How Top Minnesota Agencies Reduced Billing Errors by 90%

Billing errors are the silent killer of home care agency profitability. A single rejected claim costs on average $25 in administrative time to correct and resubmit — and the most common errors are entirely preventable. Here's how leading Minnesota agencies have cut their rejection rate by up to 90% using automated workflows.

The 5 Most Common Claim Rejection Causes

After reviewing hundreds of Minnesota 245D claims, the same patterns emerge: (1) Service dates don't match the authorization period. (2) Units billed exceed the authorized amount. (3) EVV data is missing or incomplete. (4) Wrong service code applied to the visit. (5) Caregiver NPI not on file with DHS. Each of these is preventable with the right system checks.

How Integrated EVV Eliminates Manual Entry

When your EVV system is separate from your billing system, someone has to manually transfer visit data — date, time, caregiver, location — into the claim. That's where errors happen. With Infiniti Solution, EVV data flows directly into the billing module. The system auto-populates the claim with verified visit data, applies the correct DHS rate, and flags anything that doesn't match the authorization before you submit.

Authorization Balance Tracking in Real Time

One of the biggest sources of denied claims is rendering services beyond the authorized hours. A caregiver works 4 hours but only 2 were authorized — now you have a partial denial and a billing dispute. Infiniti Solution shows real-time authorization balances on every patient's profile and alerts coordinators before a visit is scheduled that would exceed the limit.

Automated Rate Lookup

Minnesota DHS updates service rates regularly. Agencies billing at outdated rates either over-charge (triggering audits) or under-collect (leaving money on the table). Infiniti Solution maintains current DHS rates for all 245D service codes — IHS, CFSS, ICLS, CDCS, PCA, and more — and automatically applies the correct rate to each claim based on the service type and date.

The Result: 90% Fewer Rejections

Agencies using Infiniti Solution's integrated billing workflow report a 90% reduction in first-pass claim rejections within the first month. That means less time chasing down corrections, faster reimbursement, and significantly lower administrative overhead. One agency director told us she went from spending 12 hours a week on billing corrections to under 1 hour.

If your agency is still dealing with high claim rejection rates, the fix is usually not more staff — it's a better system. Book a free demo and we'll show you exactly how Infiniti Solution's billing workflow applies to your specific service types and payer contracts.