From completed visit to submitted claim — automatically.
Billing errors, delayed submissions, and manual claim prep cost home health agencies thousands per month. Sherpa Care closes the loop between care delivery and reimbursement — automatically preparing billing data the moment a visit is complete.
The claim builds itself from the visit.
As visits are completed, Sherpa Care automatically prepares billing data — complete with CPT codes, KX and telehealth modifiers, and client-specific billing parameters. No manual data entry between care delivery and claim submission. The system reduces lag time and eliminates the human error that causes preventable denials.
- Automatic CPT code and modifier assignment from visit data
- Client-specific billing parameters applied at the visit level
- Billing data ready for clearinghouse submission immediately
- Reduces lag between care delivery and reimbursement
Every visit verified before it's billed.
Sherpa Care tracks insurance policies and visit authorizations by discipline and service type, linking this data directly to scheduling and billing. Visits that fall outside authorization windows are flagged before they're submitted — not discovered during an audit or after a denial.
- Insurance policy tracking by discipline and service type
- Authorization limits enforced at scheduling to prevent overbilling
- Real-time alerts when authorization is approaching expiration
- Direct link between auth data, scheduling, and claims
Grow your team without growing your software bill.
Sherpa Care is priced on monthly visit volume — not per-user licensing. Every new clinician, admin, or therapist you hire doesn't spike your costs. You're free to scale your workforce because the model is built around visits delivered, not headcount.
- Pricing scales with visit volume, not staff count
- Add unlimited users at no per-seat cost
- Low-volume months cost less automatically
- No contracts that punish growth
Every detail, handled.
The features that make documentation not just faster, but actually complete.
Custom Claim Reviews
Customize pre-submission checks to match your internal standards. Build review workflows that catch issues specific to your payer mix before records move forward.
Clearinghouse Integration
Billing data flows directly to your clearinghouse — no manual export, no file conversion, no copy-paste. Submission happens as a natural part of the visit completion workflow.
Denial Management
Track denied claims, understand root causes, and resubmit with corrections — all within the platform. No separate denial management tool required.
Revenue Cycle Visibility
Real-time view of claims in flight, pending authorizations, and outstanding balances — so your billing team knows exactly where the revenue pipeline stands.
Discipline-Specific Rules
Billing rules vary by discipline. PT, OT, SN, and aide visits all have different code sets and payer requirements. Sherpa Care enforces them correctly at the discipline level.
Audit-Ready Documentation
Every billing transaction is linked to its source documentation. Payer audits are answered with a full evidence trail, not a paper chase.
Ready to see it in your workflow?
A 15-minute demo is enough to understand what changes. No slides — your use case, your questions, your workflow.