Scheduled, delivered, billed: the three numbers that rarely match.
Every visit passes through three systems before it becomes payment, and scheduled, delivered, and billed are three different numbers. The gaps between them are where revenue disappears and compliance risk builds.
The three-number problem
Scheduled is intent. It moves with callouts, refusals, and late arrivals, and by the end of the week it rarely matches what happened.
Delivered is what actually happened, authoritative through EVV under the 21st Century Cures Act. It has its own sync issues at the aggregator, but the visit record is the source of truth.
Billed is what went out on a claim. Reliable when the EMR is integrated with EVV, error-prone when hours are keyed by hand or edited in transit.
Where the gaps cost most
Delivered but unbilled is the highest-dollar gap. Care happened, EVV captured it, and no claim was ever built.
Partial-visit billing is the quiet variant. A claim goes out for fewer units than the EVV record shows, and the shortfall never appears on a denial report.
Schedule-to-billing pipelines that never validate against EVV. Claims are built from the schedule and the delivered record is ignored, which produces both underbilling and overbilling in the same batch.
What a working reconciliation looks like
Catch it before submission by asking three questions on every visit. Does the billed line match the EVV record within tolerance. Is there an EVV record with no billed claim. Is there a billed claim with no EVV record.
The third question is a compliance exposure, not a recovery. A billed claim with no EVV record is an overbill under the Cures Act framework, and the fix is to correct or void, not to add revenue.
Where to start
Pull 60 days of EVV against claims. Find every EVV-with-no-claim visit inside the filing window, and every billed-duration that differs materially from the EVV record. That single pass is the cheapest place to start, and it is repeatable each close.
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.
Reconcile the three numbers on one closed period.
The Margin Review compares scheduled, delivered, and billed visits for one closed period and returns a ranked list of recoverable dollars with a reason on each line.