PRODUCT
This product has been used for over 25 years for direct access to the FISS data base
What is DDE
This is the what the M stands for in MEDDICC
What is Metrics
The amount a patient must pay out of pocket before insurance covers costs.
What is a deductible?
Inovalon's flagship platform used to connect data, insights, and workflows across payers and providers.
What is the Inovalon ONE® Platform?
This is the first step in the revenue cycle, where patient data is collected.
What is patient registration?
This product is part of front end eligibility, and has the shortest abriviated product name within all of Inovalon
What is Insurance Discovery or "ID"
This is what the E stands for in MEDDICC
What is the Economic Buyer
This term refers to patient accounts that are no longer expected to be paid.
What is bad debt?
Inovalon’s partnership with this major cloud provider powers its analytics platform.
What is Amazon Web Services (AWS)?
This document outlines a patient’s financial responsibility for services.
What is the explanation of benefits (EOB)?
UKG and HealthStream are competitors of Inovalon for this Product segment.
What is Workforce Managment?
This is what the I stands for in MEDDICC
What is Identify Pain
Federal law that protects patient health information.
What is HIPAA?
Inovalon is working on automating this process, which is act of getting Patient Access & Pre-Services approval from the payer.
What is prior authorization?
This is the process of appealing a denied claim from an insurance company.
What is claims reconsideration or denial management?
This service has a the ability to provide enhanced or enriched data points within standard results.
What is Eligibility Verification PRO
This is what both the D's stands for in MEDDICC
What are Decision Criteria & Decision Process
The number of days it takes to collect payments after a service is rendered.
What is Days in Accounts Receivable? (A/R days)
Inovalon analyzes this type of data to support improved health outcomes and cost efficiency.
What is clinical and claims data?
This form is used to bill Medicare for outpatient services.
What is the CMS-1500 form?
These are the names or the outside vendors for PPM & PSM for Inovalon
Who are GPI and DMA?
(Global payments integrated & Data Media Associates)
This is what both the C's stands for in MEDDICC
What are Champion and Competition
A payer’s explanation for denying part or all of a claim.
What is a denial reason code?
Inovalon’s solutions support compliance with this national healthcare coding standard.
What is ICD-10?
These codes describe the diagnoses and procedures for billing.
What are ICD and CPT codes?