Case Study: MGM Healthcare streamlines Medicare billing with Inovalon Claims Management Medicare Pro

MGM Healthcare speeds Medicare billing with Inovalon, replacing manual DDE claims entry

MGM Healthcare was facing inefficiencies and errors in their Medicare billing by relying on the outdated Direct Data Entry (DDE) system. The tedious process of manually keying in claims one by one caused delays in submission and payment. To overcome this challenge, the organization turned to Inovalon for a modern solution, implementing their Claims Management Medicare Pro software.

Inovalon's solution provided a modern, intuitive platform that replaced the difficult DDE system. This allowed MGM Healthcare to streamline claims creation, submission, and tracking, leading to greater efficiency and staff engagement. The implementation resulted in faster, more accurate billing and provided enhanced visibility into claims status, helping to identify and address revenue leakage. Marco Ochoa, A/R Manager at MGM, also praised the exceptional customer service provided by Inovalon.

MGM Healthcare