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Omama’s path to a 100% claim success rate: A CareSmartz360 case study

100%

Claim success

3

Months to resolve

100%

Payment success

Meet Omama Services Incorporated

Founded in 2019 Omama Services provides home health and skilled services across Massachusetts and Virginia. The agency currently supports 135 clients and 42 caregivers delivering care while managing operational demands that come whilst expansion and growth.

As the agency grew so did its operational capacity. They were facing challenges maintaining an efficient billing process. Simultaneously, it became imperative to keep pace with increased payer requirements.


Omama Service - Home Care case study


Biggest challenge? Billing inefficiencies.

Omama was managing its billing operations in-house, and one major challenge was high claim denial rates. In addition, they were struggling with insurance payments and credentialing requirements, which impacted cash flow. They needed reliable billing support with smart solutions to manage complex billing.

  • Insurance Payment Delays – Difficulty getting insurance companies to process and pay claims timely created uncertainty around revenue collection.
  • High Claim Denial Rates – Managing denied claims and follow-ups required a lot of effort and slowed down reimbursement cycles.
  • Credentialing Complexity – Credentialing tasks required a significant amount of manual work and ongoing attention to maintain compliance and payer relationships.
  • Increased Administrative Workload – Internal teams spent valuable time managing billing-related tasks instead of focusing on the main agency operations.

The team faced delays in insurance reimbursements and spent a significant amount of time on credentialing. This increased the administrative burden. Further, they were struggling with billing, compliance, and staffing because billing operations were being managed in-house.

The shift towards a more efficient billing process

After using the software, Omama witnessed a significant improvement and gained more control over their billing workflow. The result was improved cash flow, better billing accuracy, better EVV compliance, and reduced administrative burden.

Home Care billing icon

Greater billing accuracy

With dedicated billing support, the agency gained better control over collections and revenue flow. Simultaneously, CareSmartz360 also helped improve claim handling and payer coordination that were previously impacting financial operations.

Home Care cash flow icon

More predictable cash flow

With dedicated billing support managing critical processes, the agency gained better control over collections and revenue flow. Improved claim handling and payer coordination helped reduce delays that were previously impacting cash flow

Automated EVV and Billing with CareSmartz360 Software

Strengthened EVV compliance

By shifting complex billing responsibilities to an experienced team, the agency reduced the time spent managing payer-related tasks, credentialing requirements & billing follow-ups. This allowed internal staff to focus more on running daily operations and supporting clients.



Resolving Payer Challenges & Streamlining Sandata Transition

To move the needle further and beyond routine billing tasks, CareSmartz360 also helped the agency navigate the complexities of the Sandata aggregator transition.

Before-and-after results using CareSmartz360

Why Omama trusted CareSmartz360

These factors played a key role in Omama’s decision, with the agency rating transition planning, knowledge transfer, communication & training as good across the board. The team’s responsiveness throughout onboarding also got an excellent rating.

Omama service growth by using CareSmartz360 software

Why they love CareSmartz360

Omama Services Incorporated - Testimonial

“Omama Services Incorporated moved billing from in-house to CareSmartz360 PBS and saw improved cash flow, billing accuracy & EVV compliance, with less administrative work for the team. “They did a great job.”

COO, Omama Services Incorporated

Nana Sarkwa