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Arkansas home care margin recovery.

You delivered the visits. In Arkansas, EVV is mandatory for personal care and a claim that does not reconcile to a matching accepted visit denies, and the filing clock is 365 days. Reeve reads your own billing export, right in your browser, and shows you the authorized, delivered, billed, and paid columns side by side, so the gaps have a record attached.

The four numbers

Every dollar of personal care in Arkansas passes through four states of being, and they do not always agree.

Authorized

The payer approved a number of units. In Arkansas that is a Medicaid State Plan Personal Care Services authorization, or an ARChoices in Homecare waiver authorization for attendant care, administered by DHS and the Division of Medical Services. The clock and the ceiling both live here.

Delivered

The aide worked the visit and it landed in Electronic Visit Verification. Arkansas runs an open EVV model, so providers may use their own EVV, but the visit still has to reach the state's EVV record for the claim to stand up. Either way, the visit becomes an accepted EVV transaction, or it does not.

Billed

A claim went out to Arkansas Medicaid with a Medicaid ID, date of service, NPI, a HCPCS code, and a unit count. Personal care rides on T1019 per 15 minutes, with T1020 available as a per diem alternative. Units are counted in quarter hours, so small miscounts add up fast.

Paid

The claim matched, cleared its other edits, and remitted. Or it hit a mismatch and denied.

The leaks live in the gaps between those four columns, and Arkansas has one plain rule that turns a gap into lost money: EVV is mandatory for personal care, and a claim without a matching accepted EVV visit does not pay, no matter how much care was delivered, all inside a 365-day filing window.

  • 01
    Delivered but never billed
  • 02
    EVV visit not reconciled to the state's EVV record
  • 03
    Billed fewer units than the visit shows
  • 04
    Denied for a service code or unit mismatch
  • 05
    Aged past the 365-day filing window
Illustrative findings

Every number is illustrative and synthetic. Because your own export may not carry a rate for every code, findings on this page are expressed in hours, units, and records to check against your own rate sheet, never in dollars Reeve made up.

Finding A
T1019 unit mismatch, silent shortfall
12 claims paid clean this quarter where the accepted EVV visit shows more delivered quarter-hour units than the claim billed. Example: a visit accepted for 12 units of T1019, claim billed 10. The claim matched and paid, so nothing flagged, but 2 units per visit across 12 visits is 24 units of delivered care that never turned into a claim line. Records attached, ready to check against your contracted rate.
Finding B
No matching EVV visit, denied and not reworked
7 denied claim lines where the underlying visit is in your EVV vendor but did not reconcile to the state's EVV record at claim time. Example: the visit fired from a proprietary system but never posted to the state. Five of the seven are still workable today. The other two are past the clock.
Finding C
Authorization ceiling versus delivery
3 clients where delivered and accepted EVV units exceed the authorized units on file under PCS or ARChoices. This is not recoverable, and Reeve will not pretend it is. It surfaces separately as over-delivery, care your aides gave that was never authorized, so you can see the exposure and fix the auth going forward rather than quote it as money owed.
Finding D
Timely-filing risk, the 365-day shelf
17 delivered-and-accepted EVV visits with no matching claim found in the export, sorted by date of service against the 365-day clock. 10 are still inside the window and billable now. 4 are inside a resubmission window on a prior denial, workable if reworked promptly. 3 are past 365 and gone. The list is ranked by days remaining, so the billable ones are at the top.
Finding E
Aide ID mismatch, EVV versus claim
5 visits where the aide identifier on the accepted EVV transaction does not line up with the provider identifier on the claim. Each one is a denial waiting to happen or one that already did, with the specific visit and claim record paired so your biller can see exactly which field to correct.
The blind spot

Why an annual audit or the EMR alone misses this.

01

A once-a-year audit looks back over twelve months. In Arkansas the money has a 365-day clock. By the time an annual review names a denied line, the filing window may be closing and the reason lost. A once-a-year audit finds the denied line after the clock on it has run.

