GUIDE

RCM Trends for 2027 That Home Care Agencies Can’t Ignore

A Field Guide for Home Health, Home Care, and Hospice Leaders Navigating Medicare, Medicaid, and Managed Care

Home health and home care billing has never been simple, and 2027 is not going to make it simpler. This guide walks through the trends shaping prior authorization, payment, EVV enforcement, telehealth, and more, so you can see what’s changing and stay ahead of it instead of reacting to it.

  • ✓ Why prior authorization and audit activity are both accelerating in 2027
  • ✓ What’s changing in Medicare, Medicaid, and managed care payment policy
  • ✓ How leading agencies are keeping revenue moving as the rules shif

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LIMITED TIME OFFER

Get $1,000 Credit Toward Your Alora Service

For a limited time, new Alora Health customers can earn a one-time $1,000 account credit when they purchase Alora EMR and RCM services. Offer valid for agreements executed through December 31, 2026.

*New customers must purchase both Alora Health SaaS and RCM services together to be eligible for the credit.

Book time with our team to walk through how Alora RCM helps to protect your revenue.

Claim Your Credit

LIMITED TIME OFFER

Get $1,000 Credit Toward Your Alora Service

For a limited time, new Alora Health customers can earn a one-time $1,000 account credit when they purchase Alora EMR and RCM services. Offer valid for agreements executed through December 31, 2026.

*New customers must purchase both Alora Health SaaS and RCM services together to be eligible for the credit.

Book time with our team to walk through how Alora RCM helps to protect your revenue.

Claim Your Credit

WHY ALORA RCM

When your software and your billing team work as one system, revenue stops breaking downstream.

When scheduling, EVV, documentation, and billing live in separate systems, or separate teams, revenue gets lost in the handoffs. Finance sees the problem only after cash flow has already slowed. Alora RCM pairs the EMR your agency already runs on with an embedded revenue cycle team, so errors get caught at the source instead of after a denial.

EVV errors caught early

Discrepancies get flagged before claim submission, not discovered weeks later after a denial letter arrives.

Days in AR shorten

Cleaner submissions mean faster payments and a more predictable cash flow for your agency.

 

Denials decrease

Catching upstream errors before submission reduces the volume of claims that come back unpaid.

 

Real-time authorization alerts

Authorization mismatches are identified the moment they happen, not weeks into a payer dispute.

98% clean claim rate on first pass

Ninety-eight percent of claims go out clean the first time, which means fewer rejections, less rework, and faster payment.

Finance and operations aligned

Instead of reacting to problems after cash slows, your team can see and prevent them at the source.

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View full promotional terms

Alora Health $1,000 Promotional Credit. Promotional Period: this one-time offer applies to qualifying agreements executed between October 28, 2026, and December 31, 2026, inclusive. Eligibility: (1) Existing SaaS customers who execute an agreement to add Alora Health RCM services during the Promotional Period earn the credit after completing three consecutive months of paid RCM services. (2) New customers who execute an agreement or agreements to purchase both Alora Health SaaS and RCM services together

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