For Medicaid home care agencies

Every visit matched. Every claim paid.

VeriShift fixes EVV exceptions before visits lock, matches every visit to its claim, and reconciles payroll, all on the systems you already use. You pay only when payers pay you.

Look-back audits

Auditors are already looking back

34%

of Ohio EVV entries in 2022 were manually adjusted

Ohio Auditor of State

$14.5B

of New York personal care claims had no matching EVV record

NY State Comptroller, Nov 2024

52%

of Colorado personal care claim lines missed EVV rules, and OIG asked for an $8.0M refund

HHS-OIG, July 2026

State findings come back to agencies as look-back reviews and recoupment letters. A manual fix that gets a claim paid today is the first thing an auditor flags later.

Seven handoffs, seven ways to lose a claim

Where the money leaks between visit and payment

Exceptions show up in the EVV portal. Denials arrive weeks later on a remittance, with generic codes, handled by someone else. VeriShift works the steps in between.

  1. 1 · Your team

    Authorization

    Expired or used-up units, often after a member changes plans

  2. 2 · Your team

    Visit captured

    Missed clock-ins and clock-outs that become manual edits

  3. 3 · VeriShift

    Exception fix

    Visits lock before anyone fixes them; Texas locks at 95 days

  4. 4 · VeriShift

    Pre-bill match

    Wrong service code, modifier or units for the authorization

  5. 5 · VeriShift

    Claim accepted

    The aggregator rejects a record and no one sees it

  6. 6 · VeriShift

    Paid or denied

    Generic denial codes with no link back to the visit

  7. 7 · VeriShift

    Payroll check

    Hours you pay caregivers for but can’t bill

One team, on the systems you already use

What VeriShift does for you

Daily

EVV exceptions

Ranked by dollars at risk and days left. We confirm with your team and close them before the visit locks.

Every billing cycle

Pre-bill match

Every visit checked against its authorization, units, codes and EVV record before it’s billed.

Weekly

Claims and denials

We submit, confirm the aggregator accepted, and fix each denial at its root cause.

Every pay period

Payroll check

Paid hours, EVV hours and billed units compared before payroll closes.

Monthly

Scorecard

Clean-capture rate by payer and caregiver, denials by root cause, days in AR, unbilled paid hours and expiring authorizations.

You keep your caregivers, scheduling, payroll provider and payer contracts. No software switch.

Priced on earned revenue only

You pay only when you get paid

Our fee is a share of what payers and private clients actually deposit into your account. Denied, pended or unpaid claims cost you nothing.

6%

Under $1.5M a year

of collected revenue

5%

$1.5M to $5M a year

of collected revenue

4%

Over $5M a year

of collected revenue

  • No fee on denied or unpaid claims
  • No fee on overpayments you must return
  • Fee credited back if a payer recoups a claim
  • No setup fee; old AR we recover is billed at 6%

Designed around Medicaid rules

Built to keep you compliant

How the money moves

  • Payers pay into your account, and only yours
  • We never sign on your accounts or receive Medicaid funds
  • Our fee is a separate invoice to you
  • Where state law bars percentage fees, we offer a flat monthly fee

How visit data stays honest

  • We never create a visit or change its facts without your documented sign-off
  • A second specialist reviews every manual edit
  • An independent auditor checks a sample every quarter
  • BAA and a HIPAA security program from day one

Getting started

Full service by day 46

  1. Days 1–15

    Access and baseline

    BAA signed, named logins to your EVV and billing systems, and a baseline scorecard.

  2. Days 16–45

    Parallel run

    We work alongside your team and recover open AR and unbilled visits still inside their windows.

  3. Day 46

    Full service

    Daily exceptions, the pre-bill gate, claims, denials and payroll checks, all run by VeriShift.

  4. Day 90

    Results review

    Your scorecard against the baseline, and what to fix next.

Who you’d work with

Built by someone who has integrated with the EVV systems you use

Raymond Krehn, Founder

Raymond has spent 15+ years in healthcare technology across home care, dialysis and pathology. As Lead Product Manager at eCaring, a home care SaaS platform, he led EVV integration across most US states and worked directly with Netsmart, Tellus, HHAeXchange and Sandata.

His experience also includes Homewatch CareGivers, one of the largest home care franchise networks in the country, along with Fresenius, American Pathology Partners and TIAA.

EVV systems he has integrated with

Sandata HHAeXchange Netsmart Tellus

He builds VeriShift’s platform himself, so we know how EVV systems, state aggregators and billing software pass data, and where it breaks. We start in Ohio, Missouri, North Carolina and Colorado.

Free, with no obligation

Start with an EVV and Claims Health Check

Share 90 days of EVV exception reports and remittance files under a BAA. Within 10 business days you get:

  • Your clean-capture rate against your state’s threshold
  • Denials by root cause
  • Visits about to lock
  • Unbilled paid hours
  • A fee quote and your own return-on-investment math

Request your Health Check

Or reach us at [email] · [phone]