The easy-to-use application guides you each step of the way, from entering needed information to uploading files to sending and tracking documentation. The color-coded dashboard lets you check the status of all your audits. You also can use the task worklist to manage your departmental workload as well as assign tasks to other users to create, complete or submit ADRs or appeals documentation.

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.


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.