Home care billing
MatrixCare billing services
MatrixCare billing services from Remitwright follow the kind of care your agency bills from MatrixCare.
Medicaid waiver, VA or private pay: tell us your mix.
For private duty and home care, that means each client's payers, authorizations and bill rates set correctly, invoices and statements out, electronic remits imported and posted, and Medicaid visits carried to the state aggregator through MatrixCare's EVV integrations. For home health and hospice, it means eligibility checked before the claim, 837 files sent through eClaims, and every denial worked to its cause. A dedicated biller does this on a login you issue. MatrixCare billing is one part of our home care billing services.
Independent: Remitwright is not affiliated with or endorsed by MatrixCare. MatrixCare 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 MatrixCare every day
- Set each client's payers, authorizations and bill rates, including the split when more than one source pays for the same client's care
- Act on the scheduler's authorization warnings before a visit is booked past what the payer approved
- Check the visits caregivers record with GPS check-in and check-out, and the daily visit sheets the mobile app produces, against the schedule before anything is billed
- Confirm that Medicaid visits reached the state aggregator through MatrixCare's alternate EVV integration with Sandata, HHAeXchange or Netsmart EVV, and clear the ones that did not
- Create invoices and statements, one at a time or in a batch, for private pay clients and other payers that take an invoice, and work the client and payer aging reports
- Import electronic remits, record deposits, payments and adjustments, and send every denial to its owner with the reason attached
- On the home health and hospice side, run the automatic Medicaid and commercial eligibility check before claims go, then send the 837 files through eClaims
- Where your agency uses MatrixCare's document management, find and re-send unsigned orders so a claim is not held for a missing signature
- For Medicare home health, get the Notice of Admission accepted within five calendar days of admission, then bill a claim for each 30-day period of care
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 MatrixCare
- MatrixCare stays licensed to your organization; the biller is a named user you create with billing rights and nothing beyond them
- You see that user in your administration settings and can disable it whenever you choose
- Claims and remits move between MatrixCare, your clearinghouse and the payers; no copy of your data is kept in a system Remitwright runs
- The business associate agreement is in place before the first login
Where the biller steps in
What MatrixCare does not do, and the biller does
eClaims applies built-in rules to each claim before it goes, but a plan's own documentation requests and edits are kept by the biller plan by plan
MatrixCare passes visits to the state aggregator; when the aggregator flags one, the fix is made where the visit was recorded and then confirmed in the aggregator
Private duty hours and Medicare home health periods follow different payer rules, so the biller keeps them as separate lines of business with their own figures
The scheduler warns about an authorization; requesting the renewal from the payer before it lapses is a task the biller owns
Appeals, records requests and additional documentation requests go through the payer's or the MAC's own process, outside MatrixCare
Worked example: one client, two payers
A hypothetical private duty agency on MatrixCare serves a client whose weekday personal care is covered by a Medicaid waiver program and whose weekend hours are paid privately by the family. The biller sets both payers on the client with their own authorization and bill rate, so the scheduler warns before a weekday visit runs past the waiver's approved units.
Weekday visits go to the state aggregator through MatrixCare's EVV integration and are billed to the program once they verify. The weekend hours go on the family's statement at the private rate. When the program's electronic remit is imported, each paid line is posted against its visit, and any line paid short goes back to its cause with the reason the payer gave.
Questions
Questions about billing in MatrixCare
Can you bill private duty and home health in MatrixCare?
How do MatrixCare visits reach the state EVV aggregator?
How are claims sent from MatrixCare?
Do we need MatrixCare's revenue cycle services to work with you?
How do you handle EVV exceptions from MatrixCare visits?
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 MatrixCare.
- 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).