Case Study: HMG Healthcare achieves faster billing and fewer denials with Inovalon

HMG Healthcare cuts billing time by a week with Inovalon

HMG Healthcare, a skilled nursing facility operator, faced challenges with slow claims submission and high denial rates, which disrupted cash flow. They partnered with vendor Inovalon to implement its Claims Management Pro, Claims Management Medicare Pro, and Eligibility Verification software integrated into their PointClickCare system to streamline this process.

By using Inovalon's solutions, HMG automated its claims process, which reduced the billing timeframe from 15 days to 9 days. This led to faster payments and a significant increase in clean claims, from 90% to 98.5%, while denials decreased from 7% to 3%. The efficiency gains allowed HMG to grow from 23 to 33 facilities without adding billing staff, resulting in substantial cost savings.

HMG Healthcare