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100+ Providers Trust
Trusted Billing Solutions For Home Health Care
We simplify home care billing while ensuring compliance with payer-specific regulations.
Accurate visit-based billing for home care services.
Authorization and eligibility verification support services.
Faster reimbursements through clean claim submissions.
Billing compliance aligned with home care regulations.
Let's Get In Touch
Please fill up the form, one of our AAPC certified medical biller & coder will reach out to you
Home Health Care Departments & Services We Support
Explore our compliant billing solutions tailored for home health and in-home care providers.
Numbers That Tell Our Story
” BEHIND EVERY STAT IS A MILESTONE WE ARE PROUD OF “
IN BUSINESS
CLAIMED PROCESSED
REDUCTION IN AR
REVENUE IMPROVEMENT
FIRST PASS CLAIM RATE
Home Health Care Providers Managing Medicaid
& Managed Care Complexity
Fragmented Medicaid Rules In States
In Texas, an in-home care agency operating across Houston and Dallas faced repeated claim denials due to EVV time mismatches, even when caregivers completed visits correctly. Minor clock-in variances outside payer tolerance caused claims to reject after submission. In Florida, the same agency encountered inconsistent authorization limits across Medicaid managed care plans, varying by county and MCO. Identical services were paid within weeks in one location but delayed over 70 days in another. Evocare Billings aligned EVV data prior to claim submission, tracked authorizations by payer and county, and corrected workflow gaps. This reduced denials, shortened payment cycles, and restored predictable cash flow across states.
Caregiver Payroll Delays In New York & Illinois
In New York, an in-home care provider serving Medicaid waiver patients struggled with payroll delays because claims remained pending due to documentation discrepancies and eligibility gaps. Caregivers were paid late, morale declined, and union pressure increased. In Illinois, another agency faced delayed recoupments months after claims were paid due to retroactive eligibility changes, suddenly draining cash reserves. Evocare Billings implemented real-time eligibility verification tied directly to billing and payroll cycles, flagging high-risk claims before funds were released. This stabilized caregiver payroll, reduced recoupments, and allowed owners to plan staffing and expenses with confidence.
Strengthen Home Health Care Billing & Improve Reimbursement Stability
In-home care providers frequently face payment delays due to Medicaid complexity, managed care authorizations, and EVV-related claim rejections; our in-home care billing services streamline eligibility checks, authorization tracking, and compliant claim submission, helping agencies reduce denials, stabilize caregiver payroll, and maintain consistent cash flow across state and payer requirements.
In-Home Care Billing & Coding Services For
Consistent, Timely Reimbursements
Ensure EVV compliance, authorization accuracy, and clean claims to reduce denials.
Real-time verification that prevents rejections & secures faster payments.
Fast, accurate credentialing that gets your providers enrolled & billing without delays.
Patient-focused CCM programs that improve outcomes & generate recurring revenue.
Skilled virtual assistants who simplify clinical tasks & boost provider productivity.
Efficient front desk operations improving accuracy, workflow, & patient satisfaction.
Real-time verification that prevents rejections & secures faster payments.
Fast, accurate credentialing that gets your providers enrolled & billing without delays.
Patient-focused CCM programs that improve outcomes & generate recurring revenue.
Skilled virtual assistants who simplify clinical tasks & boost provider productivity.
Efficient front desk operations improving accuracy, workflow, & patient satisfaction.
Billing Without Hassle!
Streamline Your Workflow & Boost Productivity With Our Innovative Solutions.
EHR’s We Work With
Evocare Billings Keep Your Billing Flawless & Fully Integrated – No Matter Which EHR or EMR Your Practice Runs On
Hear From Our Clients
From Struggle To Streamlined — Their Words, Our Wins, & Voices Of Success.
Increase Collections With In-Home Care Billing Solutions
In-home care providers face reimbursement challenges from Medicaid complexity, EVV requirements, and managed care authorizations. Our in-home care billing solutions, delivered by experienced AAPC-certified CPC & CPB professionals, ensure EVV compliance, accurate authorization tracking, and clean claim submission—reducing denials and payment delays.
Our certified team streamlines in-home care revenue cycles, improves first-pass claim acceptance, and maintains compliance with Medicaid and payer rules. This helps agencies achieve consistent reimbursements, stable caregiver payroll, and predictable cash flow while focusing on quality patient care.
Let's get in touch
Please fill up the form, one of our AAPC certified medical biller and coder will reach out to you
Frequently Asked Questions
If You Can’t Find The Answer You’re Looking For, That’s No Problem. Schedule a Demo, & We’ll Work To Answer Your Question.
What Is In-Home Care Billing And How Does It Work?
In-home care billing involves submitting claims for personal care, attendant, and skilled services provided in a patient’s home. Billing is commonly tied to Medicaid, managed care plans, Medicare, or private pay arrangements. Claims must align with visit documentation, service units, and state-specific rules. Errors often lead to denials or delayed payments.
What Are The Most Common Billing Challenges For In-Home Care Agencies?
Agencies frequently face denials due to EVV mismatches and missing visit verification. Authorization limits and retroactive eligibility changes also cause payment issues. Documentation gaps between caregivers and billing teams are common. These challenges directly impact cash flow and payroll stability.
How Can In-Home Care Agencies Reduce Claim Denials?
Denials can be reduced by validating EVV data before claim submission. Accurate authorization tracking ensures services are billed within approved limits. Real-time eligibility checks prevent retroactive recoupments. Consistent workflows improve first-pass claim acceptance.
Do In-Home Care Services Require Prior Authorization?
Many in-home care services require prior authorization, especially under Medicaid managed care plans. Authorization rules vary by payer, service type, and state. Missing or exceeded authorizations are a leading cause of denied claims. Proper authorization monitoring is essential for revenue protection.
How Does EVV Impact In-Home Care Billing?
EVV data confirms that services were delivered as billed. Time mismatches or missing EVV records often result in automatic denials. Payers strictly enforce EVV compliance requirements. Accurate reconciliation between EVV systems and billing is critical.
Should In-Home Care Agencies Outsource Medical Billing Services?
Outsourcing helps agencies manage complex Medicaid and managed care billing rules. Specialized billing teams reduce denials, recoupments, and administrative workload. Agencies gain better cash flow visibility and payroll stability. This allows leadership to focus on patient care and growth.
Get paid faster with 24/7 expert medical billing support
Seamless integration with your EHR for smooth workflow operations
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