Billing Automation: From 3 Days to 2 Hours

A rapidly growing home care agency was spending nearly three full days each month on long-term care insurance billing. GGB Healthcare built an end-to-end AI solution that reduced this to just 1.5 hours of staff time.

Problem

• LTC billing required approximately 3 days of manual work each month
• Staff had to manually extract invoices and care logs from the EHR
• Documents needed to be organized by payer and submitted to multiple portals
• Manual processes required several data checks to avoid delayed claim submissions

Approach

• GGB analyzed the agency's complete billing workflow
• Identified repetitive tasks suitable for automation
• Designed an AI agent to handle the end-to-end process
• Built in data quality checks to catch errors before submission

Solution

• Automated extraction of invoices and care logs from the EHR
• Documents automatically organized by payer
• Built-in quality checks verify clock-in times and ADLs are properly recorded
• Proactive error detection reduces claim rejections

Outcome

• Time savings: Billing reduced from 3 days per month to just 1.5 hours
• Hours recovered: Several hours saved per week for higher-value work and direct client & caregiver engagement
• Fewer errors: Proactive quality checks catch issues before claim submission
• Reduced rejections: Data validation ensures complete, accurate claims
• Scale: Supporting over $1 million in annualized LTC billing
• Live within one week: Solution deployed and running within days of signing with GGB

Ready to streamline your billing processes? Contact us to learn how GGB Healthcare can help your agency save time and reduce errors.