Billing for personal assistance services, matched visit by visit
Personal assistance and attendant care is paid in units, authorized in advance and verified through EVV. A small mismatch between the visit record and the claim can stop payment. We reconcile them before claims go out.
What makes personal assistance billing different
Payment depends on records from caregivers, care plans and payers all agreeing with each other.
- 01
EVV visit matching
Medicaid personal care visits must be electronically verified. We match EVV records to claims and resolve missing or edited visits before billing.
- 02
Authorized units
We track units used against each client’s authorization so you know when hours are close to running out or a renewal is due.
- 03
Waiver and managed care rules
State waiver programs and Medicaid managed care plans each have their own codes, units and billing rules. We bill each one the way it requires.
- 04
Caregiver and client records
We flag expired service plans, missing signatures and attendant documentation gaps that can lead to recoupments.
How we support personal assistance providers
Our services fit the way personal care programs are run.
- 1
Program enrollment
Medicaid provider enrollment and managed care contracting for personal assistance and attendant care programs.
- 2
Billing and reconciliation
Weekly or biweekly claims, EVV matching, payment posting and follow-up on rejected units.
- 3
HIPAA for in-home care
Simple privacy rules and training for caregivers who work in clients’ homes.
- 4
Free audit
A review of unbilled hours, EVV exceptions and denied units to find recoverable revenue.
Find out what your billing is missing
Request a free audit of your claims, denials and unpaid balances. We will show you, in writing, where revenue is getting stuck and what it takes to fix it.
- No cost and no obligation
- Covered by a business associate agreement
- Written findings you keep