IDEA
Vertical: Home Health Agencies
Category: Operations & Logistics
Market: $1.98B EVV market
Stop Medicaid denials before they happen
Pricing:0.5% of claims saved
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Medicaid denies claims for messy EVV data. GPS off, missing clock-out = denial.
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Identifies impossible visits, auto-generates correction forms before submission.
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01Ingest raw EVV logs from caregivers
02AI identifies 'impossible' visits (GPS too far, overlapping times)
03Flags data mismatches that will trigger denial
04Auto-generates correction forms for caregiver signature
05Cleans data before claim submission to state
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→EVV data validation engine
→GPS proximity verification
→Time overlap detection
→Auto-correction form generation
→Pre-submission scrubbing
→Denial prevention analytics
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Sandata
EVV provider, not scrubbing focused
HHAeXchange
Comprehensive but expensive
Manual review
Time-consuming, error-prone
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21st Century Cures Act mandates EVV. As of January 2024, claims without matching EVV data are denied. Ohio audit found only 44% compliance - massive remediation needed.
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Home health agencies with 50-500 caregivers experiencing 5-15% claim denial rates due to EVV data issues.
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Percentage of claims saved from denial. Pure outcome-based - if we don't save you money, you don't pay.
We're looking for domain experts and early customers. If home health agencies is your world, let's talk.