Home health provider enrollment and credentialing, built inside your agency
Moative builds custom AI inside your home health agency that watches every enrollment, licence, revalidation and survey clock; our AI agents file what is due and our experts handle what they flag.
Six enrollment and credentialing clocks, in the order we would automate them
- Agency and branch enrollmentIn the lower half of 169 workflows
- Clinician licence, certification and competency recordsIn the lower half of 169 workflows
- Survey and accreditation cycleIn the lower half of 169 workflows
- New-clinician and acquisition onboardingIn the lower half of 169 workflows
- Payer and plan credentialing and revalidation cadenceIn the lower half of 169 workflows
- Physician and practitioner file maintenanceIn the lower half of 169 workflows
What lapsing credentials cost your agency today
Enrollment and credentialing work costs a home health agency its billing privileges, its survey readiness and its new hires' first weeks.
Billing privileges deactivated
Missing the 60-day resubmission blocks payment for all services furnished while deactivated.
Renewals found in a drawer
The survey or the audit is where licence and registry lapses surface.
Enrollment runs from memory
survey dates, revalidation clocks and ownership rules live in one administrator's head.
Every clock behind your provider numbers, watched
Each workflow below hands the deadlines to our AI agents and the judgment calls to our experts, inside your operation.
Every provider number, branch and revalidation on one clock
A branch opened during a moratorium cannot enroll in Medicare; a missed 60-day resubmission can deactivate billing. Our AI agents run each enrollment as a case queue with deadlines built in; our experts take the flags.
- Branch enrollments checked against moratoria
- Revalidations filed before the 60-day clock runs out
- Ownership changes checked against the 36-month rule
Licence lapses surface before the surveyor does
Paper files hide renewal dates until the audit reveals the lapse. Our AI agents hold every licence, registry and background record with its deadline and block scheduling for a lapse; our experts take the exceptions.
- No visit scheduled on a lapsed licence
- Aide registry checks current for every hire
- Renewal dates, on the record
Survey evidence and plans of correction tracked to closure
The survey cycle lives in the administrator's memory, so the window arrives as a scramble. Our AI agents track survey obligations, evidence and plans of correction with deadlines per branch; our experts take the findings.
- Every branch's survey dates in one place
- Plans of correction tracked to closure
- Accreditation milestones flagged ahead of the window
What your agency brings, and what we do with it
Custom AI for your agency starts from the outcome you want and follows the work order, from first conversation to live agents.
01What you bring
Your agency brings the outcome you want and the files you have: provider numbers, payer enrollments, licences, and access to the EMR and portals you already use.
02What our experts do
They sit beside your enrollment and HR staff, watch the work as it happens, fix the data behind it, and write the rules the agents check against.
03What our AI agents do
Our AI agents take the clocks: reading files, checking registries, tracking deadlines, filing and routing inside your systems. Your team reviews every flag.
Where each way of running this work stops
Your agency already runs this work somewhere: a software system, the EMR, or a billing company's queue. Here is where each usually stops for enrollment and credentialing work.
Enrollment work done inside your agency
Our engineers work inside your operation and build AI for your provider numbers, states and payer mix. Our AI agents take the clocks; our experts take the judgment calls. Priced by the workflows you automate.
- Built for your provider numbers and states
- Runs beside your EMR and portals, no replacement
- Your staff review every flag
Billing and RCM software
Good at storing your provider data in one place. It usually does not watch the CMS clocks or chase revalidation for you.*
Your EMR's billing module
Good at holding the clinician record beside the chart. It usually stops at storing credentials; revalidation deadlines sit on your staff.*
An outsourced billing company
Good at taking the credentialing pile off your desk. Their people usually follow their playbook; your deadlines often live in their queue.*
* A sketch of each category as the market sells it, with no vendor named. What each covers, and on what terms, varies by contract and by state.
Price, systems and who decides, settled up front
How is this priced?
You pay a fee plus a share tied to outcomes. The number moves when we automate more workflows for you; adding reviewers leaves it untouched.
Does our EMR stay?
Yes. Our AI agents run beside your EMR, clearinghouse and payer portals, reading and writing back inside them, with no migration and no new system for your staff to learn.
Who makes the calls when something is flagged?
Your staff. Our AI agents only raise what checks fail; they make no decision themselves. Your team reviews every flag, and our experts handle the exceptions that need judgment.
What must we have ready before you start?
Less than you fear: a point person, the files you have, and portal logins. Our experts watch the workflow with your staff before anything is automated.
Your enrollments, licences and surveys on one watched clock
A conversation about one workflow: our experts pick with you where your agency loses the most, from our study of 169 workflows. No patient data, no commitment.
Common questions
Do home health aide certifications expire?
Yes, they expire, and registry and background checks need repeating. Our AI agents hold each aide's records with their deadlines and block scheduling for a lapse; your staff take the exceptions.
What does the "provider not enrolled" denial code mean?
It means the payer does not show that clinician or agency as enrolled, so the claim bounces. Medicare can deactivate billing privileges for a missed 60-day resubmission.
What if a provider is not PECOS enrolled?
The claim will usually deny or hold until the physician is enrolled in PECOS; hospice attending designations depend on that enrollment. Our experts fix the records that would bounce.
what is the difference between provider credentialing and payer credentialing?
Provider credentialing verifies the clinician or agency itself: licences, certifications, registry status. Payer credentialing enrolls that provider with each payer, each with its own revalidation cadence.
do providers have to enroll in medicare?
To bill Medicare, yes: enrollment gives an agency or practitioner billing privileges, and CMS can deactivate them for a missed 60-day resubmission.
How to prepare for a home health survey?
Bring the evidence together before the window: licences, personnel files, plans of correction, per branch. Our AI agents track every obligation with its deadline; our experts take findings needing judgment.
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.