Case Study: Careficient improves Medicare claims management with Inovalon

Careficient reduces Medicare claim denials by 20% with Inovalon

Careficient, an EMR vendor for hospice and home care services, was struggling to manage Medicare claims efficiently for its over 50 clients. The company was using multiple Medicare Administrative Contractor (MAC) portals and systems, which resulted in a manual, complex, and time-consuming process. To overcome these challenges, Careficient partnered with Inovalon.

Inovalon implemented its Claims Management Medicare Pro and RCM Intelligence solutions, which provided a single platform for managing all payers and automated claims scrubbing for greater accuracy. This partnership enabled Careficient to reduce claim denials by 20% and streamline operations so effectively that the company was able to eliminate two full-time positions. The team at Inovalon also provided a supportive partnership, helping Careficient achieve significant improvements in workflow and client service.

Careficient