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Reeve  /  Ledger 001

You take care of them.
We take care of your books.

We read what a payer authorized against what you delivered against what you billed, and hand back two numbers. The money you earned and never collected, and the money a payer can still take back.

  • Read only. Reeve does not write to your EMR and does not file a claim.
  • Names, member IDs and addresses coded in your own browser, before any math runs.
  • Your file is processed in your browser, and no name is written into any output.
Ledger, read only
Folio 24 / Q2 / Branch GW
Reference
Authorized
Delivered
Billed
Recoverable
  1. 001
    PA 77104 / T1019
    $3,360
    $3,360
    $3,360
    -
  2. 002
    PA 77193 / T1019
    $4,536
    $5,040
    $4,200
    $840$336
  3. 003
    PA 77260 / S5125
    $2,880
    $2,880
    $2,880
    -
  4. 004
    PA 77318 / T1019, plan B
    Authorized and delivered in full, billed short of the authorized units.
    $5,100
    $5,100
    $4,794
    $306
  5. 005
    PA 77402 / T1019
    open period, not counted yet
    $2,760
    $2,760
    -
    Held
  6. 006
    Claim 88041 / denied, open
    Denied claim with an open balance, still inside filing.
    $6,240
    $6,240
    $6,240
    $6,240
Recoverable, this reconciliation
$6,882
Illustrative. Real contracted rates anchor the method; the delivery data is synthetic. Your numbers will differ.
Ledger, table of contents

One quiet loop, run on the export you provide. Find, verify, report.

Ledger 002 / The find

Reeve reads every ledger you already keep and surfaces the rows where the four columns disagree.

Folio 24 / Surfaced
Illustrative, synthetic
Reference
Kind
Recoverable
  1. 001
    PA 77193 / T1019
    Delivered, never billed
    $6,240
  2. 002
    Client 4A82 / 03 Apr
    Visit unbilled
    $1,240
  3. 003
    PA 77318 / T1019, plan B
    Underbilled vs authorization
    $460
  4. 004
    PA 77501 / S5125
    Auth lapsed, surfaced only
    Surfaced
  5. 005
    Claim 88041 / denied
    Denied, resubmittable
    $6,240
Surfaced total
$14,180
Illustrative. The engine walks every ledger you provide and surfaces only the rows where the four columns disagree.
Ledger 003 / The match

Every dollar is pinned to the rows it came from, the authorization, the visit, and the billing line, before it reaches you.

Folio 24 / PA 77193
Illustrative, synthetic
Delivered and never billed, recoverable
PA 77193, 960 units of T1019 delivered and never sent
$6,240
Source
Evidence
Status
  • Authorization
    1,040 units approved, window closed 3/12
    matches
  • EVV log
    60 visits, 240 hours, 2 Jan to 12 Mar, aide 7C19
    matches
  • Contracted rate
    T1019, $6.50 per 15-minute unit
    matches
  • Billing rows
    960 units delivered inside the window, never billed
    gap
Recommendation, bill 960 units of T1019 delivered 1/02 to 3/12 under PA 77193. 960 units at $6.50 is $6,240, inside the 1,040 units authorized. Filing window: verified for this state.
Illustrative. Row 001 of the surfaced list, opened up. A finding does not surface until every supporting row can be cited from your export.
Ledger 004 / The worklist

Findings collapse into a plain document, ranked by dollars, walkable to a biller in one sitting.

Folio 24 / Margin review
Illustrative, synthetic
Greenwood branch, Q2
Recoverable now, ranked by dollars
Prepared 12 Jul, 06:12 am
Recoverable, this review
Action
Amount
  1. Unbilled visits
    Bill authorized hours delivered and never sent
    $7,480
  2. Denied, resubmittable
    Rework open denied balances still inside filing
    $6,240
  3. Underbilled vs authorization
    Rebill the units short on the original claim
    $460
Recoverable, this review
$14,180
Surfaced, not counted as recoverable
Reason
Amount
  1. Over-delivered hours
    Over the authorization ceiling, not recoverable
    $0
  2. Adjusted balances
    Payer paid at a different rate, appeal path, not a refile
    $0
  3. Not payable as billed
    Non-covered service or ineligible member on the date
    $0
  4. Filing status indeterminate
    Export missing a date column Reeve needs
    $0
  5. Written off
    Balance already closed on your books
    $0
  6. Unclassified balances
    Remit status did not match any pattern Reeve reads
    $0

Reeve shows you these and counts them at zero. A number you cannot defend to your biller is worth less than no number.

