Average Ratings 0 Ratings
Average Ratings 0 Ratings
Description
Ensure a steady stream of revenue by utilizing a robust platform that accelerates reimbursements through eligibility verification, tracking claims status, conducting audits and appeals, and managing remittances for both government and commercial claims, all integrated into one cohesive system. Take advantage of a sophisticated rules engine that promptly cleanses claims in accordance with the latest CMS and commercial payer regulations, enabling you to rectify any inaccuracies prior to submission. During the claim upload process, confirm eligibility across all payers and identify any flagged issues, allowing for necessary edits before the claims are sent. Reduce the days in accounts receivable by implementing automated workflows for handling audit responses, submitting appeals, and tracking administrative dispute resolutions. Tailor staff workflow assignments based on the specific claim type and required actions. Additionally, automate the submission of secondary claims to prevent timely filing write-offs. Ultimately, enhance your claims revenue through automated workflows that facilitate quicker and more successful audits and appeals, ensuring your organization remains financially healthy. Furthermore, this comprehensive system can adapt to your evolving needs, providing long-term benefits as your operations grow.
Description
We assure you of our commitment! RiverSoft offers comprehensive billing capabilities compatible with all payers while maintaining full compliance with state and federal regulations. With just a click, users can generate reports detailing unbilled claims and their reasons, ensuring transparency. Our RiverSoft pathways enhance the efficiency of EMR entry, facilitating meticulous charting and flawless claims submission. We possess in-depth knowledge of your payers’ requirements and the relevant regulations. Furthermore, we ensure that care plans are adhered to, leading to Perfect Claims. Unlike generic solutions, we tailor our offerings to meet the specific operational needs of your agency. With hundreds of integrated clinical consistency checks, you’ll be well-prepared for any audits. Effortlessly manage patient aide tasks, collect vital signs, and obtain patient signatures. Additionally, arrival and departure times are stamped with GPS data, and office schedules are instantly verified upon departure. Our dedication to customization guarantees that your agency’s unique workflows are fully supported.
API Access
Has API
No
API Access
Has API
No
Integrations
Inovalon Provider Cloud
No
Pricing Details
No price information available.
Free Trial
No
Free Version
No
Pricing Details
$140 per user per month
Free Trial
No
Free Version
No
Deployment
Web-Based
Yes
On-Premises
No
iPhone App
No
iPad App
No
Android App
No
Windows
No
Mac
No
Linux
No
Chromebook
No
Deployment
Web-Based
Yes
On-Premises
No
iPhone App
No
iPad App
No
Android App
No
Windows
Yes
Mac
No
Linux
No
Chromebook
No
Customer Support
Business Hours
Yes
Live Rep (24/7)
No
Online Support
Yes
Customer Support
Business Hours
Yes
Live Rep (24/7)
No
Online Support
Yes
Types of Training
Training Docs
Yes
Webinars
Yes
Live Training (Online)
Yes
In Person
Yes
Types of Training
Training Docs
No
Webinars
No
Live Training (Online)
Yes
In Person
No
Vendor Details
Company Name
Inovalon
Founded
1998
Country
United States
Website
www.inovalon.com/products/provider-cloud/revenue-cycle-management/all-payer-revenue-cycle-management/
Vendor Details
Company Name
Riversoft
Country
United States
Website
www.riversoft.net
Product Features
Insurance Claims Management
CRM
No
Claims tracking
No
Customer portal
No
Document management
No
EDI data exchange integrations
No
Electronic claims
No
Fraud management
No
Reporting
No
Product Features
Reservations
Activities Booking
Yes
Booking Notes
No
CRM
No
Customer Support
Yes
Group Reservations
Yes
Guest Management
No
Payment Processing
Yes
Promotions Management
No
Rate Management
Yes
Room Booking Management
Yes
Third Party Booking
Yes