The estimates based on patient count show you the pattern. The CareDrain™ Diagnostic shows you your agency's specific revenue picture — the exact authorization hours expiring unused, the precise claims error rate, the specific credentials approaching lapse — on your real data. It takes about 15 minutes. The profile is yours to keep.
The industry-pattern estimates — ~$2,400 authorization, ~$1,100 claims, ~$600 compliance at 30 patients — are based on what Medicaid home care agencies typically experience. They tell you the shape of the problem. Your CareDrain™ Profile tells you the precise dollar figures for your agency, based on your actual data. The two are different things, and both have value.
Based on industry averages at your patient count. Takes under two minutes. Shows you the shape of the problem and which vectors are typically largest at your scale. Useful for understanding whether CareDrain™ is worth investigating on your real data. Does not require sharing any agency data.
Based on your agency's authorization records, claims history, and credential files. Takes about 15 minutes in a review call with CareBravo. Shows the precise dollar figures across all three vectors — which patients have authorization gaps, which claims have error patterns, which caregivers have expiring credentials. The profile is yours to keep.
The CareDrain™ Profile is not a summary of industry patterns applied to your patient count. It is a review of your actual records — what is happening in your agency, right now, across the three revenue drain vectors.
The profile shows every patient with a gap between authorized hours and scheduled hours, the dollar value of those unscheduled hours, and the authorization expiration date. You leave the review knowing exactly where to focus scheduling attention before the window closes.
The profile analyzes your recent claims history — denial rate, denial reasons, rework rate — and estimates what a pre-submission review process would have caught before submission. The dollar figure represents the claims that were denied and not reworked, plus the rework cost on the ones that were.
The profile reviews caregiver credential files — what's current, what's expiring within 60 days, and whether any credentials have already lapsed. It shows the billing impact of any current lapses and the survey exposure profile for the agency's current compliance state.
The diagnostic does not require you to prepare files, export data, or change anything about how you run your agency. You continue operating normally. CareBravo reviews what's already there.
Agency name, state, approximate patient count, and the billing system you currently use. This allows CareBravo to configure the diagnostic for your state's Medicaid rules, your MCOs, and your payer mix. No financial information, no sensitive patient data at this stage.
CareBravo accesses your authorization records, recent claims data, and caregiver credential files through secure connection to your existing systems. Nothing is migrated. Nothing is restructured. The diagnostic reads what's already there and analyzes it against your state's billing rules and your MCO requirements. Your agency continues operating normally throughout.
In a 15-minute call, CareBravo presents your CareDrain™ Profile: the precise dollar figures across Authorization Drain, Claims Drain, and Compliance Drain, with the specific patients, claims, and credentials driving each number. You see exactly where the revenue is going and how much. The profile is yours to keep regardless of what you decide next.
If the profile shows significant, addressable CareDrain™, CareBravo explains what recovery would look like — which functions would stop which drains, what the Parallel Promise transition covers, and what it costs. If the profile shows your agency doesn't have a significant CareDrain™ problem, the conversation ends there. The diagnostic is honest because the only deal worth doing is one where the recovery justifies the cost.
The profile is a written document showing your precise authorization utilization gaps, claims error analysis, and credential compliance status. It is yours regardless of whether you proceed with CareBravo.
It is also useful independent of CareBravo — as a baseline to track against if you address these issues through other means, as documentation for a billing review with your current team, or as a data point for a conversation with your MCOs about authorization patterns.
Neither. The diagnostic is a standalone step with no commitment attached. You see your CareDrain™ Profile. You decide whether the numbers justify a conversation about CareBravo. If they do, that conversation happens after. If they don't, the profile is still yours. The diagnostic is the proof step — it's what allows both parties to make a decision based on data rather than estimates. CareBravo doesn't ask for a commitment before you've seen your actual numbers.
A demo shows you the product. The diagnostic shows you your agency's data. The difference is what you're looking at: a product demo asks you to imagine what the software would do for your agency. The CareDrain™ review shows you what it actually finds in your current records. You're not evaluating features in the abstract — you're seeing the authorization gaps, the claim error patterns, and the credential lapses that exist right now. The product conversation comes after the data conversation, not before it.
That's a real outcome. If your authorization utilization is high, your denial rework rate is high, and your caregiver credentials are clean, your CareDrain™ may be well below the industry pattern for your size. In that case, CareBravo will tell you — and the profile becomes documentation of a well-run operation rather than a problem to solve. The value of the diagnostic isn't that it always finds a problem. The value is that it tells you the truth about what's actually happening in your agency's billing and compliance, based on your real data.
Knowing you have a denial problem is different from knowing the precise scope of it. The diagnostic quantifies it — your denial rate, your rework rate, what the unworked denials cost per month, what the timely filing exposure is on the current backlog. It also shows you the authorization and compliance picture alongside it, which most agencies with known billing problems haven't quantified separately. The combined number is often significantly higher than what agencies estimate when they're only tracking the denial problem they already know about.
The pattern estimates — approximately $4,100/month at 30 patients, approximately $12,300/month at 90 patients — describe what agencies at your size typically lose. Your CareDrain™ Profile describes what your agency is actually losing. The difference between those two numbers is the conversation worth having. It takes 15 minutes to see it.