AI for home health agencies: what to automate first
Start with the workflow where a missed deadline costs money. Our experts rank the candidates with you; our AI agents run the first beside your EMR.
The decision is not whether to automate, it is which workflow first
Most agencies choose between broader billing software and adding billers. Neither touches the checks that follow written rules: a notice inside its clock, a period one visit short, a payment accepted below what was owed.
Four questions to ask of any candidate workflow
Loss before volume
Rank workflows by dollars at stake, frequency, and share following written rules.
Where the rules decide
Automate biller-writable rules: clocks, codes, counts, contracts. Keep judgment with people.
Data that exists today
The data should already exist in your EMR, schedule and payer portals, even if in different screens.
A person can still act
Prefer a fix a clinician or biller can still act on, like an alert in time to add a visit.
What changes when our AI agents and experts run it
Once our AI agents run the first workflow, every notice is filed inside its window, every claim is checked before it goes out, and every remittance is compared to what your payer owed.
- Notices filed inside the five-day clock
- Claims checked before submission
- Shortfalls queued by cause, daily
Start where our study of 169 workflows says the loss sits
The highest-ranked workflows in the study hold the top of the list, every one ready now. The dullest jobs, claim editing and cash posting, won every re-run.
- Notice of admission and notice of election generation and filingThe top pick of 169 workflowsWorth it, ready now
- Expected-payment variance for home health periodsIn the top three of 169 workflowsWorth it, ready now
- Assessment review and case-mix code validationIn the top three of 169 workflowsWorth it, ready now
- Medicare benefit position and payer-of-record determinationIn the top ten of 169 workflowsWorth it, ready now
- Denial, return and review routing and triageIn the top ten of 169 workflowsWorth it, ready now
- 30-day period ledger reconciliationIn the top ten of 169 workflowsWorth it, ready now
- Assessment timepoint and submission managementIn the top ten of 169 workflowsWorth it, ready now
- Visit-count and low-utilization threshold monitoring per periodIn the top ten of 169 workflowsWorth it, ready now
- Authorization-to-delivery reconciliationIn the top ten of 169 workflowsWorth it, ready now
The full study, PDF · 636 KB
The winner is the dullest job in the building
Claim editing and cash posting beat every clever idea in the study, and they beat it every single time we re-ran the numbers.
Start with the workflow that costs your agency the most
The first conversation is about one workflow: where your agency loses the most, what our AI agents would take over, and what your team would keep. No data to send, nothing to sign.
Common questions
Can prior authorization be automated?
Yes. Our AI agents check every scheduled and delivered visit against the authorization ledger daily and request extensions before the visits; your scheduler makes the call on what the agents flag.
How can I automate claims processing?
Automate the checks around the claim first. Our AI agents generate and file the notice of admission within the five-day clock; a late filing cuts the period payment by one-thirtieth per day.
Will AI replace home health care workers?
No. The software makes no clinical decisions; your clinicians and billers review what it flags and make the call. Our AI agents do the checking so your staff do the care.
Can AI help with billing?
Yes, and billing is where our AI agents start for most agencies. They post each remittance, compare it to what you expected from that payer, and route each denial to whoever can fix it.