Home care billing
CareVoyant billing services
CareVoyant billing services from Remitwright suit an agency that runs several lines of service in one system: private duty nursing, non-medical personal care, HCBS waiver services and home health.
Medicaid waiver, VA or private pay: tell us your mix.
CareVoyant links each service authorization and plan of care to scheduling, clinical work and billing, sends EVV data to the state's aggregator, and builds claims in 1500 or UB format through a configurable claim scrubber. A dedicated biller works in your CareVoyant on a login you issue, keeps each payer's rules apart, and follows every claim until it is paid or closed. CareVoyant billing is one part of our home care billing services.
Independent: Remitwright is not affiliated with or endorsed by CareVoyant. CareVoyant is a trademark of its owner, named here to describe the system we work in.
Last reviewed by the Remitwright billing team. Editorial policy
- Home care and home health
Every day
What your biller does in CareVoyant every day
- Review each service authorization and plan of care before the billing run, since CareVoyant stops visits outside an authorization from being scheduled or billed and those gaps surface there first
- Run eligibility checks in real time or in a batch at intake and again before claims are built
- Reconcile shift-based private duty nursing hours to the schedule and the authorization, and visit-based personal care to its EVV record
- Act on CareVoyant's alerts for incomplete or missing visit information, and get each visit finished before it reaches a claim
- Confirm that EVV data reached the aggregator your state or plan designates, whether that is HHAeXchange, Sandata, Tellus (now CareBridge), AuthentiCare or Netsmart, and clear the visits it questions
- Build claims in CMS-1500 or UB-04 format, or a paper invoice where a payer still wants one, and clear the claim scrubber's findings before release
- Submit claims directly to payers where CareVoyant is set up for it, and through your clearinghouse where it is not
- Keep Medicaid, Medicaid waiver, Medicare, insurance and private pay rules apart for each client, even when one client receives more than one line of service
- Post each payer's remittance, work every denial to its cause, and send patient statements to private pay clients
Access
Access and security
Your data, your systems
Patient data stays in your systems. Your biller works inside your own software, clearinghouse and payer portals and never exports, downloads or stores claim files, remittances or patient lists on Remitwright devices or systems.
- BAA signed before any access
- A user you create and can remove
- MFA on every login that supports it
- No claim files or patient lists exported
In CareVoyant
- CareVoyant remains your agency's system and your data stays in it; the biller gets a user you create with billing access only
- You can see that user in your own administration screens and disable it at any time
- Claims go out to payers and to nothing else; Remitwright keeps no copy of your data in systems it runs
- The business associate agreement is signed before the user is set up
Where the biller steps in
What CareVoyant does not do, and the biller does
The claim scrubber is configurable, so it catches only the rules someone has set in it; the biller adds each payer's edits as denials show where they are missing
The aggregator belongs to the state or the plan. CareVoyant sends the visit data, and the biller resolves what the aggregator flags, either there or in the visit that produced it
CareVoyant blocks billing outside an approved authorization; getting the next authorization approved by the payer is a request the biller tracks and makes
Payroll differentials, travel time and accounting stay with your office; the biller's work covers the claim, the remittance and the denial
Appeals and records requests are filed in each payer's portal or by letter, outside CareVoyant
Worked example: an authorization that ends before the plan of care
A hypothetical agency runs pediatric private duty nursing and personal care in CareVoyant for clients covered by Medicaid managed care. Reviewing authorizations before the billing run, the biller sees that one nursing client's service authorization ends before the plan of care does. Because CareVoyant keeps shifts outside an approved authorization from being scheduled or billed, the shifts after that end date cannot reach a claim until a renewal is in place.
The biller asks the plan for the renewal, enters the approved authorization in CareVoyant once it arrives, and the remaining shifts can then be scheduled, delivered and billed in the format that plan takes, after the claim scrubber's checks. The end date goes on the biller's renewal list, so the next request is made before the authorization lapses.
Questions
Questions about billing in CareVoyant
We run private duty nursing, personal care and home health in one CareVoyant system. Can one biller handle all of it?
Which EVV aggregators does CareVoyant send to?
How does the authorization connect to the claim in CareVoyant?
What claim formats can CareVoyant produce?
Where do EVV exceptions get fixed?
What access do you need?
Next step
Medicaid waiver, VA or private pay: tell us your mix.
Three quick questions. No patient data. A billing specialist reads every request and replies in writing, with notes on how the work would run inside CareVoyant.
- Three questions, about two minutes
- No patient data, no software to buy
- A written reply from a biller, not a sales deck
You answer three questions
A billing specialist reads them
A written reply by email
Prefer email? sales@remitwright.com
Request received
Thanks. Your review request is in.
Reference . Quote it if you write to us about this request.
- A billing specialist reads your answers and replies by email.
- If a look at real claims makes sense, we agree read-only access under a BAA first.
- You get a written summary of what is worth working and what it would take. No commitment.
While you wait: see the sample weekly report or read the home care billing guide. You can also download the sample weekly report (PDF).