Compliance software for home health and hospice, built inside your agency
Moative builds home health and hospice compliance software inside your agency: our AI agents gather and check the evidence on every episode beside your EMR; our experts set the rules.
Your compliance workflows, in the order we would automate them
- Hospice eligibility, length-of-stay, level-of-care and cap complianceIn the top half of 169 workflows
- Program integrity readinessIn the lower half of 169 workflows
- Certification, face-to-face, plan-of-care and visit-verification compliance monitoring per episodeIn the lower half of 169 workflows
- Privacy, visit-verification and survey readinessIn the lower half of 169 workflows
Bring the survey question that worries you most; we will map where your agency starts.
Book a workflow conversation
Survey gaps surface when the surveyor, payer or auditor finds them
The binder, the cap review and the audit letter all arrive the same way: late, and with the finding already written.
Binders assembled under deadline
Evidence is pulled days before the survey, so gaps surface too late.
Cap reviewed on request
Long stays and live discharges get reviewed at the payer's request, after the position has built.
Oversight learned from letters
Enhanced oversight and probe status show up in the mail, after the claims already went out.
Compliance, on the calendar every day
Each workflow below names the evidence our AI agents hold ready and the exceptions your team decides on, so no check waits on a deadline.
Survey evidence gathered year-round
Survey evidence is usually assembled the week before the surveyor arrives. Our AI agents capture it continuously from daily operations and generate the survey packet; our experts track the open gaps with your team.
- Survey packets ready any day of the year
- Records-access evidence pulled on request
- EVV visits matched to the schedule
Long stays and cap position reviewed before the payer asks
The hospice cap is usually reviewed when a payer asks. Our AI agents check every long stay, inpatient day and live discharge against the criteria, keep the evidence and track the cap; our experts take the exceptions.
- Every long stay reviewed, evidence kept
- Cap position visible per provider number
- Live-discharge patterns flagged by branch
Oversight status known before the letter arrives
CMS imposes periods of enhanced oversight on providers and suppliers; the news usually comes by letter. Our AI agents track oversight and probe history per provider number and watch your claims; our experts keep disclosures current.
- Oversight status per provider number
- Probe and audit history kept ready
- High-risk claim patterns flagged
How the compliance work runs
Your agency brings its existing systems; our experts work backwards from your outcome, fix data, and watch the workflow before automating.
01What you bring
This uses your existing operation: EMR, clearinghouse, payer portals, compliance and billing teams. Nothing is replaced, and your data stays yours.
02What our experts do
Our engineers and revenue-cycle specialists sit with your teams, watch the workflow, fix the data, and set rules your staff can see and change.
03What our AI agents do
Our AI agents check every episode against those rules inside your live operation, flag what fails for your team, then move to the next workflow so results compound.
Compliance checks, tailored to your agency
Most compliance teams already run one of three things: software bought for the job, the EMR's own module, or an outside firm. Here is where each stops.
Custom AI built inside your compliance operation
Our engineers work inside your agency for your workflows, payer mix and systems. Our AI agents run beside your EMR and payer portals, checking every episode against rules your team sets.
- Checks built around your rules
- Runs beside the EMR you keep
- Evidence kept for every check
Off-the-shelf compliance software
Good at organizing the evidence you enter. It usually runs the same checks for every agency, so payer-specific gaps stay manual work.*
Your EMR's compliance module
Good at staying connected to the chart. It usually covers the standard survey path; evidence in other systems rides on workarounds.*
A compliance consultant
Good at preparing your agency for a known survey. Most leave once the review passes, so readiness drifts back.*
* These describe each category as commonly sold, with no vendor in mind. Terms, coverage and pricing vary, and the right choice depends on your agency's own workflows and oversight history.
Your systems stay, your staff decide, and the price follows the work
Do we replace our EMR or EVV system to use this?
No. Our AI agents run beside your EMR, clearinghouse, EVV aggregator and payer portals, and read and write back inside them. Your data stays yours.
Who makes the compliance calls, the software or our staff?
Your staff. Our AI agents check, gather and flag; your team reviews every flag and decides. The software makes no clinical decisions, and every rule is visible to your staff.
How is this priced?
Pricing is a fee plus a part tied to outcomes, set per workflow. Adding staff never moves the number; only the work automated does.
What does our agency need ready?
The systems and teams you already run. Our experts bring the engineering and the checking; your compliance and billing staff only point us at the workflow that worries you.
Every episode audit-ready before anyone asks
Name the compliance question that keeps surfacing. We will map that one workflow with you: what our AI agents check, what your team decides, and where to start.
Common questions
How to prepare for a home health survey?
You keep evidence ready all year. Agencies must meet the Medicare conditions of participation and document infection control; our AI agents capture that evidence continuously.
What is the hospice aggregate cap?
The hospice aggregate cap is the payment limit Medicare applies to a hospice for the cap year. Our AI agents track it against every long stay and live discharge, and keep the evidence.
What does the Medicare integrity program do?
It runs the oversight CMS places on providers: CMS imposes periods of enhanced oversight, including provisional periods for newly enrolling home health agencies. Our AI agents track your status per provider number.
What are the most common claim denial reasons?
The most common are episode defects found at audit: certification, face-to-face, plan-of-care and visit-verification problems. Our AI agents check those rules on every episode and flag exceptions to your team.
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.