You delivered the care. Did every authorized, verified visit turn into a clean, paid claim?
First, the part most Michigan pages bury: if your book is Medicaid Home Help, Reeve will tell you it cannot read it.
Home Help agency providers invoice monthly on the MSA-1904 against an authorization, with no procedure code, no modifier, and no unit, so there is no claim line to reconcile and no rate to compare. Reeve says that in one sentence and stops. On MI Choice, MI Health Link, and the Medicaid Health Plans, which do bill on claim lines, the gap between what HHAeXchange verified and what CHAMPS paid is exactly where earned margin goes quiet, and Reeve lines up authorized, delivered, billed, and paid and shows you every place they disagree, with the record attached.
Reeve does one thing. It lines up four columns that are supposed to agree and shows you every place they do not. Michigan Medicaid adjudicates through CHAMPS, verifies visits through HHAeXchange, and for in-scope services the claim has to travel through HHAeXchange to reach CHAMPS.
What the plan of care or the payer approved. The units and the span of dates are the ceiling and the clock.
What your caregiver actually worked, captured through Michigan's Open Vendor Model EVV. The verified visit lives in HHAeXchange first.
What left your building as a claim. For in-scope services the claim must route through HHAeXchange to CHAMPS. Home Health FFS claims sent straight to CHAMPS for dates of service on or after April 1, 2024 are rejected.
What came back after CHAMPS adjudication. A visit verified in HHAeXchange that never became a paid claim throws no denial. It just stays quiet.
The money does not leak in any one column. It leaks in the gaps between them.
- 01A visit verified clean in HHAeXchange that never became a claim in CHAMPS.
- 02A claim that stalled at HHAeXchange and never reached CHAMPS, so it looks submitted to you and never arrived to the state.
- 03Authorized units that ran short of delivered units, or delivered units that ran past authorized, which never bills clean.
- 04Visits that leaned on a manual EVV edit to go out the door, dragging your quarterly no-manual-edit rate toward the 85 percent line.
- 05Dates of service walking toward the 12-month timely-filing wall while everyone assumes they were paid.
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.
Illustrative: 214 personal care visits, roughly 611 verified hours over a closed quarter, show a complete EVV record in HHAeXchange with no matching claim adjudicated in CHAMPS. Records attached, ready for your biller to check against your rate sheet.
Illustrative: across 38 members, delivered units exceeded authorized units by a combined 176 units. Over-delivery does not bill and is not recoverable, so Reeve flags it separately. The mirror case in the same run: 52 members where authorized units went undelivered and undocumented, a care-plan and staffing signal.
Illustrative: 1,940 verified visits in a quarter, of which 361 required a manual EVV edit to clear, an 81 percent clean-verification rate. That sits below Michigan's 85 percent quarterly expectation effective April 1, 2026. Reeve shows which caregivers, members, and edit reasons drive the concentration.
Illustrative: 47 dates of service, roughly 128 hours, fall inside the last 60 days of the 12-month filing window with no adjudicated claim in CHAMPS. Left alone, these cross the wall and become unrecoverable. Flagged by days remaining, so the ones closest to the edge surface first.
Illustrative: 63 claims show as submitted on your side but have no adjudication result in CHAMPS, consistent with claims that never completed the HHAeXchange-to-CHAMPS handoff. To your team they read as out the door. To the state they never arrived. Records attached so you can confirm and resubmit inside the window.
Why an annual audit or the EMR alone misses this in Michigan.
The verified visit lives in HHAeXchange, the paid result lives in CHAMPS, and the authorization lives in your plan of care. No one of those three sees the other two. The gap between verified and paid is precisely where a clean visit can go unbilled without a single error message reaching your desk. A visit never turned into a claim does not throw a denial. It just stays quiet.
The 12-month timely-filing window turns quiet into permanent. An annual audit that lands in month 11 finds the leak in month 12, too late to refile. The reconciliation has to run against closed periods on a rhythm, not once a year, because the wall does not move.
The April 1, 2026 no-manual-edit threshold is a new kind of exposure last year's audit was never built to watch. A visit that bills fine but only after a hand edit still counts against your 85 percent. Your EMR shows the claim was paid. It does not show the visit is dragging your quarterly standing with the state.
Reeve is the reconciliation that sits across all of it, reads only, and shows the gaps with the record attached. It does not replace your EMR, your biller, or HHAeXchange. It checks their work against each other.
Plain answers, on the record.
Straight answers on how the Margin Review handles Michigan mechanics, your data, and where Reeve honestly stands today.
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.
Try it yourself. Run a free Margin Review.
No sales call to book, no access to grant, no data to hand over. You bring the export, it runs in your browser, and you see the gaps between authorized, delivered, billed, and paid with the records attached.
- 01
Read-only. Reeve looks. It does not write to your EMR, does not file or edit a claim, does not move a dollar.
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Names coded locally. Names, member IDs, and staff identifiers are replaced with a coded reference unique to your agency on your machine before any math runs.
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Your file is processed in your browser, and no name is written into any output. The review runs in your browser on your export. No named record is uploaded anywhere.
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Honest by default. In Michigan, findings come as hours, units, and records, never as invented dollars.
Any dollar figures in examples are illustrative and synthetic, method rather than results.