What we build for home health agencies and hospices
Moative builds custom AI for home health agencies and hospices. Our engineers work inside your operation, and our AI agents automate intake, authorizations, claims, denials, scheduling and compliance beside your EMR.
Every area where revenue is won or lost
Thirteen areas, in the order the money moves. In each, our AI agents read, check, file and route; our experts handle what they flag.
Referral intake and patient access
Our AI checks prior episodes, hospice elections pre-admit; our experts handle exceptions.
Eligibility and benefit verification
Our AI agents re-verify Medicare, Advantage and Medicaid standing across the episode.
Prior authorization and utilization review
Our AI agents match deliveries to approved counts and track affirmations; our experts chase the gaps.
Certification, face-to-face and physician orders
Our AI holds encounter-cert windows against day counts; our experts handle physician follow-up.
Diagnosis coding and OASIS
Our AI agents pre-check case-mix codes against visit narratives; our experts review flags.
Claim assembly and submission
Our AI files notices, edits every claim pre-billing; our experts take returns needing judgment.
Payment posting and remittance
Our AI agents post remittances and flag underpayments; our experts pursue them.
Denials, ADRs and appeals
Our AI agents route each denial to its fixer; our experts write appeals needing judgment.
Accounts receivable follow-up
Our AI agents run aging and build the work queue; our experts chase worthwhile accounts.
PDGM period and hospice per-diem revenue
Our AI agents reconcile every period and billed day; our experts audit unsupported records.
Patient billing and collections
Our AI agents make statements, reconcile estimates; our experts handle liability, assistance.
Revenue and quality reporting
Our AI agents build the denial, AR and cash reporting; our experts read it with you.
Provider enrollment and credentialing
Our AI agents track enrollment and revalidation deadlines; our experts handle changes of ownership.
Every area where the day runs or stalls
Ten areas of the clinical and back-office day. Our AI agents hold windows, score risk and keep records current; our experts take the exceptions.
Plan of care, visits and hospice eligibility
Our AI agents keep every assessment in window; our experts review eligibility and prognosis.
Referral sources and intake speed
Our AI agents chase pending referrals and track admissions; our experts keep referrers informed.
Scheduling and staffing
Our AI agents score missed-visit risk and rebook same day; our experts handle call-outs.
Patient and family communication
Our AI agents send benefit, medication and pre-visit updates in families' language; our experts help.
Multi-branch operations
Our AI agents centralize intake and calls; our experts set staffing rules.
Supplies, DME and pharmacy
Our AI agents reconcile equipment, drug and supply costs to census days and per-diems; our experts handle vendor disputes.
Recruiting, onboarding and retention
Our AI agents flag turnover risk from caseload; our experts keep competency records current.
Marketing and referral growth
Our AI agents report volume, conversion and admission time by source; our experts plan campaigns.
Compliance, survey readiness and EVV
Our AI agents watch eligibility, cap, face-to-face and visit-verification compliance per episode; our experts keep survey evidence ready.
Finance, systems and integrations
Our AI agents monitor interfaces and route errors; our experts close the month.
The workflow that costs your agency the most, built first
Your work sits among these areas even when no page matches it. Our experts rank candidates against our study of 169 workflows and walk your numbers with you.
Common questions
Can prior authorization be automated?
Yes, most of it. Our AI agents match visits and disciplines delivered against the approved count and window, and our experts set the requirement rules per payer, service line and state.
How can I automate claims processing?
Our AI agents assemble each home health period claim and each hospice per-diem claim, and run pre-billing edits; our experts set your payer-specific rules, and your staff review what the agents flag.
Can AI help with billing?
Yes, from referral to collections. Our AI agents verify benefits, file clean claims, post remittances against expected payment and route each denial; our experts set the rules and handle what the agents flag.
The full study, PDF · 636 KB
The work worth automating is the work whose mistakes travel
The work worth automating is not the easy work. It is the work whose mistakes travel.