Careonomy™ — The Accountable Back Office™ for Medicaid home care

We take the work — and the worry.

You did the care. Getting paid for it — the claims, the denials, the reconciliation, the 2am what-did-I-miss — should not be your second job. Careonomy’s expert team runs your Medicaid billing end to end, and puts the outcome in writing. Literally — it’s right there: →

99% clean claims, guaranteed in your agreement. Miss the number in a month, and our fees on those claims come back to you as a credit — automatically. And when you’re ready to grow: presence and outreach in your own name, never more than you can staff.

Find the leak in your billing Talk to a human first
In writing
Careonomy Terms of Use§ 2.4 · Outcome Assurance™
“Careonomy commits that the Clean-Claim Rate — Clean Claims as a percentage of all claims submitted by Careonomy on Customer’s behalf during a calendar month — will be at least ninety-nine percent (99%). If the Clean-Claim Rate for a calendar month falls below 99%, Careonomy will credit Customer the fees charged for the affected claims.”
Quoted from our actual customer agreement, condensed. The full clause — including what counts as a Clean Claim and what doesn’t — is in Section 2.4 of the Terms of Use. We’d rather you read it than take our word for it.
Job one · Get paid

We bill for you. 99% clean claims, guaranteed in writing.

Our team runs your Medicaid billing end to end — eligibility before the visit, clean claims after it, denials worked, appeals fought, every dollar reconciled to the remit. The clean-claim rate is stated in your agreement, measured monthly, and credited back when we miss it.

How the billing works →
Job two · Get patients

Presence and tools that fill your census — without taking it over.

A professional profile on carebegins.com where families and professionals look. An AI agent that drafts your outreach — to referral sources, to families — for you to review and send in your own name. And recruitment marketing that keeps you staffed to say yes. Your relationships stay yours. We never promote what you can’t staff.

How referral marketing works →
Why Careonomy

You could hire a billing service and a marketing agency. Here’s why owners don’t.

A generic billing service

Types your claims. Keeps your problems.

A generalist biller works your claims the way they work everyone’s — same software, same queue, no idea that CCSP and SOURCE and managed care fail in different ways. The clean-claim rate on their brochure isn’t in your contract, there’s no defined remedy when they miss it, and when a claim needs judgment, you’re a ticket number.

Ours is different on paper — literally. Waiver-native billing, built from your verified visit record, with 99% clean claims stated in your agreement and a fee credit when we miss it. One named advisor. Read the clause before you sign; we insist.

A generic AI marketing agency

Sends emails in your name. Owns your relationships.

They blast referral sources on your behalf — so the case manager’s relationship lives in their inbox, not yours, and leaves when you stop paying. The pricing is often per lead, which in Medicaid is a compliance problem you inherit. And they’ll cheerfully promote capacity you don’t have, because your staffing isn’t their problem.

We hand you the pen instead. A professional presence on carebegins.com, an AI agent that drafts your outreach for you to send in your own name, flat fees — never per lead, never per referral — and marketing that reads your real schedule before it says a word.

Careonomy is the third thing: an accountable back office. Billing with the outcome in your agreement. Growth tools that keep your relationships — and your compliance — yours. One named advisor, accountable for both, measured monthly.
Start where you are

Every agency has a version of the same problem.

1–20 patients

“Billing is me. On Friday.”

You run the visits, the schedule, and the claims — and Friday is submit-and-pray. We take that Friday. Eligibility checked before every visit, claims out clean, one person to call whose entire job is your money arriving.

Take Friday off my plate →
21–70 patients

“Billing is family — and my Tuesday nights.”

Someone you trust does the routine claims. The two or three that don’t go clean still land on your desk, and the denials nobody had time to appeal quietly became write-offs. We take the whole function — and the write-offs stop being invisible.

Take the whole function →
71+ patients

“My billing coordinator is drowning.”

You have real staff. The volume, the payers, and the appeals grew faster than they did. The routine work runs on the system, your coordinator keeps the judgment calls, and every number reconciles to the remit.

Back my team up →
What “accountable” means

Three things we are not — so you know exactly what we are.

