Zenith Billing Services delivers DODD waiver billing, EVV compliance, and PAWS authorization monitoring for Ohio agencies serving individuals with developmental disabilities — helping you collect every dollar you've earned.
Expert claim submission for all three Ohio DODD waivers: Individual Options (IO), Level 1, and SELF. We stay current with every code change and PAWS authorization requirement.
We track authorized versus used units for every individual and service, and flag anyone on pace to run out before their authorization span ends — so you can request more in time.
We reconcile every visit against Sandata EVV data before claim submission — preventing the 4-point mismatches that trigger automatic denials in Ohio's enforcement era.
We identify, correct, and resubmit every denied claim. We track denial patterns and address root causes so the same error doesn't cost you twice.
Transparent, accurate reporting on your accounts receivable, collection rates, denial trends, and cash flow — delivered in plain language every month.
Before every weekly cycle, we confirm active authorizations, certification dates, and unit limits — catching problems before they become rejected claims that cost your agency time and revenue.
Most billing companies are generalists who handle dozens of payer types across multiple states. We built Zenith specifically for Ohio I/DD provider agencies — and that focus pays off in fewer denials, faster collections, and billers who truly understand your claims.
We know the difference between an IO Waiver claim and a SELF Waiver claim. We know what triggers EVV mismatches in Sandata. We know how PAWS authorizations, the weekly eMBS cycle, and the Wednesday cutoff affect your cash flow.
Unlike standard billing services, we monitor PAWS unit utilization at the individual level — broken down by service location — so you know exactly where each client stands within their authorized units at any given time.
We deliver structured reports tied to each residential site or service location, enabling house managers and program administrators to act before a client's authorized units are exhausted, rather than discovering a gap only after services have already been interrupted.
Our onboarding is fast, simple, and designed to minimize disruption to your team.
We learn about your agency, your payers, your open AR, and your biggest billing pain points — with no obligation.
We sign your MSA and BAA, get authorized on your billing system, and conduct an initial AR review.
Claims go out every week before DODD's Wednesday cutoff. EVV reconciled, authorizations checked, and errors caught before they happen.
Faster reimbursements, fewer denials, and transparent monthly reporting on every dollar collected.
Zenith Billing Services was founded with a clear purpose: to give Ohio agencies serving individuals with developmental disabilities access to billing expertise that is deeply specialized, not generalized.
Our team is trained in Ohio DODD billing and service documentation. We understand the nuances of the DODD waiver programs, PAWS authorizations, eMBS claim submission, EVV enforcement, and the compliance requirements Ohio I/DD agencies face every billing cycle.
We work directly with each agency, giving you personalized attention and careful execution — so more of what you earn reaches your agency, and your team has more time to focus on the people you support.
Everything Ohio I/DD agencies want to know before working with a billing partner.
Ask Us Anything →Ready to reduce denials and increase collections? Schedule a free consultation — no commitment required.