Case Studies › One Step

Healthtech & Digital Health

One Platform to Run Every Home Care Agency

Home care agencies were managing caregivers, billing, and compliance across disconnected spreadsheets and legacy tools — losing hours daily to avoidable errors and manual reconciliation. We built One Step: a purpose-built platform that unifies caregiver scheduling, Medicaid claims, EVV compliance, and agency reporting in a single system designed for how home health actually operates.

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One Step

Healthtech & Digital Health

35%

reduction in billing errors

faster shift scheduling vs. manual

100%

EVV compliance rate achieved

20 weeks

timeline

This engagement is best for

Home care agencies frustrated by disconnected scheduling and billing tools

Healthcare operators dealing with EVV compliance gaps and audit risk

Agencies losing revenue to Medicaid claim rejections from data entry errors

Home health founders scaling beyond what spreadsheets and legacy software can handle

The Transformation

Before & After

Before

✕ Caregiver schedules managed in spreadsheets, with shift changes communicated by phone and text

✕ Medicaid billing handled manually, with claim rejections causing weeks-long revenue delays

✕ EVV (Electronic Visit Verification) compliance tracked inconsistently, exposing agencies to audit risk

✕ No single view of caregiver availability, certifications, or active authorizations

✕ Reporting for payers and state regulators required hours of manual data assembly each month

After

✓ Caregivers clock in and out via mobile with GPS-verified EVV, automatically feeding billing records

✓ Medicaid claims generated from verified visit data, reducing rejections by 35% in the first quarter

✓ Real-time caregiver availability and certification dashboard eliminates scheduling conflicts

✓ Agencies achieve full EVV compliance with automated state submission workflows

✓ Payer and regulatory reports generated in minutes from a unified data layer

What We Built

Deliverables & Scope

Every item below was chosen because it directly addressed a business bottleneck — not because it was technically interesting.

Caregiver scheduling engine with availability management, certification tracking, and conflict detection

Mobile EVV application for caregivers with GPS check-in/check-out and offline sync capability

Medicaid billing module with claim generation, scrubbing, and electronic remittance reconciliation

State EVV aggregator integrations for automated compliance data submission

Agency admin dashboard with real-time visit monitoring, authorization tracking, and payer reporting

Audit-ready visit log system with tamper-evident records for state and federal compliance

ROI Logic

Why This Generated
Real Business Value

Home care agencies operate on thin margins where billing errors and compliance failures directly erode revenue. A single Medicaid claim rejection can delay payment by 30–60 days; a pattern of EVV non-compliance can trigger audits that cost agencies far more than the platform itself. By connecting visit verification directly to claims generation, One Step removed the manual handoff where most errors occurred — and turned compliance from a cost center into a competitive advantage agencies use to win new payer contracts.

Key Outcomes

35%

reduction in billing errors

faster shift scheduling vs. manual

100%

EVV compliance rate achieved

Why It Worked

The Decisions That
Made the Difference

Good execution matters. But the right early decisions matter more.

We embedded deeply in home care workflows before writing any code — shadowing coordinators and billing staff to understand where time and money were actually being lost

EVV compliance was treated as a product requirement from day one, not retrofitted — making it architecturally sound and audit-defensible

The mobile app was designed for caregivers with limited smartphone experience, keeping adoption friction low and data quality high

A phased rollout with pilot agencies gave us real billing cycles of feedback before the platform scaled to a broader customer base

Tech Stack

React Native

Integrations

Sandata EVV Aggregator HHAeXchange Waystar Claims Clearinghouse

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