Automated revenue cycle management for home care
From eligibility to audit, we automate the revenue operations running on top of your AlayaCare environment, so denials get caught before the visit, cash arrives faster, and every action is traceable.
Request a callYour revenue cycle stopped being a back-office problem.
Most agencies don't lose revenue to one big mistake. They lose it in the seams. Eligibility checked after the visit instead of before. Authorizations entered three days late. Denials worked one at a time. The work is real, but it's manual, reactive, and invisible until the cash doesn't land. We put an automation layer on top of AlayaCare that runs that work continuously, surfaces problems before they become denials, and logs every step.
The manual way
- closeEligibility checked after the visit, if at all
- closeAuthorizations keyed in by hand, days late
- closeDenials chased one claim at a time
- closeNo record of who did what, or when
- closeOne-size-fits-all software your team bends to fit
The Daya Labs way
- check_circleEligibility verified at intake, recert, and before each visit
- check_circleAuthorizations ingested and entered the same day
- check_circleDenials prevented upstream, not worked downstream
- check_circleEvery automated action logged and auditable
- check_circleEvery workflow configured to your payers, rules, and team
One automation layer. Every revenue workflow.
Catch coverage lapses before the visit, not after the denial
We run eligibility checks automatically at the moments that matter: at intake, at recertification, and on a defined cadence before scheduled visits. Results land back on the AlayaCare client record, with lapses surfaced before a caregiver shows up at the door.
- check_circleChecks at intake, recertification, and before each visit
- check_circleResults written straight to the AlayaCare client record
- check_circleLapses flagged early so visits aren't delivered against dead coverage
Every authorization read, entered, and accounted for
An agent reads incoming authorization documents as they arrive and applies them to the right client in AlayaCare. Anything it can't apply cleanly, like an unreadable scan, a client with no matching service, or a split that needs a human, is raised as an issue with the exact steps to resolve it, so nothing sits unentered in a folder.
- check_circleAuthorization documents parsed and applied to AlayaCare automatically
- check_circleIssues detected and explained, with guided actions to close them
- check_circleOne view of documents, parsing runs, and open issues across your book of business
- check_circleOutbound authorization requests packaged and submitted to the payer
Know your AlayaCare data is clean before an auditor tells you it isn't
Rule sets run against your AlayaCare data and turn it into a pass/fail scorecard: overlapping, underutilized, and stale authorizations, overdue tasks, inactive clients and employees, and configuration drift. Every run is kept, every failing record is listed, and for the rules that allow it, the fix is applied automatically and verified with a fresh run.
- check_circleRule sets grouped into billing integrity, care operations, and data quality
- check_circleTuned to your agency's thresholds and exclusions
- check_circleRun nightly or on demand, with history and record-level detail
- check_circleAutomatic remediation for selected rules, verified by a re-run
A complete, defensible record of every automated action
Every check, entry, and exception is logged with who, what, and when. Built on SOC 2 controls, the audit trail gives your team and your payers a defensible record without anyone keeping a spreadsheet.
- check_circleFull audit trail of every automated action
- check_circleSOC 2 audited controls and one-year log retention
- check_circleTraceable history for payer audits and internal review
Your suite, configured for how your agency runs.
No two agencies run the same payers, the same rules, or the same workflows, so your setup won't look like anyone else's. Every product in the suite is shaped to how your agency actually operates, and reshaped when that changes.
Your payers, your cadence
Which payers and portals we check, when checks run, what counts as a lapse, and who hears about it.
Your documents, your exceptions
The authorization forms your payers actually send, your service codes and splits, and how exceptions reach your team.
Your rules, your thresholds
Rule sets written for your agency's risks, with your thresholds and exclusions, and new rules added as those risks change.
Your screens, your workflows
Dashboards built around the roles on your team, and tasks, forms, custom fields, and notifications in AlayaCare that match how your team already works.
Get paid faster, lose fewer claims
Fewer denials
Eligibility and authorization problems are caught upstream, where they're cheapest to fix, before they become a rejected claim.
Shorter days to cash
Auths enter the same day and reconciliation runs continuously, so the lag the manual work was injecting is gone.
Defensible by default
Every action is logged and traceable, so audits and internal reviews stop being a fire drill.
What we delivered for Care Advantage
Medicaid eligibility automation for Care Advantage, a Virginia-based home care provider, built and run by our forward-deployed engineers, with measurable gains within weeks.
By keeping AlayaCare perfectly in sync with Medicaid eligibility data, we've drastically reduced claim rejections and ensured faster reimbursements.
Stop chasing paperwork. Start closing claims.
See how the automation layer runs eligibility, authorizations, compliance, and audit tracking on top of your environment, with the math for your agency.