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You already outsourced billing. It should be working by now.

Generic RCMs don't know home care. AMS billing modules are invoicing tools with a claims feature bolted on. Local billers rarely have the escalation paths. If any of that sounds familiar, the problem probably isn't you.

Book a Demo (754) 755-4805

Where the current arrangement is leaking

The tell is usually response time. When a claim is stuck and nobody can tell you why within a day, the relationship is costing you more than the fee.

  • A generic RCM that treats a SEOC like any other prior auth
  • An AMS module that submits claims but does nothing about denials
  • Days of latency on escalations because there is no payer relationship behind them
  • No claim-level visibility, so you find out about problems from your bank balance
Collection rate
99.99% Collection rate
Transition - no gap in submission
Parallel Transition - no gap in submission
We integrate with your existing AMS and EVV
Vendor-agnostic We integrate with your existing AMS and EVV

What happens, in order

  1. We audit the current book

    Week 1

    Denial rate by reason code, days to payment by payer, unbilled shifts, and AR ageing. This usually surfaces the specific failure - and it's usually front-end, not collections.

  2. We run parallel

    Weeks 1–3

    Nothing stops going out the door during the transition. You are never in a gap where neither party is billing.

  3. We take the backlog with us

    Weeks 2–6

    Aged and denied claims from the previous arrangement come across and get worked, prioritised by what is still inside timely filing.

  4. You get claim-level visibility

    Ongoing

    Every claim, its status, and what is blocking it - visible to your team without asking anyone for a report.

The questions people ask at this stage

Including the ones we would rather you asked before signing, not after.

Ask us yours Or browse every question we get asked

Check your notice period - most are 30 to 60 days. We'll run parallel through it so the switch costs you nothing in submission time.

Scope. A generic RCM covers every specialty and knows none of them deeply. We only do home care, and only the VA and Medicaid. SEOC alignment, waiver authorizations and EVV reconciliation are the whole job here, not an edge case.

Agency management systems are scheduling platforms; billing is usually an add-on. They submit claims. They generally don't work denials, manage appeals, or hold relationships with TriWest, Optum and your MCOs.

No. We work inside your existing AMS rather than replacing it, so your client, shift and EVV data stays where it is.

Not quite your situation?

We'll tell you if your current setup is actually the problem.

Send us a denial report and 90 days of AR. If your current arrangement is performing well, we will say so.

Book a Demo (754) 755-4805