Email Address
Info@JemClearClaims.com
About Us
Our team has been involved with NYS waiver programs like NHTD (nursing home transition diversion) TBI (tarumatic brain injury) and SC (service coordination) since their inception in New York State over 24 years ago, their claims are known for their complexity, and require tedious work and expertise. Our years lf experience giving us unmatched experience and direct relationships with program leadership.
We also provide regular Home Care MLTC billing services for agencies throughout New York State, ensuring smooth claims processing and maximum reimbursement across all lines of care.
What We Offer
Our Services
Comprehensive Waiver Billing
Full-service billing for NHTD and TBI Waivers, including Service Coordination (SC) billing, with complete accuracy.
2-Year Lookback Audits
Medicaid Waiver programs allow claims to be submitted up to 2 years from Date of Service (DOS). Our audits recover revenue many agencies thought was lost.
Revenue Recovery
We identify missed claims, rate discrepancies, and overlooked codes—commonly saving agencies hundreds of thousands of dollars.
Regular Home Care MLTC Billing
End-to-end MLTC billing support for home care agencies across NYS, tailored to agency needs and compliance requirements.
Ongoing Support & Consulting
Direct access to the most seasoned billing professionals in NYS for claim troubleshooting, compliance, and program-specific guidance.
Our Experience
Why Agencies Choose Us
What Clients Say
Best Feedback From Clients
Administrator
Brooklyn-Based Home Care Agency
"Working with JEM Clear Claim was the best decision our agency made. Their expertise in NHTD and TBI waiver billing uncovered errors we didn’t even realize were costing us. In just the first audit, they recovered over \$325,000 in missed claims. Their direct knowledge of the program and strong connections with the waiver offices made the process smooth and professional. We now trust them with all of our waiver billing."
Executive Director
Queens Home Care Provider
"For years we assumed we were billing correctly, but JEM Clear Claim’s team proved otherwise. Their two-year lookback audit found over \$280,000 that had been left on the table. Their in-depth understanding of Service Coordination (SC) billing was especially impressive. They’ve saved us countless headaches and ensured every dollar we earn is actually collected."
CEO
Long Island Home Care Agency
"Our agency has been in the waiver program since its early days, but even with experienced staff, mistakes slipped through. JEM Clear Claim helped us recoup nearly \$400,000 and now manages our ongoing NHTD and TBI billing with unmatched accuracy. Their team has clearly been doing this since the inception of the waiver—they know the system inside and out."
Get Started Today
Stop leaving money on the table.
Partner with JEM Clear Claim LLC and ensure your agency receives every dollar you’ve earned.
JEM Clear Claim LLC specializes in the most complex areas of Medicaid billing—Nursing Home Transition and Diversion (NHTD) Waiver and Traumatic Brain Injury (TBI) Waiver programs.