Billing Management

Get Paid On Time Without Worrying About It

We don’t just submit claims; we manage the entire billing cycle, from EVV matching to payment posting, so you don’t have to chase down a dime.

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What We Handle

We only bill on successful claims, so our success depends on yours.

VA Billing

Shift review and SEOC alignment
Claims submission and tracking
Payment reconciliation resolution

Medicaid Billing

EVV and authorization matching
Claims submission via clearinghouses or state portals
Denial management, resubmission, and payment posting

What Makes Our Process Different?

It’s not our first rodeo, or even our 1000th rodeo. We proactively run checks on the information most likely to cause denials, escalate appeals rapidly when needed, and keep relationships with the payers.

Full-Cycle Billing

We don’t stop at submission. We scrub claims, verify all documentation, manage denials, and post payments so your team can stay focused on care.

Platform-Agnostic Integration

We work with most major AMS and EVV systems. Whether you’re using WellSky, HHAeXchange, or something custom, we fit into your workflow.

Smart Shift Scrubbing

Before a claim is submitted, we match each shift against authorizations, EVV, and payer rules. That means fewer rejections and cleaner AR.

Denial Prevention + Follow-Up

Our system flags high-risk claims before they go out—and if something does get denied, we escalate it fast and follow it through to resolution.

Real-Time Visibility

You’ll always know where things stand. Our portal tracks every claim, every payment, and every unresolved issue. No more guesswork.

Pay-For-Performance

We don’t charge you until you get paid. That means our goals are aligned with yours—and we’re motivated to keep cash flowing.

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Frequently Asked Questions

VA Billing
Medicaid Billing
Do I have to use HSRM?
Most VA Medical Centers send referrals via HSRM. We can manage that process end-to-end on your behalf.
How do I know if a shift is billable?
We match your billing to the referrals, ensuring the service code, hours, and date range are covered before it goes out the door.
What if a claim is denied?
We review the reason, fix the issue, and resubmit. If needed, we work directly with the VA, TriWest, or Optum to get it resolved.
Do you reconcile payments?
Yes, as well as payment posting. We match remits to billed shifts, flag discrepancies, and follow up on short-pays or missing payments.
What gets VA claims rejected?
Most issues come from SEOC misalignment or timing errors. We check all of that up front to prevent denials.
Which systems do you work with?
We’re compatible with most AMS and EVV platforms, including WellSky, HHAeXchange, and state-specific tools like Sandata.
Do you submit through clearinghouses?
Yes. Depending on your state, we either file through a clearinghouse or directly through a state Medicaid portal.
How do you handle denials?
We identify the cause, fix the issue, and resubmit. We also help you understand trends and prevent future denials.
Do you match EVV and authorizations?
Absolutely. We scrub every shift to ensure it lines up with approved hours, codes, and visit data before submitting.
How soon after service do you bill?
Most claims go out weekly, once all EVV and shift data is verified. That helps you get paid as quickly as possible.

Let us do the dirty work

You’ve already done the hard part—delivering care. We’ll make sure you get paid fully, quickly, and without friction.

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