EVV visits that don't match billing
A visit verified in EVV isn't always billed, and a billed visit isn't always fully supported. Each mismatch is lost revenue or audit exposure.
Home Health Agency Consulting
See where every visit, hour, and dollar goes in your home health agency.
We reconcile EVV, authorizations, caregiver payroll, claims, and remittances against your books, so agency owners can see exactly where revenue and labor cost are slipping away.
- CPA-overseen
- Completely remote
- Works with the systems you already use
The challenge
The gaps hide between your systems
Most agencies run on four or five systems that were never designed to agree with each other.
Authorizations running out unnoticed
Hours delivered past an authorization, or authorized hours left unused, both cost you money and are hard to spot without a side-by-side view.
Caregiver payroll that drifts from hours worked
Overtime, travel, and manual adjustments add up. Without reconciling payroll to verified hours, labor cost grows faster than revenue.
Remittances that never quite tie out
Payments, adjustments, and denials arrive in pieces. When they don't reconcile to claims and the general ledger, receivables become guesswork.
What we do
Financial and operational oversight built for home health
EVV reconciliation
Verified visits matched to scheduled services, billed units, and caregiver hours.
Authorization & utilization monitoring
Authorized hours tracked against services delivered, so you see shortfalls and overages early.
Caregiver payroll reconciliation
Hours worked vs. payroll hours vs. claims billed, per caregiver, per week.
Claims & billing verification
Billed claims checked against the visits and authorizations that support them.
Remittance & payment reconciliation
Payer remittances matched to claims and posted correctly to your books.
General ledger & performance reporting
An accurate general ledger and owner-level reporting, overseen by a CPA. Fractional CFO support is available too.
Technology & reconciliationHow our technology works
Your agency's systems, reconciled visit by visit
We connect your agency management, EVV, payroll, and accounting systems through secure connections you authorize, then reconcile them at the visit and caregiver level.
It works alongside the software you already use. Nothing gets replaced.
Systems we connect
- HHAeXchange
- Alora Health
- AlayaCare
- Halo
- QuickBooks
- ADP
- EVV visitsBilled services
- Authorized hoursHours delivered
- Hours workedPayroll hours
- Claims billedRemittances
- RemittancesGeneral ledger
We confirm which connections are available for your systems before you commit.
HHACFO
Run a home health agency?
HHACFO is the platform we built for home health agencies: visit-level reconciliation of hours worked, payroll hours, and claims billed, with an AI Virtual CFO.
Ready to transform your healthcare finances?
Let's discuss how YCA Healthcare can bring clarity, compliance, and confidence to your organization's financial operations.
Business outcomes
What agency owners gain
- A clear view of labor cost per caregiver and per visit.
- Billing gaps and unbilled visits caught before they age out.
- Receivables you can trust, tied back to remittances and the ledger.
- Fewer surprises at audit time, with reconciled records ready to share.
- Staffing and growth decisions based on reconciled numbers.
- One CPA-overseen team instead of separate vendors for each problem.
Case study · Home health
Over $100,000
in annualized unaccounted labor cost identified.
"It's like having 90% of our CPA's brain available to discuss operating issues on demand."
- Client industry
- Home health agency with about 140 caregivers in New Jersey.
- Business challenge
- Labor cost the agency couldn't account for across scheduling, payroll, and billing.
- YCA approach
- Reconciled hours worked vs. payroll hours vs. claims billed, per caregiver, per week.
- Technology used
- HHACFO, our platform for home health agencies.
- Findings
- Over $100,000 in annualized unaccounted labor cost.
- Outcome
- Leadership gained ongoing, caregiver-level visibility into labor cost and billing.
FAQ
Frequently asked questions
Do we have to change our agency software to work with you?
No. We connect to the systems you already run, such as HHAeXchange, Alora Health, AlayaCare, Halo, QuickBooks, and ADP, through secure API or SFTP connections that you authorize. Nothing is replaced.
What does EVV reconciliation actually check?
We compare verified visits in your EVV system against scheduled services, the units you billed, and the hours each caregiver was paid for. Visits that were verified but not billed, billed without support, or paid differently than worked are flagged for review.
How does payroll reconciliation work for caregivers?
We line up hours worked, payroll hours, and claims billed for each caregiver, week by week. Differences between the three are where unaccounted labor cost usually shows up.
Can you work with an agency outside New Jersey and New York?
Yes. We work completely remotely, by video and phone, with agencies anywhere in the United States.
What is the HHAeXchange Workflow Assessment?
It's a free online self-assessment that walks through 11 steps of the HHAeXchange revenue cycle and helps you spot workflow gaps. You can download or print your results.
Find out what your agency's numbers aren't telling you
Book a consultation with YCA Healthcare. We'll walk through your systems and show you where reconciliation would make the biggest difference.