What is HEALTHCAREfirst (MatrixCare)?

Revenue cycle management services including outsourced coding, OASIS review, and quality analytics. Now part of MatrixCare/ResMed. Can work with any EMR — not tied to one platform.

Who is HEALTHCAREfirst (MatrixCare) best for?

RCM Services, Quality Analytics Built for medium to enterprise agencies.

How much does HEALTHCAREfirst (MatrixCare) cost?

HEALTHCAREfirst (MatrixCare) pricing: Percentage-of-collections model.

What does HEALTHCAREfirst (MatrixCare) integrate with?

HEALTHCAREfirst (MatrixCare) integrates with Works with all major EMRs.

What are the main features of HEALTHCAREfirst (MatrixCare)?

Key features include: Referral Management; Intake Workflow; Eligibility Verification; Authorization Tracking; Drag & Drop Scheduling; Overtime Alerts.

Is HEALTHCAREfirst (MatrixCare) a good tool for home care agencies?

HEALTHCAREfirst (MatrixCare) holds a 3.5/5 rating on G2 based on verified user reviews. Read user reviews and compare alternatives on Carezano to evaluate fit for your agency.

What are alternatives to HEALTHCAREfirst (MatrixCare)?

Top alternatives include Public Consulting Group (PCG), Home Care Consultants LLC, HPS (Home Health & Hospice Professionals), and more. Compare each side-by-side against HEALTHCAREfirst (MatrixCare) on Carezano to find the best fit for your home care agency.

HEALTHCAREfirst (MatrixCare)

Outsourced RCM, OASIS review, and quality analytics for home health.

Services Consulting · Compliance Accreditation

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Quick Facts

2001
Founded: Springfield, MO
Headquarters: 200-500
Employees: Custom
Price Range

3.5/5

Rating

G2

Service Lines

Home Health (Medicare)Hospice

Payer Types

Medicare FFSMedicare AdvantageMedicaid / WaiverPrivate PayLTC Insurance

HEALTHCAREfirst (MatrixCare) Pros & Cons

Strengths

Outsourced RCM — handles billing complexity for you
OASIS quality review and coding services
Works with any EMR — platform-agnostic

Considerations

Service cost as percentage of collections
MatrixCare ecosystem preference
Enterprise pricing

About HEALTHCAREfirst (MatrixCare)

Outsourced RCM, coding, and clinical documentation review integrated with MatrixCare EHR for home health and hospice.

Is HEALTHCAREfirst (MatrixCare) right for you?

Best fit

Home health and hospice agencies wanting outsourced billing, coding, and OASIS/clinical-documentation review.
Operators on any EHR (not just MatrixCare) — services are explicitly EMR-agnostic.
Agencies with denial / AR backlog they can't work down with internal staff.
Operators wanting bundled clinical + financial RCM rather than separate vendors.
MatrixCare-EHR customers who want native-bundled RCM services.

Look elsewhere if

Non-medical home care agencies — the service set is home health and hospice clinical/financial workflows.
HME/DME operators — ACU-Serve and Brightree-side services are the right lane.
Buyers wanting a published price for RCM services — engagements are custom-quoted.
Operators committed to keeping all RCM in-house — this is an outsourced model.

Services & Capabilities

Clinical Consulting

ICD-10 Coding

OASIS Review/Coding

PDGM Consulting

Clinical Documentation Review

Survey & Compliance

Survey Prep

Mock Surveys

Plan of Correction

Compliance Program Dev

QAPI Development

Star Rating Improvement

Revenue Cycle

RCM Services

Outsourced Coding

Outsourced Billing

Training

Staff Training

HEALTHCAREfirst (MatrixCare) Pricing

Custom Pricing

Contact Vendor

Real talk on pricing

MatrixCare RCM (legacy HEALTHCAREfirst) pricing is custom-quoted by service mix and volume. Standard outsourced-RCM models are typically a percentage of collected revenue or per-claim/per-chart fees. Practical RFP questions: (1) which model is being quoted (percent-of-collections vs. fixed-fee), (2) is bundling with the MatrixCare EHR a discount lever even if you don't buy the EHR, (3) what's the SLA on coding turnaround, OASIS review, and denial response, (4) what does ADR (additional documentation request) assistance actually look like, (5) what are escalation paths when payer issues stall.

