Early intervention software for birth-to-three providers

What makes birth-to-three different from pediatric therapy

The same clinician can deliver the same therapy to a four-year-old in a clinic and a two-year-old at home, and the second one is a different business.

The plan governs, not the referral. Services are authorized as a frequency — so many sessions of so many disciplines over a period — and the question that matters all period is whether delivery is tracking against that frequency, in both directions. The visit happens in a natural environment: a living room, a grandparent’s kitchen, a daycare room, which means the clinician is not at a desk and often not on reliable connectivity. Several disciplines work one child against one plan, so what a speech therapist and a physical therapist each delivered has to roll up somewhere. And the money arrives through a mix of state Part C funding, Medicaid and commercial plans, in an order that the state decides.

Software built for clinic-based pediatric therapy models roughly none of this.

What the system does with it

Authorized frequency, tracked against delivery. The same mechanism as an authorization burn-down: what the plan authorizes, what is scheduled against it, and what has actually been delivered — visible while there is still period left to correct it, rather than in a report after the period closed. Under-delivery matters here as much as over-delivery, because it is what gets discussed at the next review.

Capture that survives the living room. Session data is written locally and queued, so a dropped connection mid-visit does not lose what was recorded. Cold-start offline — beginning a day with no connectivity at all — is not supported, and a provider covering rural territory should weigh that honestly.

One child, several disciplines. Sessions from each discipline attach to the same record, so the child’s delivery against plan is one number rather than three spreadsheets that get reconciled monthly.

Electronic visit verification, plainly

EVV is not shipped. Medicaid requires electronic visit verification for home-delivered services, this is a home-delivered and frequently Medicaid-funded vertical, and we do not capture or transmit it.

If your state programme requires EVV for the services you bill, that is a hard requirement and this is not yet the system for those services. Saying so here rather than in the tenth minute of a demo is the point — an agency that discovers it after migrating has lost far more than an evaluation.

The payer mix is the hard part

Part C is federal law administered state by state. Which payer is billed first, whether private insurance must be pursued before the state programme, what family cost participation applies and how a session is documented for each are all state decisions, and they change.

None of that is shipped as presets, and be sceptical of any vendor claiming otherwise for every state. What the system does is make a rule you have confirmed into a setting on the payer record — which payer, which codes, which modifiers, which places of service — so it applies consistently instead of living in one coordinator’s memory.

Finished charges go to your biller. Claims are not transmitted to payers from here.

The billing side has its own page: early intervention billing software covers units from the visit note, place of service for home and community sessions, and what your biller receives.