Compliance

Prove compliance on every visit

AlayaCare brings EVV, clinical documentation, scheduling, and billing under one platform, so the record is complete before the claim ever goes out. You walk into every CMS, Medicaid, and payor audit ready.

The problem we solve

In home-based care, one missed detail becomes a denied claim

EVV exceptions

A mistimed clock-in or a mismatched visit triggers an EVV exception. Each exception is rework for your team and a hard denial waiting to happen under the 21st Century Cures Act.

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AlayaCare EVV Verification Rule Sets settings screen listing rule sets by branch with a Create Rule Set button
Documentation gaps

OASIS errors and incomplete notes put Conditions of Participation at risk. When documentation lags the visit, surveyors find the gaps before you do.

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AlayaCare preparing suggestions dialog while generating a draft care plan
Audit exposure

A single false Medicaid claim can cost 13,000 to 27,000 dollars, and violations run 10,000 to 50,000 dollars each. The worst case is exclusion from Medicare and Medicaid.

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AlayaCare real-time activity feed showing an administrator's client intake form submission

The real goal is care delivered at a deeply human level, backed by records clean enough to defend it. Compliance should be the proof of good care, not a scramble at audit time.

The Numbers

Built-in confidence, measured

95 %
Every visit on record EVV use at North Country Home Services
90 %
Clean claims, first time across four states at Vitasya
84 %
Less bad debt recovered revenue at North Country Home Services
95 %+
State reimbursement rate up from the low 80s at North Country Home Services
Scale Your Agency

See how agencies are scaling with AlayaCare

Schedule 24/7, improve care delivery, and eliminate visit verification errors while de-risking your business operation with agents built for home-based care.

Related Solutions

Find your fit, wherever you sit in the agency

Compliance touches every role. Tell us where you spend your time.

Agency leader

Protect revenue and your license to operate
You carry the risk when a claim is denied or a survey goes sideways. With compliance built into every visit, you get the confidence that the record is documented, defensible, and ready for any payor or regulator.

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Operations

Catch issues before they reach an auditor
You live in the exceptions and the rework. Clean EVV, real-time visibility, and built-in payor rules flag compliance gaps early, so audit prep stops eating your week.

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Clinicians

Documentation that holds up to scrutiny
You answer for OASIS accuracy and Conditions of Participation. Standardized documentation and a centralized audit trail keep every record compliant and complete, so it reflects the care your team delivered.

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