Home health EMR integration, built around your agency
We build home health and hospice EMR integrations: our AI agents watch your interfaces, run the month-end close and match vendor invoices; our experts set the rules.
The close, the invoices, the interfaces, in the order our study ranks them
- Month-end close and financial reporting across home health, hospice, Medicaid and private duty revenue, with open-period accruals and cap reservesIn the lower half of 169 workflows
- Vendor invoice processing and accounts payableIn the lower half of 169 workflows
- System access, integration monitoring and interface error handlingIn the lower half of 169 workflows
Unwatched interfaces and guessed accruals drain money you never see
Home health finance breaks in the places nobody watches until something is missing.
Interfaces fail silently
An EVV or clearinghouse error surfaces weeks later, as a missing visit.
Close runs from several ledgers
Accruals and cap reserves are left to guesswork.
Invoices wait on paper
Pharmacy invoices are matched to patients by hand, approval by approval.
Watched interfaces, a stated close, matched invoices
Three finance workflows, each run by our AI agents and reviewed by your team.
Interfaces that fail loudly, the day they fail
A failed interface between the EVV aggregator, the clearinghouse and your agency system stays silent until a visit is missing. Our AI agents watch each one, classify each error and route it; our experts set the rules.
- Every interface error flagged the day it happens
- Each error routed to whoever can fix it
- Access reviews for the federal system scheduled
Month-end close from one period ledger
Close today runs from several ledgers, with accruals and the cap estimated by feel. Our AI agents produce the close from the period ledger, the census and posted remittances; our experts review the accruals and reserves.
- Accruals and cap reserves, stated to the dollar
- Close drawn from the period ledger, posted remittances
- Every figure reviewable by your finance team
Vendor invoices land on the right patient
Pharmacy and contract-therapist invoices wait on paper approvals and hand-matching to patients. Our AI agents capture each invoice, match it to the patient, day and contract, and route it for approval; our experts handle the exceptions.
- Each invoice matched to patient, day and contract
- Each approval finds its signer
- Contract-therapist invoices checked against the contract
How our experts and our AI agents run this work
Here is what you bring, what our experts watch and automate inside your finance operation, and what our AI agents run.
01You bring the ledgers
The ledgers, the EMR, the clearinghouse and the payer portals you already run, with access for our experts to observe them. Nothing else is required to begin.
02Our experts watch the work
Our engineers and revenue-cycle specialists sit with your finance team, observe workflow, fix data, and set rules with staff.
03Our AI agents run the workflow
Our AI agents monitor interfaces, run the close from ledger, census, remittances, and route invoices and exceptions to you.
Where each alternative stops, and what we build instead
Your agency is weighing this against finance software, your EMR's module, and an outside firm. Here is where each one stops, for systems and finance work.
Custom AI made for your agency's finance office
Moative's engineers make custom AI for your agency's payer mix, ledgers and contracts, beside the systems you already run. Our AI agents then take over the interfaces, the close and the invoice matching.
- Built around the payers you actually bill
- Runs beside your EMR, no replacement
- Your price follows your workflows
Finance and reporting software
Good at organizing the ledgers you keep. It usually runs the same steps for every agency, so the close stays manual work.*
Your EMR's finance module
Good at holding billing data next to the clinical record. It usually covers the standard path; invoice matching rides on workarounds.*
An outside billing or bookkeeping firm
Good at extra hands for the close, usually by the month. Their people follow their own playbook; your close follows their calendar.*
* These describe each category as it is generally sold. Terms, coverage and results vary by product and by contract.
What owners ask before they take the call
How is this priced?
The pricing is a fee plus a part tied to outcomes, set by which finance workflows our AI agents take over. How many staff log in changes nothing.
Do we have to replace our EMR or accounting system?
No. Your agency keeps every system it runs today; nothing gets replaced or migrated. Our AI agents work beside them, and your team keeps logging in as before.
Who makes the financial calls?
Your team. Our AI agents watch, produce and route; your finance staff review what they flag and make the call. Our experts set the rules with your staff, who can change them.
What does our agency need to have ready?
A point person in finance who can walk our experts through one workflow, plus read access to the systems behind it. Our experts fix the data first.

Interfaces watched, close done, invoices matched
The conversation covers one workflow: the interfaces that fail quietly, the close across ledgers, or the invoice pile. Our experts walk your numbers; you choose what runs.
Common questions
What is an accrual of revenue?
An accrual of revenue is payment for care already delivered but not yet paid, recorded in the period it was earned. Our AI agents state these accruals at each close.
What are some examples of accounts payable software?
Accounts payable software includes the AP module of your accounting system, invoice capture tools and matching features in home care software. Each runs the same steps for every agency.
What are EMR integrations?
EMR integrations are the connections that move data between your EMR and the systems around it: the EVV aggregator, the clearinghouse and pharmacy. Our AI agents watch each connection.
What is an OASIS management system?
An OASIS management system is the software an agency uses to manage its OASIS assessments. Without an exemption, a start of care on or after July 1, 2025 must be submitted to iQIES.
The full study, PDF · 636 KB
Difficulty is not why this work goes undone
The thing that most reliably separates the worth doing from the rest is how far a mistake travels, not how hard the build is.