Not a ticket queue

The accountability has a name.

You have one named advisor who already knows your account — not a queue that reads your file for the first time when you call. And the commitment doesn’t live in a slogan. It lives in your agreement, where you can hold it.

Not bots

Humans do the work only humans should.

The system automates what machines do best. Careonomy is the expert people doing the rest — judgment, relationships, exceptions, your payers. Our billing team works your claims around the clock, every one of them bound by the same HIPAA obligations we sign with you.

Not consultants

We don’t leave a deck. We stay for the numbers.

A consultant’s job ends at the recommendation. Ours is measured every month against the same numbers yours is — and when we miss the guaranteed one, the credit is automatic. It’s written down.

Software gives you tools and leaves the work with you. Outsourcing takes tasks and leaves the worry with you. We take both — the work and the worry.

The Tuesday hour

Every agency has a version of the same hour.

Tuesday, usually. Last week’s claims are back, and two or three did not go clean — and now somebody sits down to find out why. A unit count that didn’t match the authorization. An eligibility segment that lapsed mid-month. An EVV record that didn’t pair.

The care was delivered. The money is now sixty days out, if it comes at all. That’s not a software problem, and it’s not your failure. It’s work — checking, submitting, reconciling, appealing, rebilling, every week, forever. Somebody has to do it, and somebody should be accountable for it.

It does not have to be you.

16.7%
Average claim-denial rate across Medicaid managed care — the highest of any payer class.
Premier Inc. national provider survey
89%
Of denied prior authorizations are never appealed. The claims nobody has time to fight are care you gave away.
HHS Office of Inspector General, 2023
What we run

Your billing, end to end. Their problem now — in the best way.

Before the visit

The problem is caught early. Eligibility verified. Authorizations checked against scheduled units — before care is delivered, not sixty days after.

After the visit

Claims go out clean the first time. Built from the verified visit record, matched to the authorization, submitted on time.

When a claim fails

We work the denial. Error codes corrected, payer requests gathered, claim rebilled. Our rework, our worry — not yours.

Every month

You see exactly where your money is. Remittances reconciled, aging watched, and a plain-language report: billed, paid, pending — and what we’re fighting for. The same report your clean-claim rate is measured in.

The honest comparison

You have other options. Here’s why owners pick this one.

“Why not a generic billing service?”

They bill whatever you send them. We bill from the system that runs your visits — every claim is born from a verified, EVV-paired visit record matched to the authorization. Clean before it exists, not scrubbed after it fails.

They work thirty specialties. We work one: Medicaid home care — CCSP, SOURCE, NOW, COMP, ICWP, structured waivers, managed care. Your program’s rules aren’t an edge case here. They’re the whole job.

Their commitment is effort. Ours is a number: 99% clean claims, in your agreement, with a fee credit when we miss it. Ask any billing service to put that in writing — and watch what happens.

Their queue answers your call. Your named advisor answers ours — the same person who knows your payers, your plan, and your Tuesday.

“Why not an AI marketing agency?”

They rent you leads and keep the audience. We build assets you own — your profile, your presence, outreach sent from your own inbox in your own name. Leave tomorrow, and every relationship leaves with you.

They charge per lead. In Medicaid, per-lead and revenue-share marketing fees can become an anti-kickback problem you inherit. We charge flat, fair-market fees — never per referral, never per admission, never a cut. It’s in the agreement.

They’ll promote an agency with nobody to staff the case. Your marketing reads your real schedule and hiring pipeline before it says a word. A referral you can’t serve is a reputation you can’t fix.

They never see what happens after the click. We run your billing — we know which programs, payers, and referral patterns actually become paid care. Generic agencies optimize for inquiries. We answer for the whole pipeline, inquiry to remit.

Outcome Assurance™

One number, guaranteed. And the fine print is the headline.

You’ve seen the other kind of guarantee — the asterisked kind, attached to everything and enforceable on nothing. We make one, on the number we control end to end: the claim built from a verified visit record, checked against the authorization, and submitted by our team.

