Every completed visit should become revenue. But between the visit and the payment, there's a gauntlet — and every step still requires someone's time.
Traditional billing software generates claims and hands them back to your team — verify, correct, reconcile, submit. CareBravo processes claims end-to-end and delivers them as completed work. Payer rules applied. Exceptions resolved. Clean claims submitted.
Every completed visit should become revenue. But between the visit and the payment, there's a gauntlet — and every step still requires someone's time.
Traditional billing software generates claims. Everything after that still needs someone's attention. The more visits you process, the more manual work piles up. Payer mix multiplies it. Denials compound it. And most agencies don't have the capacity to dedicate someone to billing full-time — so it competes with every other function on the list.
CareBravo doesn't generate claims for your team to process. It processes claims end-to-end — from verified visit data through clean claim submission — and delivers them as completed work.
EVV-verified visit data flows directly into billing. No manual data entry. No export from one system and import into another. Visit data arrives already verified and formatted.
Medicaid, VA, private pay, and managed care — each payer has its own billing requirements. The correct rules are applied automatically for every claim, regardless of your payer mix.
Every claim is validated against payer requirements before submission. Data errors, documentation gaps, and rule violations are caught and corrected before the claim goes out — not after it's denied.
The most common denial causes — data entry errors, missing documentation, EVV exceptions, payer rule violations — are resolved before submission. Claims are cleaned going out, not corrected coming back.
Validated, rule-compliant claims submitted continuously. No batch processing at end of month. No backlog. Claims process as visits are completed and verified.
Submitted claims tracked through the reimbursement cycle. Status visible without manual follow-up. If a claim requires attention, the system flags it with context on what happened and why.
Every step that traditionally requires someone's time is delivered as completed work. Data flows in. Rules applied. Claims validated. Clean claims submitted. Volume grows — billing keeps pace without consuming more of your team's capacity. That's one of nine functions contributing to 73% average revenue growth across 100+ agencies.
Claims process continuously — not in monthly batches. The time between completed visit and submitted claim compresses from days or weeks to hours. No more waiting for someone to have time to run billing.
Claims validated before submission, not corrected after denial. Fewer denials means fewer resubmission cycles — and faster, more predictable reimbursement.
When billing doesn't bottleneck behind someone's availability, completed visits become revenue faster. Cash flow becomes a function of care delivery, not when claims get processed.
During your demo, ask about billing cycle times and acceptance rates for agencies similar to yours in payer mix and volume.
Mixed payer agencies don't need separate billing workflows. Payer-specific rules are applied automatically for every claim — regardless of your payer mix.
State-specific Medicaid billing rules applied automatically. EVV compliance verified before claim submission.
Veterans Affairs billing requirements handled within the same workflow. Authorization verification and claims processing included.
Private pay invoicing processed alongside government payer claims. Different rules, same workflow delivering completed billing.
Managed care organization billing with plan-specific rules applied automatically. Same workflow regardless of MCO.
Your payer mix doesn't determine your billing complexity. Whether you're Medicaid-primary, VA-focused, or mixed across all payer types — billing is delivered the same way. One workflow. Every payer. Completed work.
On most platforms, billing is the end of a disconnected chain — data exported from EVV, imported into billing, reconciled manually. On CareBravo, billing is one step in a connected system where data flows without handoffs.
When a shift is scheduled, service type, authorization, and client details are established. This data flows through EVV verification directly into billing — no re-entry.
Scheduling detail →Six EVV data points captured and verified. Exceptions resolved. Compliance confirmed. Verified data flows directly into billing — no export, no import, no reconciliation.
EVV compliance detail →Verified visit data used for billing also feeds payroll — hours, pay rates, overtime, and split-shift calculations. One set of verified data serving both functions.
Payroll detail →When a new client is onboarded through CRM — payer information captured, authorizations verified, EDWP established — their billing profile is ready before the first visit.
CRM detail →On a traditional platform, billing requires data from scheduling, EVV, and CRM — but none of those systems talk to each other. On CareBravo, data flows from scheduling through EVV through billing through payroll within one system. No gaps. No reconciliation.
Verified visit data flows in from EVV. Payer-specific rules are applied automatically. Claims are validated before submission. Exceptions resolved within the system. Clean claims submitted continuously. The entire workflow is delivered as completed work.
It depends on what your agency needs. Traditional platforms like HHAeXchange and WellSky generate claims and provide reconciliation tools for your team. CareBravo processes claims and delivers them as completed work. If you have the capacity to manage billing at your volume, traditional platforms work well. If you want billing delivered, CareBravo is built for that.
Yes. CareBravo processes billing across Medicaid, VA, private pay, and managed care — with payer-specific rules applied automatically. Mixed payer agencies don't need separate billing workflows for each payer type.
Denials typically result from data errors, missing documentation, EVV exceptions, or payer rule violations. CareBravo prevents denials at the source: visit data flows directly from EVV, payer rules applied before submission, and exceptions resolved within the system. Claims are validated before they go out — not corrected after they're denied.
Scheduling sets visit parameters. EVV verifies the visit. Billing processes the claim. Payroll calculates pay from the same verified data. In CareBravo, all four run within the same system — data flows from scheduling through EVV through billing through payroll with no manual handoff or reconciliation.
Faster billing cycles mean faster reimbursement. When claims process continuously instead of in monthly batches, and fewer denials mean fewer resubmission cycles, the time between completed visit and received payment compresses. Cash flow becomes more predictable and less dependent on when someone has time to run billing.
We'll walk through how claims are processed for your specific payer types — Medicaid, VA, private pay, or mixed. See the billing workflow from verified visit to submitted claim.