Featured turnaround
Office recovered $6.5M in stuck billing after nearly a year of cash flow blockage.
A regional office was close to bankruptcy and leadership did not realize the full scale of missing receivables. Claims had been stalled for months with no reliable exception process to surface risk early.
EngagementBilling Unblock Package
CadenceDaily standups during triage
FocusHigh-value stuck claims first
$6.5M
billing stuck in backlog
~12 months
duration before intervention
A few days
time to unblock and restart flow
Situation
- Billing was deeply delayed with no consistent claim-status visibility.
- Denials and exceptions accumulated without ownership.
- Leadership lacked an accurate picture of total at-risk revenue.
Intervention
- Rapid triage of high-value stuck claims and payer-specific blockers.
- Immediate workflow fixes for EVV-to-claim handoff and rework loops.
- Daily operating cadence with clear accountability across teams.
Outcome
- Billing flow was unblocked within days.
- Critical revenue was recovered before insolvency pressure escalated.
- The office moved from reactive cleanup to controlled operations.
“They showed us where the money was stuck, why it was happening, and fixed it fast enough to save the company.”
EVV billing at scale
Home care providers are missing significant EVV revenue due to preventable claim submission errors.
Government EVV reimbursement is estimated at roughly $12B per month, but many agencies are hesitant to trust the process because they do not fully understand payer-specific claim requirements. That uncertainty often translates into avoidable denials and unpaid claims.
~$12B / month
estimated EVV reimbursement volume
~10%
average EVV claims left unpaid
~$15B / year
potentially lost from submission errors
What we see
- Teams do not know where claims are stalling in the EVV-to-billing chain.
- Root causes are spread across intake, scheduling, EVV, and billing operations.
- Leadership sees cash pressure but lacks a clear denial intelligence process.
What we do
- Unblock stuck billing queues and recover high-priority claims first.
- Standardize submission quality controls to reduce preventable denials.
- Implement monitoring workflows that flag stuck claims early.
Client result
- Revenue flow improves as exceptions are surfaced and corrected quickly.
- Teams gain confidence with repeatable billing governance.
- Organizations stop going unpaid without understanding why.
“This is where we come in: unblock the billing, install the process, and make sure issues are caught before revenue is lost again.”