Home Care Billing That Catches Gaps Before Claims Age
Eligibility changes, authorization limits, EVV mismatches, and payer-specific requirements can delay a claim before it ever reaches the payer.
Four Ways Home Care Revenue Gets Delayed
Eligibility or Authorization Changes Mid-Service
When eligibility or authorization changes after a visit is scheduled, the service may not be billable as submitted, or the claim may be rejected or denied.
EVV Records That Don't Match the Claim
EVV visits that don't match the units, times, or services being billed can hold up a claim even when the visit was performed correctly.
Medicaid and Waiver Rules That Vary by Program
Requirements differ by payer and program, so a rule that applies to one client's claim may not apply to another's.
Unclear Ownership on Unpaid Balances
When no one owns follow-up on unpaid balances, aging claims can sit unresolved for months.
We Identify Pre-Billing Gaps Before Claim Submission
Walters does not wait for a denial to reveal a problem. We review eligibility and authorization status at intake, perform reverification as required, and reconcile EVV records before claim submission.
When balances remain unpaid, the Walters team responsible for the account follows the issue through, so the history and next action stay with people who already know the account.
Home care agencies that need eligibility, authorization, and EVV information checked before claims are submitted, not after they are denied.
- Clean claim rate
- Authorization-related denial rate
- Days in AR
Looking for a Billing Team That Works Like Part of Yours?
Tell us about your agency, current billing operation, and what you want to improve. An experienced billing specialist—not a sales representative—will follow up to discuss your needs and determine the appropriate next step.
Talk With a Billing Specialist