AI HubTips to Avoid Medicaid Claim Denials for North Carolina Home Care Agencies
This video offers specific strategies to reduce Medicaid claim denials in North Carolina: capturing visits with an approved EVV solution, ensuring all required data elements (service type, date/time, location, provider, client) are captured, scheduling ahead, using mobile/telephony tools and aligning billing with verified visits. NCDHHS emphasizes validated EVV data is required for Home Health claim payment.
Who we empower every day
By Role- Agency Owners – Adopt workflows and systems that minimize denials, drive reimbursement and maintain cash flow
- Supervisors – Monitor visit capture quality and compliance with EVV data requirements
- Care Managers – Ensure that staff are visiting clients on schedule & documentation aligns with capture
- Billers – Submit claims only when the EVV data is verified, reducing rejections
- Schedulers – Align shift planning with EVV capture tools & billing cycles
- Caregivers – Understand how their clock-in/out & visit capture affects the agency’s revenue
- On-Call Coordinators – Manage emergent staffing so that capture tools remain accurate and valid
Claim denials often result from missing or incorrect EVV data. Agencies that integrate EVV capture, scheduling and billing into one platform set themselves up to reduce denials, preserve revenue and stay audit-ready.
