Ohio Solutions
Ensure every claim is a clean claim while collecting for every dollar earned.
CoreCare unites fragmented and manual processes — eligibility verification, census integrity, and state form management — into a single platform so teams can identify and resolve issues before they impact revenue.
Director of Revenue Cycle
United Church Homes
11 facilities, TX
“We used to wait 30 days only to learn a claim had been denied due to a payer mismatch. Now, CoreCare flags that up front, so we can bill the right payer the first time. CoreCare gives us time back, improves accuracy, and protects us from costly errors. I tell everyone I meet in long-term care—you need to take a serious look at this solution.”
What our customers are saying:
Director of Revenue Cycle Management
Eliza Jennings
4 facilities, OH
“The efficiencies of using CoreCare are incredible: Instead of manually re-verifying Medicaid eligibility and program details each month, we use CoreCare. The system alerts us to variances between our EHR and what is on file with Medicaid so we can ensure that all of our billing is correct. Our associates love this platform and are so happy with the time savings!”
Vice President of Marketing
Legacy Health Services
10 facilities, OH
“Every SNF operator knows the importance of accurate and timely state forms compliance, but gaining insight into the process at each individual facility is extremely challenging. CoreCare improves transparency, so we can rapidly identify non-compliance, provide training, and mitigate costly errors that lead to revenue collection risk.”
VP of Revenue Cycle
Lionstone Care
37 facilities, OH
“We at Lionstone are excited to use CoreCare to help streamline our Medicaid verification process. The alerts within CoreCare help make sure we don’t miss anything important.”
A single revenue integrity platform where skilled nursing teams collaborate to protect and accelerate every dollar earned
Proactively keep census data accurate and always billable
CoreCare continuously validates resident census data in your EHR against PNM to identify mismatches, changes, and eligibility issues before claims are submitted. By detecting discrepancies early — including payer assignments and patient liability — teams can prevent denied claims, discover retroactive changes that might otherwise be missed, and ensure every resident is billed correctly.
Automatically detect mismatches in resident demographics and IDs, applied income and payer information.
Receive alerts when critical issues arise, including Medicaid restricted coverage and eligibility issues.
Get notified when resident payer assignments or patient liability amounts change for a resident.
Monitor for eligibility issues and opportunities in real time
Centralize eligibility tracking for every resident in one place with state Medicaid snapshots for compliance, real-time alerts for lapsed or expiring coverage, and visibility into eligibility issues and restricted coverage designations.
Receive real-time alerts when a resident’s payer eligibility status changes — whether coverage is active, lapsed, or invalid. Track eligibility problems so your team can act early to prevent collections issues.
Get real-time notifications when Medicaid Pending residents obtain eligibility so billing can begin immediately. Alerts also surface Medicaid eligibility for residents currently listed under Skilled or Private Pay, helping teams capture co-insurance opportunities and identify potential census or payer classification errors.
Access weekly snapshots of PNM data for compliance, with copies sent to your EHR to preserve proof of eligibility. Maintain a historical record to resolve claim disputes, track retroactive changes, and avoid devastating recoupments due to missing documentation.
Track every Medicaid Pending case and Renewal in one centralized reporting hub
CoreCare eliminates the guesswork and manual effort from managing Medicaid Pending and Renewals. Teams gain a real-time view of every pending case, AR balance, and days pending — along with regional and organizational analytics that highlight delays before they impact reimbursement. Best yet, teams can collaborate directly in CoreCare to resolve issues without spreadsheets, endless emails, or manual tracking.
Easily view all Medicaid residents across your facilities on a single screen, giving teams real-time visibility into AR balances and days pending for every case. Regional and organizational analytics highlight trends and delays, while reports for upcoming and missed renewals help ensure applications stay on track.
What you can expect with CoreCare
White glove customer support
CoreCare never makes our customers pay for support. You're never alone in implementation or training. We do all the heavy lifting and are always available to your team.
Safe and secure AI
We safeguard your data with industry-leading security measures. Our platform is fully compliant with HIPAA regulations and certified for SOC 2, ensuring your information is protected at all times.
Best-in-class innovation
CoreCare delivers cutting edge technology to our customers by combining AI, automation, and deep skilled-nursing expertise across individual states. We're not one size fits all.
How CoreCare Helps
All your data in one location
Unify census, eligibility, and billing data into a single source of truth for revenue integrity. By bringing every critical data source into one platform, teams gain clear visibility into resident status, payer information, and billing readiness.
Reduce DSO, held claims, and write-offs
By using AI to monitor eligibility, applied income, managed care, and service authorizations in real time, CoreCare ensures billing teams can act quickly and accurately to reconcile errors that could lead to delays.
Expert billing, regardless of skill or tenure
With intelligent alerts, guided prompts, and clear next steps built into the workflow, even the most junior staff can navigate complex Medicaid and payer requirements with confidence.
Improve team collaboration
Instead of relying on disconnected spreadsheets, phone calls, and emails, teams can access the same real-time data and alerts—reducing miscommunication and silos.