Claim success
Months to resolve
Payment success
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 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.
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.
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.
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.
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
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.
To move the needle further and beyond routine billing tasks, CareSmartz360 also helped the agency navigate the complexities of the Sandata aggregator transition.
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 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.”