Illustrative. Same ledger as the two panels above, totalled. The full worklist prints to one page. Recoverable is what Reeve will defend. Set aside is what Reeve saw and refused to dollarize.
The boundary

Reeve reads. Nothing named ever leaves.

Reeve runs inside the four walls of your agency, in the browser you already have. There is nothing to install. It has one direction of flow. We designed it read only on purpose, so a mistake on our side does not cost you a cent and there is no server holding a patient record to breach.

  • Read only

    Reeve does not write to your EMR, EVV or clearinghouse. It does not submit, adjust, or delete a record. The mechanism is plain: no write path exists in the product.

  • Names coded first

    Names, member identifiers and addresses are removed and replaced with coded references before any arithmetic runs. Dates of service are kept, because the filing deadlines cannot be computed without them. This is not HIPAA Safe Harbor de-identification and Reeve does not claim it is.

  • Nothing transmitted

    The review makes no network request at all. Nothing is uploaded, not a name, not a count, not a key. The result screen shows a live count of requests made during the run, and it reads zero.

Sources
Inside your walls · your book
  • Dorothy R.EMR export
  • Harold M.EVV log
  • Client #4471837 claim
  • M. Alvarez835 remit

Sample records. Illustrative.

Engine
The engine sees keys, not people
  • d3f9·a17bEMR
  • b8c2·04efEVV
  • 6a1d·99c0837
  • f2e7·5b3a835

Keys and counts only. No name.

Nothing with a name comes back out.
A working day

Every visit she gave today should be a paid line on your remittance.

Owners we talk to did not get into this work to chase claims. The Margin Review does the walking, so the hour a caregiver gave, the hour a payer authorized, and the hour you were paid for finally stand in the same column.

An agency owner and a caregiver colleague talking in warm morning light.
Scale

Move two dials. See how many rows that is.

We will not print a dollar figure here. We do not know your payer mix, your state, your codes, or your rates, and a number built out of averages is a number you cannot check. What we can show is the size of the reconciliation: how many rows a book your size puts through authorization, delivery, billing, and paid in a quarter. The Margin Review runs on your own export and puts figures only where it can name the rate and the rule behind them.

Branches, currently 2. Range 1 to 40.
min 1max 40
Caregivers per branch, currently 120. Range 10 to 500.
min 10max 500
Caregivers across the book
2 branches times 120 caregivers per branch=240 caregivers across the book
Arithmetic on what you typed. Not a finding. Four columns each, every visit

Your file is processed in your browser, and no name is written into any output.

The Margin Review runs read only, on an export you provide. The key that maps a code back to a person is built on your machine and stays there. Reeve works from codes and dollars. Nothing with a name in it ever comes back out.

Exposure

The money you keep counts the same as the money you collect.

Collect is money you never captured. Cover is money the payer can still take back. Reeve reports the two separately and never adds them together, because only one of them is yours to go and get.

  • Care delivered past the approved authorization.
  • EVV records that failed the aggregator, with the reason.
  • Visits missing a signature or a timestamp.
  • Conflicts inside a single caregiver's day.
  • Codes billed outside the program that covers them.
Counted at zero

Over-delivered care is surfaced as exposure at zero dollars. It is never quoted as money to collect. Reeve caps every recoverable finding at what the payer authorized. Rows on a payer Reeve has no rules for are counted at zero for the same reason, and the report names them rather than leaving the absence for you to notice.

