FAQ Videos

Tips for Home Care Agencies to Stay Ahead of Medicaid Claim Denials

tips for agencies to stay ahead of medicaid home care claim denials

Claim denials can silently drain revenue. This video offers proven strategies to ensure your EVV data aligns with claims submission, minimising the risk of denials and accelerating reimbursement under Medicaid programs.

Who we empower every day

By Role
  • Revenue Cycle Manager — Implements daily audits of EVV-to-billing alignment and tracks denial root causes.
  • Compliance Lead — Maintains documentation, trains staff on EVV policies, and monitors state updates.
  • Financial Controller — Analyses metrics (e.g., denial rate, unpaid units) and drives corrective action.
By Persona
  • The Agency Owner Who Watches the Bottom Line — Wants to reduce avoidable revenue loss and understand denial drivers.
  • The Billing Specialist Who Sees Rejections — Needs tools to pre-check claims before submission.
  • The Compliance Manager Who Handles Audits — Seeks data integrity and a defensible record in case of review.

Staying ahead of claim denials is about more than submitting on time—it’s about submitting with confidence, backed by verified data and best-practice processes.

Upgrade to Smarter, More Efficient Home Care Software

Our users reported 95% customer satisfaction in 2024. Schedule a personal walkthrough to see CareSmartz360, home care software in action.

Request a Demo