Hospice patient billing and home health collections, built inside your agency
Moative builds AI agents for hospice patient billing and home health collections, run beside your EMR. Our experts set the rules; our AI agents generate the statements and collect the balances; your staff decide.
Your patient billing workflows, in the order our study ranks them
- Estimate-to-actual reconciliation and variance explanationIn the top half of 169 workflows
- Small-balance handling and card-on-file adjudication for recurring private duty and cost-share balancesIn the top half of 169 workflows
- Statement and invoice generationIn the lower half of 169 workflows
- Assistance program and liability applicationIn the lower half of 169 workflows
- Payment plan setup and monitoringIn the lower half of 169 workflows
- Patient and family billing inquiriesIn the lower half of 169 workflows
- Bad-debt prediction and pre-collection outreachIn the lower half of 169 workflows
- Charity, hardship and bereavement policy applicationIn the lower half of 169 workflows
Tell our experts which balance costs your agency most; the list shows where we start.
Talk about your billing workflow
Families call because the statement never explained itself
Patient billing leaks money and staff time in three places: statements that confuse, balances too small to chase, and calls that never had to happen.
Statements families can't read
Families thought Medicare covered everything, so they call.
Variances answered by phone
Your staff walk the family through the bill visit by visit.
Small balances quietly written off
Chasing a small cost share by statement costs more than it collects.
Statements that answer the family before the phone rings
All three make the same thing: a statement that explains itself, so your staff stop answering it by phone.
Every invoice explains its variance before the family calls
The family calls to ask why the invoice differs from the quote, and your staff answer visit by visit. Our AI agents compute the variance and name the reason on the statement; our experts set the flags.
- Every variance named on the statement itself
- Your staff handle only the flagged variances
- Every reason tied to hours delivered
Small sums, swiped and banked
Small cost-share balances get chased by statement or quietly written off. Our AI agents charge the card on file after adjudication, within the consent, and apply your small-balance policy once; our experts take the exceptions.
- Balances under your threshold follow one policy
- Charges stay inside the consent the family signed
- Write-offs surface on a report you review
Statements that explain each charge against the benefit
Families call when a statement shows a Medicaid patient liability or respite coinsurance. Our AI agents explain each charge against the benefit, one statement per patient and payer; our experts set the wording.
- One statement per patient and payer, no duplicates
- Each charge sits beside its benefit explanation
- Respite coinsurance named in plain words
From one workflow to a billing cycle that checks itself
Engagements start small: one workflow in your operation, then the next. You bring the outcome and systems; nothing is replaced.
01Your team brings the outcome
You name the number you want moved and give our experts access to your EMR, clearinghouse and payer portals. Our AI agents run beside the systems you keep.
02Our experts watch the workflow
Our experts sit with your billing team, observe the workflow before automating it, and fix the data it depends on. Rules stay visible to your staff.
03Our AI agents go live
Our experts sit with your billing team, fix the data the statements depend on, and write the rules our AI agents check against. Every rule stays visible.
Why custom AI inside your agency beats the usual answers
For patient billing, here is the honest line on billing software, your EMR's billing module and outsourced billing: what each is good at, where it stops.
Custom AI built inside your billing team
Built for one agency only: your benefits, your payer mix, your systems. Families get statements that explain each charge against the benefit, and your staff keep every decision.
- Statements built from your benefits
- Your staff decide; our agents check
- Pay for the work you automate
Billing and RCM software
Strong at keeping the billing you already do organized. Most run the same steps for every agency, so family questions stay manual.*
The EMR's own billing module
Handy because it is the chart itself. Most follow the standard billing path only, so family explanations lean on workarounds.*
An outsourced billing company
Useful when you want billing off your plate entirely, usually per claim. Their staff run it their way, so your special cases wait on their process.*
* These are general descriptions of each category as it is usually sold, without reference to any specific vendor. Terms and coverage vary by product and contract; check the specifics before you decide.
Everything stays yours except the busywork
Do we replace our EMR to use this?
No. Nothing is replaced. Our AI agents work inside your existing EMR, clearinghouse and payer portals, and your billing staff keep working there too.
How is this priced?
You pay a fee plus a part tied to outcomes, and the price moves with the workflows our AI agents take over. Adding users never changes the number.
Who makes the decisions, our team or the software?
Your staff do. Our AI agents read, check, file and route, and flag what needs judgment; your team reviews every flag and makes the call.
What does our agency need ready?
A point person on your billing team and your policies in writing: small-balance, charity, payment plans. Our experts bring the engineering; nothing else waits on you.
Patient billing that explains itself, line by line
That conversation covers one workflow: what it costs you today, what our AI agents would take over, and what your team keeps. No patient data is needed to start.
Common questions
What are the billing guidelines for hospice care?
Hospice billing follows the Medicare hospice benefit; hospice respite care carries patient coinsurance. Our AI agents name each charge beside its benefit explanation; our experts set the wording.
What is a billing variance?
A billing variance is the gap between what you quoted a family and what the care cost. Our AI agents compute it on every statement and name the reason; our experts choose the exceptions.
What does a negative balance mean in medical billing?
A negative balance means the patient or payer paid more than was owed, leaving a credit. Our AI agents spot it and apply it to the next statement or refund it under your policy.
What is the best software to generate invoices?
There is no best invoice software for home health and hospice, because an invoice is as good as its explanation against the benefit. Our experts fit statement generation to your benefits and payer mix.
Can Medicaid cover retroactively?
Yes. Medicaid can cover care retroactively to months before the application date. Our AI agents track the application per patient and apply the coverage before the statement goes out.
Can you pay medical bills on a payment plan?
Yes, most agencies can offer a payment plan. Our AI agents offer the plan from the statement, hold a card on file within the consent, and re-engage missed payments automatically.
What does patient balance mean in medical billing?
The patient balance is what the family owes after the payer pays: a cost share, a Medicaid patient liability or a private pay invoice. Our AI agents keep one ledger per patient and payer.
What does patient responsibility mean in medical billing?
Patient responsibility is the patient's own share of the bill: plan cost shares, Medicaid patient liability on home care services, or respite coinsurance.
The full study, PDF · 636 KB
The work worth automating is the work whose mistakes travel
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