99% clean claims, stated in your agreement before the work begins. The definition of a clean claim is in the agreement. The monthly measurement is in the agreement. And the remedy is in the agreement: miss the number in a month, and our fees on the affected claims come back to you as a credit — automatically, on your next invoice.

Every other target — payment timing, appeal rates, days in aging — is committed to in writing and reported monthly, where you can check it. Measured is the standard. Guaranteed is reserved for the one number that has earned the word.

How the guarantee works, clause by clause →

How we charge

A small percentage of billed revenue.

Our fee is calculated on what we bill for you — zero billing, zero fee. Denial rework is charged once per claim, never per submission. And when the clean-claim rate misses the guarantee, our fees on those claims are credited back. Simple, checkable, in the agreement.

The We Stay Promise

Partnership through hardship.

If your agency faces a genuine financial crisis — a key contract ends, a survey goes sideways, a family emergency — we’ll freeze our fees for up to 90 days. Ask, and it goes into your Order Form in writing. Because if we’re only partners when times are good, we’re not really partners at all.

The people

One named person. Who already knows your world.

Your Care Business Advisor®

Grown from the people who answer owners’ calls.

Every engagement is led by a certified Care Business Advisor® — advisors who learned this world answering agency owners’ support calls before they ever advised one. They read your numbers with you, run your plan, and answer the phone knowing your account — not reading your file for the first time.

Meet the role →
The billing team behind them

Medicaid-fluent, program-specific, measured monthly.

The team that builds, submits, works, and reconciles your claims — CCSP, SOURCE, NOW, COMP, ICWP, structured-waiver and managed-care submissions — on the CareBravo® system, against the same written targets your advisor answers for. A global team working your claims around the clock, every member bound by written HIPAA obligations, with your data on U.S.-based infrastructure.

Prefer to talk to a person first? So do most owners. Call us — a human answers, and the first conversation is about your billing, not our pitch. 1-800-CARE-BRAVO

Get patients · presence & outreach tools

Referrals go to agencies people can find and trust. We make you both — in your own name.

Every admission starts with a person who chose you: a case manager with a caseload, a coordinator matching a waiver participant, a daughter searching at 11pm. We don’t rent you leads, and we don’t send emails pretending to be you. We build the presence, arm the outreach, and keep the relationships where they belong — with you.

Your professional presence

Found on carebegins.com — and everywhere families look.

A complete, current professional profile on carebegins.com — services, service area, real availability — plus your website, listings, and reviews kept accurate and answered. Listings are presented on neutral, disclosed criteria: nobody buys a ranking here, so a strong profile actually means something.

Your outreach, drafted for you

An AI agent writes it. You send it. Your name signs it.

Introductions to case managers, follow-ups after a discharge inquiry, updates when capacity opens — drafted by an AI agent that knows your programs and your real availability. You review and send from your own inbox. When a coordinator replies, she’s replying to you — and if you ever leave, every relationship leaves with you.

Your caregiver pipeline

Recruitment marketing that fills shifts first.

Growth starts with staffing, so we market to caregivers too — applicant outreach, hiring campaigns, a pipeline your schedule can see. Filled shifts first. Then your presence opens the door to referrals your operation can actually absorb.

Compliant by design: we never contact referral sources on your behalf, never pay for referrals, and never charge per lead, per referral, per admission, or a percentage of the revenue your marketing generates — flat, fair-market fees, full stop. That structure is written into your agreement, because in Medicaid, how your marketing vendor charges can become your compliance problem.

Ask about presence & outreach tools

The whole back office

Billing is where it starts. It isn’t where it ends.

The same accountable model — expert humans, written targets, one advisor — extends across the back office, when you’re ready and never before.

Running now

Billing & claims

Eligibility, submission, denials, appeals, rebilling, reconciliation — the function this page is about, under the guarantee.

Extending

Scheduling, documentation & payroll support

The adjacent functions that feed clean claims — run under the same written, monthly-reported targets.

Extending

Referral marketing & public presence

Your professional presence on carebegins.com, an AI agent drafting outreach you send in your own name, and recruitment marketing that staffs the growth. See how it works ↑

See the staircase — the 4A Framework™ →