Texas 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.
VP of Revenue Management
Focused Post Acute Care Partners
25 facilities, TX
“Thanks to CoreCare, we were able to achieve a Medicaid DSO of 19 days — a milestone we’re truly proud of. Even more impressively, the product helped us identify additional billable balances by flagging residents who may have Medicaid coverage. This allowed us to bill copays from Medicare and Managed Care stays that might have otherwise been missed.”
What our customers are saying:
VP of Accounts Receivable
Regency Integrated Health Services
65 facilities, TX
“Instead of going building by building, billers now use the dashboard and can prep billing in half a day. Twice a month, every billing cycle, we’re saving an entire month’s worth of time across our team. That’s a huge return in workforce efficiency.”
Corporate Billing Specialist
Creative Solutions in Healthcare
182 facilities, TX
“I had 149 accounts with various MESAV errors, including accounts with issues that needed other’s assistance and RUG updates. CoreCare’s in-platform communication features made it easy for me to connect with our team and in one week I billed $134,426, clearing over half of my accounts with MESAV errors.”
Director of Accounts Receivable
Creative Solutions in Healthcare
182 Facilities, TX
“The CMS Unwinding nearly broke us. With over 1,000 Medicaid Pending residents and 7,000 Medicaid residents across 140 facilities that needed redeterminations, manually checking each resident for coverage and a renewal date would have been impossible. CoreCare saved us by automatically checking for coverage daily and alerting us if anyone received or lost coverage. This was something we simply couldn’t do before. Thanks to CoreCare, we can collect money faster than ever and avoid gap months of coverage that turn into write-offs.”
Vice President of Revenue Management
Touchstone Communities
32 facilities, TX
“We’re not chasing year-old claims anymore. We’re working real-time issues with clear visibility into what’s missing. If I see the same number on two reports in a row, I know someone’s not working on the claim. I can dig in immediately. That’s a massive difference.”
A single revenue integrity platform where skilled nursing teams collaborate to protect and accelerate every dollar earned
Proactively keep census data accurate and MESAVs billable
CoreCare continuously validates resident census data in your EHR against the MESAV to identify mismatches, changes, and eligibility issues before claims are submitted. By detecting discrepancies early — including payer assignments, applied income, and PDPM LTC levels — 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, and PDPM LTC levels.
Receive alerts when critical issues arise, including missing or expired service authorizations, eligibility problems, or medical necessity concerns.
Get notified when resident payer assignments or applied income 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, active, or expiring coverage, and continuous monitoring of Medicare co-insurance paid by Medicaid.
Receive real-time alerts when a resident’s payer eligibility status changes —whether coverage is ending soon, has lapsed, or is invalid. Track upcoming coverage end dates 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 MESAV 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.
Never let delayed, inaccurate, or incomplete 3618 forms impact collections
Ensure required 3618 forms are submitted accurately and on time, eliminating compliance risk and preventing recoupments or underpayments due to paperwork errors. CoreCare enables easy 365-day audits of your data, helping teams quickly identify issues and maintain confidence that documentation is complete.
Track form submission status across all residents in one centralized view. Automatically flag missing or incomplete forms, monitor deadlines, and identify corrections—helping regional teams stay organized and audit-ready.
All your reimbursement data, perfectly aligned
CoreCare unifies assessments, LTCMI, EHR, and TMHP data to automatically identify discrepancies, alerting teams to missing or misaligned information, and enabling cross-team collaboration to resolve errors — so your organization always bills at the correct rate, on time.
CoreCare monitors LTCMI status, validates that PDPM LTC levels and dates match across MDS assessments, LTCMI forms, EHR, and the MESAV, and alerts teams when discrepancies occur.
Detailed PDPM LTC component breakdowns highlight opportunities to optimize reimbursement and ensure facilities are capturing the full rate they have earned.
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, billing, and reimbursement 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 skilled nursing facilities can act quickly and accurately to reconcile errors that could lead to delays.
Expert outcomes, 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.
