Glossary

Billing Units

A standardized measure of service time. One billing unit equals 15 minutes (0.25 hours). Used by Medicaid and most MCOs for reimbursement calculation.

Capture Money

The Growth Equation pillar focused on recovering revenue already earned but not yet collected. Includes eligibility monitoring, denial management, and per-payer reconciliation.

Caseload

The number of active clients assigned to a specific provider. Caseload capacity is the maximum number of clients a provider can serve effectively.

Duration Hours

The actual length of a session in hours. When available, CareIncite uses duration_hours for hour calculations. When missing, hours are calculated as billing_units × 0.25.

Eligibility

Whether a client has active insurance coverage on a given date. Eligibility lapses occur when coverage ends, changes, or is not recertified.

ERA/EOB

Electronic Remittance Advice / Explanation of Benefits. Documents from payers that detail payment or denial for submitted claims.

FY (Fiscal Year)

CareIncite defaults to a July–June fiscal year, matching the common behavioral health practice cycle. Configurable in Settings.

Growth Equation

The organizing principle behind CareIncite: Growth = Make Money + Save Money + Capture Money. Every feature maps to one or more of these pillars.

Make Money

The Growth Equation pillar focused on growing revenue through client engagement, retention, and the client portal.

MCO

Managed Care Organization. The insurance entity that manages Medicaid benefits for enrolled clients. Common MCOs include Amerigroup, Molina, UnitedHealthcare Community Plan, etc.

NPI

National Provider Identifier. A unique 10-digit number assigned to healthcare providers. Required for billing and used to match session records to providers in CareIncite.

Notenetic

An electronic health records (EHR) system used by behavioral health practices. CareIncite integrates with Notenetic via API or CSV import for session and client data.

RLS

Row-Level Security. A database-level access control mechanism used by CareIncite (via Supabase) to ensure that queries return only data the authenticated user is authorized to see.

Save Money

The Growth Equation pillar focused on reducing operational waste through automation — data imports, scheduled reports, workload assignment, and integration.

Session

A single billable service event between a provider and client. Includes date, duration, service code, and billed amount.

Utilization Rate

The percentage of a provider's available hours that are billed. Calculated as billable hours ÷ available hours × 100.

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