What is your agency losing — without seeing it?
Most agencies quietly leak revenue to preventable claim denials, expired authorizations, and slow charting. Answer 7 quick questions and we'll estimate yours from your own numbers — conservatively, with the math shown. ~90 seconds.
The three leaks this check measures
These are the most common, highest-impact ways operating care agencies lose money — drawn from how owners and billers describe their current software in their own words.
1. Preventable claim denials
U.S. initial claim denial rates have been rising, and agencies describe billing modules as "poorly designed," with reports that aren't accurate and A/R that can't be tracked daily. A large share of denials come from pre-submission errors — coding, eligibility, modifier, or EVV/authorization mismatches — that a 15-point pre-submit audit can flag beforethe claim ever reaches the payer. Catching errors before submission is the one use of AI in revenue-cycle work that's independently endorsed.
2. Authorization leakage
When authorizations are tracked on spreadsheets, calendars, or coordinator memory, visits delivered after an auth quietly expires become unbillable — a preventable loss that industry reports put at thousands of dollars per billing cycle for a mid-sized agency. Automatic service-authorization unit tracking closes that gap.
3. Charting time
Clinicians describe incumbent EHRs as click-heavy with "no auto-save," forcing notes to be rewritten and burning hours every week. An ambient AI scribe that drafts notes (and OASIS, safety plans) from voice gives that time back.
Common questions
What does the revenue-leak check estimate?
Three money-losing areas operating agencies most often leak revenue to: preventable claim denials (errors a pre-submission audit catches before the claim goes to the payer), authorization leakage (visits delivered after an auth quietly expires, when auths are tracked by spreadsheet or memory), and charting time (hours lost to clunky, click-heavy software with no auto-save). It also gives a switch-readiness score.
How is the estimate calculated — is it just a sales number?
No. Every figure is derived from your own answers (your monthly billings, your denial rate, how you track authorizations, your team size) multiplied by a deliberately conservative, clearly-labeled assumption — and the math is shown to you on the result screen before any email is requested. We model denial prevention (the one use of AI in billing that's independently endorsed), not inflated appeal-recovery claims.
Who is it for?
Operating agencies — home care, home health, behavioral health / SUD, and DD/IDD waiver providers — that already bill Medicaid or insurance and suspect they're losing money to denials, expired authorizations, or slow documentation. It takes about 90 seconds on a phone.
What happens after I see my estimate?
You can enter an email to get the full breakdown and a one-page switch plan, and optionally book a short walkthrough where we run the numbers on your real claims. No spam, and there's no obligation to talk to anyone.
Estimates are conservative and illustrative, derived from your inputs and clearly-labeled assumptions — not a guarantee of results. AgenciesForge does not replace payroll/tax processing or staff recruiting. See how the platform works and pricing.