Payroll-to-billing reconciliation: the hours you paid but never billed.
One visit runs through two systems on two different deadlines. Payroll always closes on time. Billing does not have to.
One visit, two systems
The caregiver gets paid for the visit whether or not it ever became a clean claim. The cost always books. The revenue does not always follow.
Payroll runs on a fixed cycle enforced by law and by the caregiver's expectations. Billing runs on a payer-specific filing calendar and on internal capacity. The two are not synchronized, and the gap is where hours get paid without being billed.
Why a paid visit never gets billed
A missing or expired authorization. An EVV mismatch that puts the visit in an exception queue. A billing hold that nobody cleared. A gap between the EMR and the clearinghouse where the visit fell out in transit. Any one of these produces a paid caregiver hour with no matching claim.
The three buckets
Paid and billed. Healthy. The cost and the revenue line up.
Paid but not billed. A recoverable leak. You funded the care and never collected on it. This is where unbilled revenue lives.
Billed but not paid. A denial problem, a different workflow. Same visit, different failure mode.
Reconcile every pay cycle
Compare the visits payroll paid against the claims billing submitted for the same period. The paid-not-billed bucket is your unbilled-revenue worklist, ranked by filing deadline so the ones closest to the wall get worked first. Run it every pay cycle, not once a quarter, because a visit that ages past the filing window becomes a permanent write-off.
Plain answers, on the record.
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.
One pass over your own export, in your browser. The findings are yours to keep, with no obligation.
The recovery lane. Care you delivered and never billed, units short of what was authorized, lines paid under the published rate.
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.
Find the paid-not-billed on one pay cycle.
The Margin Review reconciles the visits payroll paid against the claims billing submitted for one closed period and returns a ranked list of recoverable dollars with a reason on each line.