Running a non-medical home care agency involves juggling a lot of moving parts—caregiver schedules, client needs, and regulatory compliance. But perhaps the most critical (and often the most stressful) aspect is getting paid. For agencies that rely on Medicaid reimbursements, having the right Medicaid billing software is essential. Without it, the billing process can be confusing and hard to manage.
This is where the right technology makes all the difference. Choosing a robust Medicaid billing software like GEOH transforms a chaotic financial workflow into a streamlined, reliable system.
Below, we’ll explore why billing procedures matter, how to navigate them, and why GEOH is the partner you need to ensure every claim is paid on time.
When Billing Medicaid Claims, Which Processes Are Important?
If you are new to Medicaid billing or looking to refine your current process, you might ask: “When billing Medicaid claims, which procedures are important?” The answer lies in precision and documentation. Medicaid is notorious for its strict requirements, and even small errors can lead to denied claims and delayed revenue.
Here are the critical processes every agency must master:
1. Verification of Eligibility
Before providing care, you must verify that the client is currently eligible for Medicaid benefits. Coverage can change month-to-month, so regular checks are essential to avoid providing uncompensated care.
2. Accurate Authorization Management
Most Medicaid waiver programs require prior authorization for services. You must track exactly how many hours or units have been approved for a specific period. Exceeding these limits often results in non-payment for the overage.
3. Electronic Visit Verification (EVV)
For personal care services, EVV is no longer optional—it’s federal law. You must electronically verify:
- The type of service performed.
- The individual receiving the service.
- The date of service.
- The location of service delivery.
- The individual providing the service.
- The start and end times of the service.
4. Clean Claim Submission
A “clean claim” is one that has no defects or improprieties. This means correct coding (HCPCS codes), accurate modifiers, and matching NPI numbers. Submitting clean claims the first time is the fastest way to get paid.
How GEOH Simplifies Medicaid Billing
Managing the procedures above manually is a recipe for burnout. Spreadsheets and paper timesheets leave too much room for human error. GEOH’s Medicaid billing software automates these complex workflows for you.
Accurate Coding and Documentation Tools
With GEOH, claims are built using the correct HCPCS codes, modifiers, and NPI numbers, thanks to integrated billing guides and smart suggestions. The platform assists with documentation by prompting staff to capture all critical details during visit entry. This results in cleaner, more accurate claims—and faster payments for your agency.
Purpose-Built for Non-Medical Home Care
Generic billing tools often lack the nuance required for home care waivers. GEOH is purpose-built for non-medical agencies. We understand the specific challenges of waiver billing, unit calculations, and split shifts. Our platform aligns your operational data directly with billing requirements, so you don’t have to bridge the gap manually.
Integrated EVV
GEOH makes compliance an active part of your workflow. Our mobile app streamlines EVV—caregivers check in and out directly through the app, and it automatically captures GPS location and timestamps. The app sends this verified visit data straight into your billing module, so every claim you submit is fully supported.
Smart Scheduling That Prevents Errors
Billing starts with scheduling. If your schedule doesn’t match the authorized care plan, your billing will fail. GEOH’s smart scheduling engine alerts you to potential conflicts or unassigned shifts before they happen. By ensuring your schedule aligns with authorizations upfront, you reduce the risk of billing disputes later.
Many software providers hide the true cost of their Medicaid billing software behind implementation fees, per-claim charges, or complex tiers. At GEOH, we believe in transparency.
We know that Medicaid reimbursement rates can be tight, and your software shouldn’t eat into your margins. Our pricing model is simple:
- Affordable Plans: Starting at just $13 per user/client per month.
- No Hidden Fees: Essential features, including billing support, are included.
- Scalable: Whether you have 10 clients or 1,000, our pricing grows with you.
You will always know exactly what you are paying, allowing you to budget effectively and focus on growing your census.
Award-Winning Support When You Need It Most
Even with the best software, questions arise. Maybe a payer changes a requirement, or you hit a snag with a specific batch of claims. You need a partner, not just a vendor.
GEOH offers award-winning support designed to help you succeed. Our team consists of experts who understand the non-medical home care industry. We don’t just troubleshoot technical glitches; we help guide you through best practices to optimize your agency’s operations. When you choose GEOH, you gain a support team that is responsive, knowledgeable, and invested in your success.
Take Control of Your Billing Today
Stop letting denied claims and paperwork bottlenecks slow your growth. Efficient billing is the heartbeat of a healthy agency, and you deserve tools that work as hard as you do.
GEOH offers the Medicaid billing software solution that brings scheduling, compliance, and billing into one unified platform. By automating the critical procedures of Medicaid claims, you free up your staff to focus on what matters most: delivering exceptional care to your clients.
Ready to get paid faster and simplify your operations?
