Care Administrator

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

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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
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Collections Automation

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
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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
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Credentialing

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

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

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

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

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From the CareThreads Blog

Netsmart Blog Hospice Nurses holding Elderly Patient's Hand

HOPE Early Impressions: How Hospice Teams Are Navigating the New Era of Quality Reporting

Tuesday, December 16 | Post-Acute Care,Care Coordination

October 1, 2025, marked a major milestone for hospice care: the official implementation of the Hospice Outcomes and Patient Evaluation (HOPE) tool. HOPE introduces a more comprehensive, patient-centered approach to quality reporting. Now, two months into the rollout, we are reflecting on what these early days reveal about the tool's impact on care delivery, interdisciplinary collaboration and patient outcomes.

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How Riverside Co Modernized Mobile Response

How Riverside County is Driving Connected Care

Wednesday, December 10 | Human Services,California,Client Success Stories

Recapping a recent Netsmart webinar, "Driving Real-Time Care: How Riverside County Modernized Mobile Health Services".

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ai + automation intake optimization

Optimizing Human Services Intake with AI and Automation 

Thursday, December 04 | Human Services

As automation and integrated tools advance, human services intake can move from a reactive step to a more strategic, forward-looking part of care delivery.

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