HHACFO connects HHAeXchange, QuickBooks, and ADP into one private, HIPAA-grade data warehouse — then reconciles every visit, paycheck, claim, and authorization, every night. The answers land on one dashboard built for owners, with an AI copilot that speaks plain English.
Running in production today on a ~125-caregiver agency's full data set.
Who was scheduled, who actually visited, what was authorized, and what got billed.
Who got paid, for how many hours, at what rate — completely blind to the schedule.
What revenue was booked and what cash arrived — completely blind to what was billed.
A working replica of the HHACFO portal, loaded with demo data modeled on a real ~125-caregiver agency. The big dollar numbers come first — that's the design rule.
| Caregiver | HHA hrs | ADP hrs | Gap | $ exposure | Status |
|---|
Manual and late entries are the two buckets auditors sample first. Both are flagged nightly with caregiver, patient, and date so a coordinator can cure them before claims go out.
| Cause | Invoices | Value | Status |
|---|---|---|---|
| Invoice has no due date set | 312 | ~$61K | HYGIENE |
| Payment received, never applied | 104 | ~$24K | HYGIENE |
| Genuinely past terms | 18 | ~$5K | COLLECT |
Only the last row is a collections conversation. The other two are data fixes — and they were hiding it.
This is not recovered cash. It is ~$90K of receivables whose aging cannot be trusted because the underlying records are incomplete. Until due dates and payment applications are corrected, no one can tell a real collections problem from a clerical one.
The reconciliation names every affected invoice, so the fix is a work list — not a project.
| Payer | Billed | Booked | Variance | Status |
|---|---|---|---|---|
| Amerigroup | $41,120 | $39,640 | −$1,480 | DRIFTING |
| Horizon NJ Health | $58,340 | $58,340 | $0 | MATCH |
| Aetna Better Health | $27,905 | $27,905 | $0 | MATCH |
| UnitedHealthcare Comm. | $19,480 | $18,930 | −$550 | WATCH |
| Private pay | $6,210 | $6,210 | $0 | MATCH |
A payer variance of $1,480 every two weeks doesn't feel like much — until it compounds to ~$38,000 a year of services delivered but never recognized. The weekly recon catches drift while the visits are still fresh enough to re-bill or correct.
Each variance row expands to the exact visit list behind it, so your biller starts from evidence, not a hunch.
| Patient | Last visit | Auth ends | Days idle |
|---|---|---|---|
| PT-0187 | Jul 11 | Sep 30 | 15 |
| PT-0342 | Jul 14 | Aug 31 | 12 |
| PT-0095 | Jul 16 | Dec 31 | 10 |
| PT-0263 | Jul 18 | Oct 15 | 8 |
| PT-0071 | Jul 19 | Sep 30 | 7 |
+ 10 more · Each idle patient is authorized care you're not delivering — and census that quietly walks away.
9 caregivers submitted after the payroll cutoff last week. 3 of them also appear on the cash-pay risk list — chronically late paperwork is the leading indicator for the payroll exposure that follows.
HHACFO tracks submission timing on every visit, so the pattern surfaces weeks before it becomes a dollar problem.
| Patient | Window ends | Units used | Remaining | Status |
|---|---|---|---|---|
| PT-0142 | Aug 12 | 94% | 11 hrs | RENEW NOW |
| PT-0308 | Aug 19 | 88% | 24 hrs | RENEW NOW |
| PT-0067 | Sep 02 | 71% | 58 hrs | WATCH |
| PT-0221 | Sep 30 | 44% | 132 hrs | HEALTHY |
| PT-0195 | Oct 15 | 31% | 168 hrs | HEALTHY |
Visits with no authorization behind them. Care is delivered, the claim is denied, and the write-off lands a month later when the schedule has already moved on.
Authorizations that quietly run out. Units exhaust or the window closes mid-plan-of-care, and nobody notices until billing bounces.
Both are arithmetic once the schedule and the authorization file live in the same warehouse — which is the whole point.
Every caregiver paid hours with no matching scheduled visit — ranked by dollar exposure, matched to the penny.
Every visit checked for a complete, timely electronic visit verification record — missing or late EVV is a denied claim waiting to happen, and a state audit finding.
Hours worked vs hours billed vs bills paid. Small drifts compound into five figures a year.
Chronic late submitters flagged early — the leading indicator for the payroll problems that follow.
Visits scheduled without an authorization behind them, caught before they become unbillable write-offs.
Active patients with zero upcoming visits, so authorized census never quietly slips away.
The reconciliation library finds the leaks. These modules run the day-to-day — same portal, same data, one login for your whole team.
Referral sources, intake pipeline, and patient & payer records.
Caregiver credential and document tracking with expiration alerts.
Assigned training modules with completion tracking.
PTO requests and approvals, without the paper chase.
Visit schedule and timesheet views for the whole roster.
Claims and billing status views, payer by payer.
The four reconciliation dashboards: cash-pay risk, billing recon, scheduling, auth coverage.
We schedule the standard reports from your HHAeXchange, link QuickBooks, and set up the ADP payroll feed. We handle the entire setup — your team keeps doing their jobs.
Your private warehouse fills, and the nightly reconciliations start running across visits, payroll, claims, and authorizations. First findings usually land here.
Your dashboard and copilot go live with role-based access for your team. Monthly subscription tiered to your census size — cancel anytime, your data comes with you.
HHACFO was designed by working backwards from PHI compliance — every vendor in the chain that touches patient data at runtime operates under a Business Associate Agreement.
Your data never shares a database with another agency's. Not partitioned — separate.
Hosting, warehouse, and the AI copilot layer all run under Business Associate Agreements.
TLS on every connection, with row-level security enforced inside the warehouse itself.
Your staff use the portal with role-based permissions. Nobody touches raw data.
HHACFO is the platform behind Your Chief Advisors Healthcare, a fractional-CFO practice for home health agencies. It wasn't built by a software company guessing at your problems — it was built inside real agency engagements, one reconciliation at a time.
Built and Backed by YCA Healthcare, the healthcare division of Your Chief Advisors, a CPA-led Accounting, CFO, and Advisory firm.
A 30-minute walkthrough with your own numbers — no commitment, nothing to install, and your staff never have to learn a new system.