Eight years in, you understand the business. You know your denial pile exists. You've sat down and looked at your authorization utilization numbers, and you didn't like what you saw. You can't afford a dedicated biller or a compliance officer — but you also can't afford to keep leaving that revenue on the table. CareBravo is the fix that doesn't require the hire.
Experienced operators have a different problem than newer ones. They've already absorbed the lessons. They know exactly what's costing them money. The gap isn't knowledge — it's capacity. The things that would fix the revenue loss require time and expertise that aren't available with the team they can afford to carry.
You know your authorization utilization is not where it should be. You've sat down on a slow Sunday and compared approved hours to scheduled hours across your roster. The number of hours expiring unused is significant. You just don't have a system that does this every week, for every patient, automatically.
You know the denial pile is costing you. You rework what you can. The rest sit. You know what your denial rate is approximately. You've never done the precise calculation of what the unworked denials cost per month because the number would require action you don't have time to take.
You know your one office person is at her limit. She's loyal, capable, and already doing the work of three people. She's not a trained biller. She doesn't know how to appeal an MCO denial. If she leaves, your operation is in serious trouble. You think about this more than you say out loud.
You know the state survey could happen any time. You've done the training. You've prepared the binders. You're probably mostly clean. Probably is not a word you want to be working with when a surveyor walks through the door.
The per-patient revenue drain figures that produce approximately $4,100/month at 30 patients produce approximately $12,300/month at 90 patients. The pattern is the same. The volume is three times larger. So is the gap between what you're collecting and what you've already earned.
At this size, you're not running on hope that nobody's watching the authorization windows. You're running on a Sunday morning spreadsheet that only happens when you have time, which is approximately once every six weeks. The cost of that gap is not hypothetical — it's accumulating in the background every week.
Before you change anything about your operation, CareBravo reviews your actual authorization records, claims history, and credential files. You see the number. You see where it's coming from. You decide whether the math makes sense.
At 90 patients, you're past the size where one stretched office person can do everything well. You need a biller who works your denials, a compliance associate who keeps your credentials clean, a system that tracks authorization utilization every week without someone spending four hours to run it. CareBravo delivers all three — as a service, not a hire.
CareBravo compares approved hours against scheduled hours for every patient, automatically, every week. When a gap appears — hours approved but not yet scheduled, an authorization window closing — you're told before it expires. Not after the revenue is already gone. The patient's name, the unscheduled hours, the expiration date. Before it closes.
CareBravo reviews every claim before submission — EVV match, authorization status, service code, caregiver credential, care plan alignment. Errors get caught in two minutes instead of three weeks. The claims that do get denied are worked by billers who know your specific MCO appeal processes — not left in a pile for an office person who doesn't know timely filing rules.
Every certification, every license, every training requirement — monitored, with alerts before expiration. A caregiver with a lapsing credential is flagged before she's scheduled for visits that won't be billable. When a surveyor walks in, you hand them the compliance report. You're clean. Not probably clean. Clean.
Call-outs at 90 patients — with 40 caregivers across dozens of morning shifts — require matching availability, certification, proximity, and overtime hours simultaneously. CareBravo runs that match overnight. Your 5 AM phone shows who accepted the shift, not a stack of contacts to call through before the visit is supposed to start.
100+ agencies. 73% average revenue growth. No added back-office hires. The agencies that grew to this point and beyond did not hire their way to operational capacity. They stopped losing revenue that was already theirs — and let that recovery fund the next stage of growth without proportional staffing cost.
This is the question that stops experienced operators from moving. You've been through a system transition before. You know what it costs — not the vendor's optimistic estimate, but the real cost: three months of disruption, confused caregivers, claims delayed, cash flow compressed at the worst possible time. You are not doing that again without certainty.
CareBravo runs in parallel with your existing systems. Your claims continue processing on your current setup. CareBravo builds and validates alongside it — running the same claims through its review, showing you what it catches, letting you compare outputs — until you're satisfied with what you're seeing. You switch when you're ready, not on a vendor's timeline.
The Parallel Promise is a documented commitment, not a sales assurance. It covers operational continuity, billing continuity, and the validation process. If CareBravo's output doesn't match what was promised during the parallel run, you don't switch. That commitment is in writing.
The Parallel Promise is the difference. CareBravo runs alongside your current systems — it doesn't replace them until you've seen it working on your actual data and confirmed the output. Your billing cycle is not interrupted during the parallel period. Claims continue on your current system. CareBravo runs the same data in parallel, shows you what it catches that your current setup is missing, and lets you validate the output before you switch anything. The transition happens on your timeline, with documented validation checkpoints. Not "trust us, it'll be smooth."
If your MCO mandates a specific EVV system, that mandate doesn't change. CareBravo integrates with state-mandated EVV systems — it doesn't require you to abandon a payer-required tool. What CareBravo adds is the exception management layer on top of that EVV data: catching the mismatches, resolving the exceptions before the billing window closes, and ensuring the EVV record that reaches the payer is clean. The integration question for your specific MCO requirements is addressed in the diagnostic review before you commit.
CareBravo's pricing is a percentage of your collections — not a flat fee that ignores your revenue. At 90 patients you're likely collecting $150,000–$200,000/month in Medicaid revenue. The base tier runs approximately 2.22% of collections. The tier that includes specialist billing and compliance staffing — the biller who works your denials, the compliance associate managing your credentials — starts at 4.47%. The precise cost for your agency, and what the authorization and claims recovery offsets against it, is shown before you commit. If the math doesn't produce a clear positive, CareBravo tells you that before you sign anything.
Yes. The diagnostic review shows you what CareBravo finds on your own agency's data — your authorizations, your claims, your credentials. You see the numbers before you commit, before you recommend it, and before you tell anyone else. That review is the proof. If it shows significant authorization drain and claims losses on your real data, you have evidence. If it doesn't, you have that too. Either way you walk out of the 15-minute call with a precise figure, not an industry estimate.
The diagnostic runs on your real data. Authorization records, claims history, credential files — in about 15 minutes, you see the precise revenue picture for your agency. Not an estimate based on 30-patient averages. Your agency. Your payers. Your number. You decide what to do with it after that.