	Care Administration

Less administration,
more time for care

Care Administrator

Care Administration

Less administration,
more time for care

Netsmart solutions simplify the business side of care delivery

Care Administration

Free up precious resources for patient care with Netsmart Care Administration solutions. From credentialing and real-time eligibility verification to patient-centric payment portals, these solutions simplify and streamline the business side of healthcare.

In this section

AI Medical Coding Software

AlphaCoding is an AI-enhanced medical coding service that aims to improve accuracy, reduce denials and support compliance with CMS guidelines. More

Claims Adjudication

Business rules engine and automated claims matching simplify claims processing for state agencies and managed care organizations (MCOs). The web-based solution aggregates claims data from electronic visit verification (EVV) applications and electronic health records (EHRs). More

Collections Automation

Clearinghouse & Third-Party Liability

This comprehensive claim submission and remittance management platform increases first-pass acceptance rates (98 percent or greater), speeds up delivery to payers and reduces denials. More

Credentialing

Reduce administrative time spent on credentialing and provider enrollment by 60 percent with assistance from Netsmart. More

Digital Collections Automation

Reduce administrative time spent on credentialing and provider enrollment by 60 percent with assistance from Netsmart. More

Document Management

EHR-integrated document management and capture solutions give care teams access to documents from within the familiar context of their EHR. More

Eligibility Management

This clearinghouse solution includes batch verification and real-time eligibility verification to increase billing accuracy for the populations you serve. More

Payment Portal

Clients can set up set up and manage self-serve payments, payment plans, electronic statement delivery and payment preferences with this patient-centric solution. More

"It is well worth the money to spend time with the experts at Netsmart to review what we use, how we use it, and how we can do better."

Shelly Miller - Chief Financial Officer, Willow Health Care

Read the Willow Health Success Story

From the CareThreads Blog

Leveraging AI to Reduce Administrative Burden

Wednesday, April 08 | Post-Acute Care

Post-acute intake teams often face challenges with fragmented systems and time-consuming processes. AI-powered referral intake technology has the ability to transform workflows. By streamlining intake, minimizing errors and accelerating response times, organizations can stay competitive, manage staff burnout and focus more on patient care.

Three EVV Trends Provider and Payers Should Watch

Three EVV Trends Providers and Payers Should Watch

Tuesday, March 31 | Human Services,Post-Acute Care,Thought Leadership

As Electronic Visit Verification (EVV) programs continue to mature, 2026 is shaping up to be a year where precision matters more than ever. For home health and personal care providers, as well as state agencies and managed care organizations (MCOs), EVV is no longer just about checking a compliance box. It’s about using the data EVV generates to improve service integrity, support the workforce and build trust across the care continuum.

UM Solutions for HS and BH Organizations

Why Utilization Management Is Critical to Value-Based Care and Revenue Performance in Human Services

Wednesday, March 11 | Thought Leadership,Value-based Care

Behavioral health and human services providers face high authorization volumes, variable payer criteria and increased audit risk. Without a structured utilization management function, organizations are at risk of being reactive to denials instead of preventing them.