What if the review finds nothing

Then your billing is tight, and that is worth an hour to know. It is also not the end of the reading. A month can price to the exact published rate on every line, return nothing to collect, and still carry lines billed under a code the state retired, authorizations sitting at the end of their period, and a visit the state aggregator refused. Reeve reports those on the same page as the zero. None of them is money you can go and get. All of them are money a payer can come back for.

Collecting is a one-time job. Covering is not. A state moves a rate, retires a code, or lets an authorization lapse every month, which is why the reading repeats.

It is the difference between finding out from Reeve and finding out from the payer.

Pricing

Two tiers. Priced per branch, per month.

The Margin Review is free, so you see your own book before there is a fee.

Margin Review, free
A first pass on your own book, on your own machine.

Names coded locally, read only, no signature required. You keep the findings whether we ever speak again.

Start a Margin Review
Collect
The money you earned and never received.

Authorized hours you delivered and never billed, and denied balances still inside the filing window. Found every month, ranked in dollars, with the record behind each one. Lapsed authorizations, rate discrepancies, and rows on a payer Reeve holds no rules for are surfaced with the record attached and counted at zero, because a number we cannot defend to your biller is worth less than no number.

$750/ branch / month
  • Reconciles authorization, delivery, billing, and paid on the export you provide
  • Ranked list of recoverable claims with the record behind each one
  • Denial code library and resubmission guidance
  • A monthly margin review, delivered as a plain document
  • Read only, on your machines, no names in outputs
Cover
Recommended
Everything in Collect, plus what can be taken back.

Care delivered past what was approved, EVV records that failed the aggregator, visits missing a signature, and conflicts inside a caregiver's own day.

$1,000/ branch / month
  • Everything in Collect
  • Care delivered past the approved authorization surfaced before the payer finds it
  • EVV records that failed the aggregator, flagged with the reason
  • Visits missing a signature or a required timestamp
  • Conflicts inside a caregiver's own day, overlapping or impossible visits
If you already have a revenue integrity team

Reeve is the second pass, not a replacement. An internal team works the queue it can see, and it works the volume a person can work, which usually means a sample. Reeve reads every line in the period, and it reads across authorization, schedule, claim, and remit at the same time, which is where the gaps actually live. Your team gets a ranked worklist instead of a sampling project. The same argument would hold for an RCM firm working somebody else's book, for the same reason.

If you are not sure you are big enough

Run the review and find out. That is what it is for. It costs you an hour, and it either finds something to collect or it does not. A review that finds nothing to collect still reports what a payer can take back, and that is the half of the job that comes around again every month.

No risk to look

The Margin Review is free, so you see your own book before you ever pay for a month. It prices what it can defend and it says so on the report where it cannot: payer classes outside Medicaid, the six jurisdictions whose filing window we have not read from a primary source, and per diem lines all come back named, counted, and carrying no dollar. Reeve reports what it finds; filing, appealing, and collecting stays with your agency.

Month to month, no annual contract. Priced by branch, so a single location pays for a single location.

Questions

Plain answers, on the record.

What Reeve is, what it costs, and what happens to your file. If anything here is not clear, write to us and we will answer in kind.

A free, read-only pass over a slice of your own data. Reeve reconciles what a payer authorized, what your caregivers delivered, what you billed, and what you were paid, then shows every place they disagree. Dollars are attached where Reeve can defend the rate and the rule. Where it cannot, the disagreement still comes back to you, with the records, in hours, units, and counts and no dollar: rows on a payer outside Medicaid, per diem and episode lines, and states whose filing window we have not read from a primary source. It runs in your own browser on an export you provide. The findings are yours to keep, with no obligation.

The free Margin Review runs entirely in your own browser. Names, member identifiers and addresses are removed and replaced with coded references before any arithmetic runs. Dates of service are kept, because the filing deadlines cannot be computed without them, so this is not HIPAA Safe Harbor de-identification and Reeve does not claim it is. The file never reaches a Reeve server, so nothing uploads and there is nothing to sign to see your own numbers. Reeve stays read-only and does not write to your EMR. Nothing with a name leaves your building.

Reeve reads, it does not write. It shows you exactly which claims to pull, resubmit, or appeal, with the record behind each one. Recovery is your agency's to pursue. Reeve does not file a claim or move money on your behalf, because no write path exists in the product.

