Inovalon
107 Case Studies
A Inovalon Case Study
Interim HealthCare of the Upstate, a home health and hospice care provider, faced significant challenges with a fragmented and inefficient revenue cycle management process. Their staff was burdened by navigating multiple systems for eligibility verification and claims processing, leading to frequent denials and a poor financial experience for patients. To address this, they partnered with vendor Inovalon to implement its integrated RCM software suite.
By implementing Inovalon's Eligibility Verification Pro, Claims Management Pro, and Patient Statement Management solutions, the provider streamlined its entire workflow into a single system. This integration resulted in a 75% reduction in claim denials and a 97% decrease in statement processing time within six months. Inovalon's solution also drastically improved cash flow by cutting self-pay aging by nearly 90%, while simultaneously enhancing transparency and the financial experience for patients.