Case Study: Face Rock Enterprises improves RCM success with Inovalon

Face Rock Enterprise cuts eligibility errors from 70-80% to 2-6% with Inovalon

Face Rock Enterprise, a consulting firm for tribal health organizations, faced the challenge of navigating the complex and unique billing requirements of their clients. These organizations, which operate on slim margins, struggled with high error rates in eligibility verification and a cumbersome claims process that involved multiple systems. To address this, Face Rock Enterprise partnered with vendor Inovalon and implemented its Insurance Discovery and Claims Management Pro solutions.

The solution from Inovalon seamlessly integrated with existing systems, providing tools for accurate insurance discovery and updated billing rules tailored to tribal needs. This dramatically reduced eligibility errors from an initial 70-80% down to 2-6% within three months. As a result, revenue for their clients nearly tripled within a six-month period. Inovalon's complete product also provided valuable real-time reporting, enabling better staff management and ongoing performance improvement.

Face Rock Enterprise