What to expect

Setup & onboarding

RCM services onboard differently than software — credentialing handoffs, secure data feeds from your existing EHR, process alignment between in-house clinical staff and MatrixCare's certified experts. EMR-agnostic posture means the integration team has done it across many EHRs; reference-check for your specific stack.

Support & service

MatrixCare RCM's certified-expert framing reflects post-acquisition emphasis on credential depth (coding, OASIS, QA). Confirm in writing: dedicated account team, response-time SLAs, escalation paths. Reference-check with operators in your specific service line (home health vs. hospice) — workflows differ meaningfully.

Integrations

HEALTHCAREfirst (MatrixCare) connects with the following tools and platforms:

Works with all major EMRs

Compliance & Security

HIPAA Compliant
SOC 2 Certified
Data Encryption (at rest)
Data Encryption (in transit)
Role-Based Access Control
Audit Trail
BAA Available
HHCAHPS Support
QAPI Tools
Multi-State Licensing Support
Accreditation Support (CHAP/ACHC/JC)
Compliance Alerts

Industries Served

Care settings and agency models HEALTHCAREfirst (MatrixCare) sells into.

Recent changes

pastHEALTHCAREfirst acquired by MatrixCare; services integrated and rebranded as MatrixCare RCM.
ongoingThree-service-category structure: Financial Services, Clinical Services, Quality Services.
positioningEMR-agnostic — services delivered regardless of which EHR the agency runs.

Frequently Asked Questions

What is HEALTHCAREfirst (MatrixCare)?: Revenue cycle management services including outsourced coding, OASIS review, and quality analytics. Now part of MatrixCare/ResMed. Can work with any EMR — not tied to one platform.
Who is HEALTHCAREfirst (MatrixCare) best for?: RCM Services, Quality Analytics Built for medium to enterprise agencies.
How much does HEALTHCAREfirst (MatrixCare) cost?: HEALTHCAREfirst (MatrixCare) pricing: Percentage-of-collections model.
What does HEALTHCAREfirst (MatrixCare) integrate with?: HEALTHCAREfirst (MatrixCare) integrates with Works with all major EMRs.
What are the main features of HEALTHCAREfirst (MatrixCare)?: Key features include: Referral Management; Intake Workflow; Eligibility Verification; Authorization Tracking; Drag & Drop Scheduling; Overtime Alerts.
Is HEALTHCAREfirst (MatrixCare) a good tool for home care agencies?: HEALTHCAREfirst (MatrixCare) holds a 3.5/5 rating on G2 based on verified user reviews. Read user reviews and compare alternatives on Carezano to evaluate fit for your agency.
What are alternatives to HEALTHCAREfirst (MatrixCare)?: Top alternatives include Public Consulting Group (PCG), Home Care Consultants LLC, HPS (Home Health & Hospice Professionals), and more. Compare each side-by-side against HEALTHCAREfirst (MatrixCare) on Carezano to find the best fit for your home care agency.

Top HEALTHCAREfirst (MatrixCare) Alternatives

Public Consulting Group (PCG)

Government consulting firm with state Medicaid HCBS waiver + program oversight practice — parent of PPL (largest US Medicaid FMS, batch 12)

Home Care Consultants LLC

Minnesota-based home care consulting boutique — compliance, operations, and clinical support tailored to MN state licensing and HCBS waiver requirements

HPS (Home Health & Hospice Professionals)

Home health + hospice consulting tier-2 firm — compliance auditing, clinical support, survey preparation, and operational improvement (distinct from HPS Solutions)

Elaris Consulting

Home health + hospice compliance consulting with OASIS review, quality improvement, survey preparation, and corrective action plan (CAP) development

Sources & methodology

Editorial last reviewed: 2026-05-01

MatrixCare RCM page — current branding, service categories, EMR-agnostic positioning, HEALTHCAREfirst integration reference
Existing Carezano seed data (30 features, founded year, HQ, pros/cons)

Profile compiled from public sources. If anything is out of date, vendors can claim this listing.

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