Eligibility Verification
Confirmation of client eligibility and authorization status before or shortly after services begin.
Services
Home-care billing support from visit to payment
Every service below is built around how home-care agencies actually bill—Medicaid personal-care programs, EVV requirements, authorizations, and private pay. Explore what each service covers, and what your agency receives.
Claims Submission
Timely submission of eligible claims based on completed and authorized services.
EVV Reconciliation
Identification and resolution of visit, caregiver, service-code, and billing discrepancies.
Rejection & Denial Management
Correction, resubmission, documentation, and follow-up for rejected or denied claims.
Accounts Receivable Follow-Up
Consistent review and follow-up on aging and unpaid balances.
Payment Reconciliation
Tracking payments, adjustments, remittances, and outstanding balances.
Owner Reporting
Clear reports showing what was submitted, paid, rejected, denied, and still outstanding.
In detail
How each service works
We do not promise guaranteed reimbursement or specific collection amounts—payers make final claim decisions. Here is exactly what BillMyCare does for each area of your billing operation.
Eligibility Verification
The problem
Agencies don’t want to provide services to a client whose eligibility or authorization is not active—that care may end up delivered but never billable or paid.
What BillMyCare does
We confirm client eligibility and authorization status before or shortly after services begin, and flag changes that could affect future billing.
What the agency receives
Timely eligibility and authorization status checks built into your regular workflow, not just at intake.
Expected operational benefit
Reduced risk of delivering services that ultimately cannot be billed or reimbursed.
Medicaid Claim Submission
The problem
Medicaid claim requirements vary by state and program, and small errors in units, codes, or authorization data can delay or prevent payment.
What BillMyCare does
We prepare and submit eligible Medicaid claims based on completed, authorized services, following the specific formatting and documentation rules of your state program.
What the agency receives
A structured, weekly submission schedule and visibility into what has been submitted and accepted.
Expected operational benefit
More consistent, weekly claim submission and fewer delays caused by avoidable formatting or documentation errors.
EVV Reconciliation
The problem
Electronic Visit Verification data does not always match caregiver schedules, service codes, or billing records, which can hold up claims before they are ever submitted.
What BillMyCare does
We compare EVV records against scheduled and delivered visits, flag mismatches, and organize the exceptions that need agency attention before billing can proceed.
What the agency receives
A clear list of EVV exceptions, categorized by issue type, along with guidance on what is needed to resolve each one.
Expected operational benefit
Fewer claims held up by EVV mismatches and a faster path from completed visit to billable claim.
Rejection and Denial Management
The problem
Rejected and denied claims often sit unresolved because no one has time to investigate the reason, gather documentation, and resubmit correctly.
What BillMyCare does
We review rejection and denial reason codes, correct claims where possible, gather supporting documentation, and resubmit or appeal according to payer requirements.
What the agency receives
Tracking of every rejected or denied claim, its status, and the action taken or still required.
Expected operational benefit
A reduction in claims that are abandoned or forgotten after an initial rejection.
Authorization and Unit Verification
The problem
Billing for services without a valid, current authorization—or without the correct remaining units—is a common cause of denials.
What BillMyCare does
We verify that authorizations are current and that billed units align with what has been approved, flagging discrepancies before claims are submitted.
What the agency receives
Confirmation of authorization status and unit availability as part of the routine billing workflow.
Expected operational benefit
Fewer denials tied to expired, missing, or exceeded authorizations.
Accounts-Receivable Follow-Up
The problem
Unpaid and aging balances tend to accumulate quietly when there is no dedicated process for reviewing and following up on them.
What BillMyCare does
We review accounts-receivable aging on a regular basis, prioritize outstanding balances, and follow up with payers on claims that remain unpaid.
What the agency receives
An organized view of aging receivables and a consistent cadence of follow-up on outstanding claims.
Expected operational benefit
Improved visibility into what is owed and more consistent attention to older balances.
Payment Posting and Reconciliation
The problem
Without consistent payment posting, it is difficult to know which claims have actually been paid, adjusted, or still owe a balance.
What BillMyCare does
We track remittances, post payments and adjustments, and reconcile what was billed against what was actually paid.
What the agency receives
Up-to-date records showing payments received, adjustments applied, and remaining balances by claim.
Expected operational benefit
A clearer, more current picture of your agency’s real financial position.
Private-Pay Invoicing
The problem
Private-pay clients require accurate, timely invoicing that is separate from payer billing workflows, and inconsistent invoicing can slow down collections.
What BillMyCare does
We prepare and manage private-pay invoices based on services delivered, keeping this workflow organized alongside your payer billing.
What the agency receives
Consistent, accurate private-pay invoices and a clear record of what has been billed and paid.
Expected operational benefit
More predictable private-pay cash flow and fewer overlooked invoices.
Billing Reports
The problem
Many agency owners do not have clear, current visibility into what has been submitted, paid, rejected, denied, or is still outstanding.
What BillMyCare does
We provide regular billing reports summarizing claim status, payments, rejections, denials, and accounts-receivable aging.
What the agency receives
Reports delivered on an agreed schedule, written in plain language rather than raw system exports.
Expected operational benefit
The ability to make informed decisions about your agency’s billing operation without digging through multiple systems.
Billing Setup for New Agencies
The problem
New home-care agencies often begin billing without an organized workflow, which makes it easy for claims and follow-up to fall behind from the start.
What BillMyCare does
We help establish payer enrollment coordination, billing workflows, reporting expectations, and a submission schedule from the outset.
What the agency receives
A documented, organized billing process in place before claim volume grows.
Expected operational benefit
A stronger foundation that reduces the risk of an early billing backlog.
Old Accounts-Receivable and Backlog Review
The problem
Agencies with a billing backlog often are not sure which unpaid claims are still recoverable, which need correction, and which may no longer be worth pursuing.
What BillMyCare does
We review aging accounts receivable, classify claims by issue type, and prioritize the accounts most likely to benefit from correction, resubmission, or follow-up.
What the agency receives
An organized assessment of your backlog with a recommended path forward for each category of claims.
Expected operational benefit
A clearer, more manageable view of outstanding accounts receivable and a plan for addressing them.