02

The EMR is not built to catch it either. Your EMR knows what it billed. Your EVV vendor and the state's EVV record know what visit was accepted. The remittance knows what paid. Those three live in three places, and the mismatch is in the seam between them. A clean match shows green in your billing screen even when the visit carried more units than the claim, because the claim matched the units it declared, not the units delivered.

03

The gap only shows when you put the accepted EVV transaction, the claim, and the remittance in the same view and read them together. That is the one thing Reeve does. It reads across the seam.

That is what Reeve reads for in Arkansas: what the state's EVV record accepted, what the authorization allowed, what you billed, and what actually paid, read against each other rather than audited for rate.

Questions

Plain answers, on the record.

Straight answers on how the Arkansas Margin Review works, what it touches, and what it will not claim.

01
Is Reeve going to tell me a dollar figure for what I can recover in Arkansas?
No made up numbers. Reeve prices findings off the rate on your own export or the rate your own remittances actually paid most often, and where it cannot find a rate in your data it gives you the hours, the units, and the exact records instead of a dollar figure. A rate Reeve has not verified is a rate Reeve will not quote.
02
Does my data leave my building?
No. The Margin Review runs in your own browser on an export you provide. Client names, Medicaid IDs, and aide names are replaced with a coded reference locally before any math runs. Nothing with a name on it is uploaded or sent anywhere. Reeve reads. It does not write to your EMR, does not file a claim, and does not move money.
03
What Arkansas rule is Reeve actually reconciling against?
The EVV mandate for personal care. A claim that does not reconcile to a matching accepted EVV visit does not pay. Reeve lines up your EVV vendor visit, the state's EVV record, the claim, and the remittance and shows you where any of those disagree, inside the 365-day filing window.
04
Which Arkansas programs and codes does this cover?
Medicaid State Plan Personal Care Services and the ARChoices in Homecare waiver for attendant care, administered by DHS and the Division of Medical Services. Common codes are T1019 for 15-minute personal care and T1020 for a per diem alternative.
05
We use our own EVV vendor. Does Reeve replace it?
No. Arkansas runs an open EVV model, so your vendor is fine. Reeve reads the export your vendor and the state's EVV record produce and reconciles them against your claims and remittances. It sits above your stack, read-only.
06
How far back is worth looking, given the 365-day rule?
Reeve sorts findings by the clock. Delivered visits still inside 365 days are billable now and go to the top. Denials inside their resubmission window are workable. Lines past the filing and resubmission windows are marked gone rather than dressed up. You see what is recoverable and what is a lesson, clearly separated.
07
Who runs the review, and is there a catch?
You do, yourself, for free. There is no sales call required to try it, no automated nightly scanning of your systems, and no team quietly holding your data. You provide an export, the review runs locally, and you keep the findings whether or not we ever work together.
Two lanes, priced separately

Collect is money you never captured. Cover is money a 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. The Margin Review reads both on your own export and costs nothing.

Margin Review
Free

One pass over your own export, in your browser. The findings are yours to keep, with no obligation.

Collect
$750 per branch per month

The recovery lane. Care you delivered and never billed, units short of what was authorized, lines paid under the published rate.

Cover
$1,000 per branch per month

Everything in Collect, plus the exposure lane. Retired codes, authorizations at the end of their period, care delivered past what was approved.

Month to month, no annual contract. Read-only in every tier. Run the free review.

Start with a Margin Review

Try it yourself. Run a free Margin Review.

No sales call. No account to create. Export your data, open the review in your browser, and see your authorized, delivered, billed, and paid columns lined up in about the time it takes to read this page.

  • 01

    Read-only. Reeve reads your export and does not write to your EMR, does not file a claim, does not move money.

  • 02

    Names coded locally. Names and Medicaid IDs are replaced with a coded reference in your browser before any analysis runs.

  • 03

    Your file is processed in your browser, and no name is written into any output. No upload of identified data, no server holding your client list.

  • 04

    Yours to keep. The findings are yours whether or not we ever work together.

Reeve reads your billing read-only and replaces its names with coded references before any math runs. Every example figure is illustrative and synthetic, method rather than results, and Reeve makes no guarantee of recovery.