The Margin Review is free. After that there are two tiers. Collect is $750 per branch per month and it works the money you earned and never captured. Cover is $1,000 per branch per month, it includes everything in Collect, and it works the money a payer can still take back. Month to month, no annual contract. Reeve stays read-only either way.

Reeve does not connect to an EMR, so it is not a question of which ones we support. It reads a standard billing export. If your system can export authorizations, visits, and claims with the columns Reeve reads, Reeve can read it, and the review tells you which checks it could run on the file you brought and which columns were missing. We have written export guides for WellSky, AxisCare, HHAeXchange, and AlayaCare because those come up most, and the export from another system is read the same way.

No. Reeve is independent, not owned by, paid by, or partnered with any EMR vendor. Its only job is to report what your own records and your payers actually say.

Because every finding points back at your own records, and every finding shows the arithmetic that produced its dollar. Reeve shows you the visit, the authorization, the claim line, and the remittance sitting behind it, plus the hours, the rate, and where that rate came from, so your biller can open the record and check the work. Reeve never invents a rate. It starts from what your own lines say you billed for that service, and it checks that against the published state fee schedule where a person has read one. Twelve states are priced off a schedule somebody opened and read: Colorado, Hawaii, Idaho, Nevada, New Hampshire, Pennsylvania, South Dakota, Texas, Utah, Vermont, Virginia, and Wisconsin. Eight more are priced in part, with the part Reeve refuses named on the report rather than counted as clean. Forty nine jurisdictions are on the record, none of them unknown, and none of them carrying a price nobody verified. Where the schedule is lower than what you billed, the schedule wins and the number comes down. In South Dakota, which pays the lesser of your usual and customary charge or the published fee, Reeve applies that rule and the number comes down again. Where no rate can be defended, the finding comes to you in hours, units, and record counts with no dollar, and you price it against your own rate sheet.

You get told plainly, and the review keeps reading. A clean recovery result is the tool being honest rather than the tool failing: it means every line Reeve could price matched the rate it should have been paid at. What it does not mean is that the month is finished. On a book with nothing to collect, Reeve still surfaces what a payer can come back for: lines billed under a code the state has retired, authorizations sitting at the end of their period, visits the state aggregator did not accept, and care delivered past what was approved. Those carry no dollar, because nothing has been lost yet. Collecting is a one-time job. Covering is not, because a state moves a rate, retires a code, or lets an authorization lapse every month.

Medicaid. Every row is classified by payer before any check runs, so Medicare, Medicare Advantage, commercial, VA community care, private pay, and long-term care insurance rows are counted, named on the report, and set aside. Inside Medicaid there is a second line, and it matters. Fee-for-service rows are priced against the state's published schedule. Managed care rows are read and reconciled the same way, but Reeve puts a dollar on them only where the state publishes a rate the plan is bound to pay. Two states in the country do that, Pennsylvania and Wisconsin, and finding the second one meant reading page 155 of a 468 page contract. Everywhere else a state schedule is not evidence of what a plan agreed to pay you, so those rows come back in hours, units, and record counts with no dollar, and you price them against your own contract. You get told how many rows each check skipped and why. If most of your book sits outside Medicaid, most of it will come back set aside, and it is better that you hear that here than after you spend an hour on it.

Start with a Margin Review

See your own book, before there is a fee.

The Margin Review is free. It runs in your own browser on an export you provide. Nothing with a name leaves your building.

Your file is processed in your browser, and no name is written into any output.

Reeve was built by people who have run the operating side of agencies like yours. The care got delivered. The aide clocked in, worked the visit, clocked out. Somewhere between the authorization, the visit record, and the claim, part of that work quietly stopped being money.

Nobody did anything wrong. There is just nobody in the building whose whole job is to hold those four columns next to each other and make them agree. So we built the thing that does.

We know the operating side, and we own the engineering half, the part that has to be right every time. We hold one rule above the rest: Reeve never invents a rate. If we cannot defend a number, you get the records instead.