Case Study: Mason District Hospital improves revenue cycle operations and denial metrics with Inovalon RCM Intelligence

Mason District Hospital cuts denial rates and improves eligibility with Inovalon

Mason District Hospital, a 25-bed critical access hospital, was facing rising denial rates and revenue cycle management complications with its previous clearinghouse application. The system lacked the necessary customization for payer rules and failed to provide the detailed information and reporting needed by Business Office Director Megan Weaver. Seeking to improve operations and RCM metrics, the hospital turned to Inovalon and its RCM Intelligence™ platform.

By implementing Inovalon's solution, the hospital gained enhanced revenue cycle insights, customizable payer rules, and streamlined processes. The reporting and analytics features, particularly the denials scorecard, allowed them to monitor performance, identify breakdowns, and improve eligibility tracking. As a result, Mason District Hospital achieved a measurable drop in its denial rate and saw an improvement in eligibility. Inovalon's system was praised for its ease of use and workflow, which helped the small staff work more effectively.

Mason District Hospital