Is Reeve going to tell me a dollar figure for what I can recover in Kansas?

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.

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 attendant 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.

What Kansas rule is Reeve actually reconciling against?

Two: the AuthentiCare sole-entry-point requirement effective January 23, 2025, and each MCO's filing window inside the state 12-month rule. An EVV-required initial claim that does not originate through AuthentiCare is denied, and an otherwise valid claim submitted after the MCO window closes is also denied. Reeve lines up the visit, the claim, and the remittance and shows you where either rule was crossed.

Which Kansas programs and codes does this cover?

KanCare HCBS attendant care, including the Frail Elderly and Physical Disability waivers, in agency-model and self-directed delivery. Common code is T1019 per 15 minutes, with waiver modifiers distinguishing FE from PD and agency from self-directed.

We use another EVV vendor. Do we have to run everything through AuthentiCare?

For EVV-required services, initial claims go through AuthentiCare as of January 23, 2025, regardless of which EVV vendor captured the visit. Reeve reads the exports your EVV vendor and AuthentiCare produce and flags any claim that skipped AuthentiCare on entry, so you can rework it before the MCO window closes.

How does the MCO filing-window variation show up in the review?

Reeve sorts findings by the operative clock per MCO. Aetna lines get 180 days. Sunflower and UnitedHealthcare lines are sorted against their own contracted windows. Delivered visits inside the window are billable now and go to the top. Everything else is ranked by days remaining or marked gone, per MCO, clearly separated.

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.

Kansas KanCare home care margin recovery.

You delivered the visits. In Kansas, effective January 23, 2025 AuthentiCare is the sole claims-entry point for EVV-required services, and MCO filing windows on KanCare run as tight as 180 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.

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The four numbers

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

Authorized

The payer approved a number of units. In Kansas that is KanCare, run by Aetna, Sunflower, or UnitedHealthcare, with attendant hours authorized under HCBS waivers including Frail Elderly and Physical Disability, and self-directed delivery in some cases. The clock and the ceiling both live here, and each MCO sets its own filing window inside the state rule.

Delivered

The attendant worked the visit and it landed in Electronic Visit Verification. Kansas is provider-choice on EVV, but the state EVV system is AuthentiCare, operated by Netsmart. Effective January 23, 2025, AuthentiCare is not just an aggregator, it is the sole claims-entry point for EVV-required services. Either way, the visit becomes an accepted AuthentiCare transaction, or it does not.

Billed

A claim went out through AuthentiCare to the correct KanCare MCO with a Medicaid ID, date of service, NPI, a HCPCS code, its waiver modifier, and a unit count. Attendant care predominantly rides on T1019 per 15 minutes, with waiver modifiers distinguishing FE from PD and agency from self-directed. Units are counted in quarter hours, so small miscounts add up fast.

Paid

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

The leaks live in the gaps between those four columns, and Kansas has two rules that turn a gap into lost money: after January 23, 2025 an EVV-required claim that does not originate through AuthentiCare is denied on entry, and each MCO enforces its own filing window inside the state 12-month rule, with Aetna requiring 180 days.

01
Delivered but never billed
02
Initial claim submitted outside AuthentiCare and denied on entry
03
Billed fewer units than the visit shows
04
Denied for a waiver-modifier or attendant-ID mismatch
05
Aged past the tighter MCO 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

15 claims paid clean this quarter where the accepted AuthentiCare visit shows more delivered quarter-hour units than the claim billed. Example: a visit accepted for 13 units of T1019, claim billed 9. The claim matched and paid, so nothing flagged, but 4 units per visit across 15 visits is 60 units of delivered care that never turned into a claim line. Records attached, ready to check against your contracted rate.

Finding B

Claim bypassed AuthentiCare, denied on entry

10 denied claim lines where the initial claim was submitted directly to the MCO rather than through AuthentiCare after January 23, 2025. The visits themselves are accepted in AuthentiCare, but the claim entry point is wrong. All 10 are workable today by resubmitting through AuthentiCare inside the MCO window. This is the single most avoidable Kansas denial.

Finding C

Authorization ceiling versus delivery

3 clients where delivered and accepted EVV units exceed the authorized waiver units on file. This is not recoverable, and Reeve will not pretend it is. It surfaces separately as over-delivery, care your attendants 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 180-day MCO shelf

20 delivered-and-accepted EVV visits with no matching claim found in the export, sorted by date of service against each MCO's clock. 10 are on Aetna inside the 180-day window and billable now. 6 are on Sunflower or UnitedHealthcare inside their windows. 4 are past the operative MCO window and gone. The list is ranked by days remaining, per MCO.

Finding E

Waiver modifier mismatch, FE billed as PD

6 claim lines where the waiver modifier on the claim does not match the authorization, most commonly a Frail Elderly authorization billed with the Physical Disability modifier or vice versa. 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.

A once-a-year audit looks back over twelve months. In Kansas the money has a 180-day clock on Aetna. By the time an annual review names a denied line, the tightest MCO window is long shut. By the time an annual audit names a denied Kansas line, the window to rework it is usually gone.

The EMR is not built to catch it either. Your EMR knows what it billed. AuthentiCare knows what visit was accepted and whether the claim originated there. The MCO remittance knows what paid. Those three live in three places, and the mismatch is in the seam between them. After the January 23, 2025 change, the entry-point question alone is enough to deny a valid, authorized, delivered visit.

The gap only shows when you put the accepted AuthentiCare transaction, the claim entry point, the MCO remittance, and the MCO's filing clock 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 Kansas: what AuthentiCare 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 Kansas 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 Kansas?: 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 attendant 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 Kansas rule is Reeve actually reconciling against?: Two: the AuthentiCare sole-entry-point requirement effective January 23, 2025, and each MCO's filing window inside the state 12-month rule. An EVV-required initial claim that does not originate through AuthentiCare is denied, and an otherwise valid claim submitted after the MCO window closes is also denied. Reeve lines up the visit, the claim, and the remittance and shows you where either rule was crossed.
04 Which Kansas programs and codes does this cover?: KanCare HCBS attendant care, including the Frail Elderly and Physical Disability waivers, in agency-model and self-directed delivery. Common code is T1019 per 15 minutes, with waiver modifiers distinguishing FE from PD and agency from self-directed.
05 We use another EVV vendor. Do we have to run everything through AuthentiCare?: For EVV-required services, initial claims go through AuthentiCare as of January 23, 2025, regardless of which EVV vendor captured the visit. Reeve reads the exports your EVV vendor and AuthentiCare produce and flags any claim that skipped AuthentiCare on entry, so you can rework it before the MCO window closes.
06 How does the MCO filing-window variation show up in the review?: Reeve sorts findings by the operative clock per MCO. Aetna lines get 180 days. Sunflower and UnitedHealthcare lines are sorted against their own contracted windows. Delivered visits inside the window are billable now and go to the top. Everything else is ranked by days remaining or marked gone, per MCO, 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.

Start my free Margin Review

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.