HHACFO · By Your Chief Advisors Healthcare

Your agency is leaking money between three systems. We find it.

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.

A real finding · Week one · One agency
$0
paid to 100 caregivers with no matching scheduled visits — invisible until schedule and payroll sat in the same warehouse.
0
Unaccounted hours
$0
Avg / caregiver
Nightly
Reconciliation
The problem

Scheduling, payroll, and books live in three different worlds. Nobody holds the whole picture.

Scheduling · Billing
HHAeXchange

Who was scheduled, who actually visited, what was authorized, and what got billed.

Payroll
ADP

Who got paid, for how many hours, at what rate — completely blind to the schedule.

Accounting
QuickBooks

What revenue was booked and what cash arrived — completely blind to what was billed.

Money leaks in the gaps. Hours paid that were never worked. Revenue billed that never books. Visits scheduled with no authorization behind them. Each system looks fine on its own — the losses only show up when you reconcile all three.
Live demo · Sample agency

This is the owner dashboard. Click around.

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.

HHACFO · SAMPLE HOME CARE LLC
Demo data — no real patient information
Cash-Pay Risk
Hours paid with no matching scheduled visit, ranked by dollar exposure. 100 caregivers flagged — 81% of the active workforce.
Reconciled last night · 02:14 ET
Period
$169,337
Total $ exposure
100
Caregivers flagged
5,628
Unaccounted hours
$1,693
Avg $ / flagged caregiver
Top caregivers by exposure
Flagged caregivers — hours paid vs. scheduled
CaregiverHHA hrsADP hrsGap$ exposureStatus
Every row traces to specific pay periods and visit records. MATCH means paid and scheduled hours agree to the penny — anything else gets a flag.
EVV Compliance
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.
Reconciled last night · 02:14 ET
92%
Visits with an EVV record
15,000
Visits reconciled
6
Capture methods in use
Nightly
Compliance sweep
Share of visits carrying an EVV record
92%
With EVV record — 92%
No record on file — the exposure
Every visit without one is a claim the payer can deny — and the first thing a state audit asks for.
Capture method — where verification comes from
Mobile app41%
Telephony (IVR)27%
FOB device14%
Manual entry12%
Late / amended6%

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.

Percentages are demo values scaled from the reference engagement. The live view lists every uncovered visit individually.
Receivables Hygiene
AR that presents as fully overdue because of missing due dates and unapplied payments — a bookkeeping problem, not a collections one.
Reconciled last night · 02:14 ET
~$90K
Flagged as fully overdue
100%
Of AR reading past due
12,800
Claims reconciled
2
Root causes isolated
Why the aging report reads 100% overdue
CauseInvoicesValueStatus
Invoice has no due date set312~$61KHYGIENE
Payment received, never applied104~$24KHYGIENE
Genuinely past terms18~$5KCOLLECT

Only the last row is a collections conversation. The other two are data fixes — and they were hiding it.

What this is, and what it isn't

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.

Invoice counts are demo values. The headline figure traces to the reference engagement's QuickBooks AR aging.
Billing Reconciliation
Hours billed in HHAeXchange against revenue booked in QuickBooks, by payer, every week.
Reconciled last night · 02:14 ET
$4,430
Revenue not yet booked · 6 wks
1
Payer drifting
Weekly
Payer-level recon
$1,480
Largest 2-week variance
Billed in HHAeXchange vs. booked in QuickBooks — by payer
PayerBilledBookedVarianceStatus
Amerigroup$41,120$39,640−$1,480DRIFTING
Horizon NJ Health$58,340$58,340$0MATCH
Aetna Better Health$27,905$27,905$0MATCH
UnitedHealthcare Comm.$19,480$18,930−$550WATCH
Private pay$6,210$6,210$0MATCH
Why this matters

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.

Scheduling Coverage
Active patients with no visit on the schedule for the coming week, plus the late-timesheet watchlist.
Reconciled last night · 02:14 ET
95
Active patients
6
No upcoming visits
125
Active caregivers
9
Late timesheets last wk
Active patients with no scheduled visits
PatientLast visitAuth endsDays idle
PT-0187Jul 11Sep 3015
PT-0342Jul 14Aug 3112
PT-0095Jul 16Dec 3110
PT-0263Jul 18Oct 158
PT-0071Jul 19Sep 307

+ 10 more · Each idle patient is authorized care you're not delivering — and census that quietly walks away.

Late timesheet watchlist

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.

Authorization Coverage
Every scheduled visit checked against a live authorization — so care delivered outside an approved window is caught before it becomes an unbillable write-off.
Reconciled last night · 02:14 ET
1,400
Authorizations tracked
~95
Active patients covered
Nightly
Window + unit check
Pre-claim
When gaps surface
Authorizations approaching their limit
PatientWindow endsUnits usedRemainingStatus
PT-0142Aug 1294%11 hrsRENEW NOW
PT-0308Aug 1988%24 hrsRENEW NOW
PT-0067Sep 0271%58 hrsWATCH
PT-0221Sep 3044%132 hrsHEALTHY
PT-0195Oct 1531%168 hrsHEALTHY
The two ways authorizations cost you money

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.

Patient identifiers and unit counts are synthetic. The live view is keyed to real authorizations and refreshes nightly.
AI Copilot
Ask the warehouse a question in plain English. Every answer traces back to a visit, a paycheck, or a claim.
Warehouse synced 02:14 ET
Good morning. Your warehouse reconciled overnight — 2 new flags since yesterday. Ask me anything about your agency's numbers, or tap a question below.
Demo copilot with scripted answers. The live copilot queries your reconciled warehouse under a healthcare-grade AI agreement.
The reconciliation library

Six leaks, checked every single night.

Cash-pay exposure

Every caregiver paid hours with no matching scheduled visit — ranked by dollar exposure, matched to the penny.

EVV compliance

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.

Revenue under-recognition

Hours worked vs hours billed vs bills paid. Small drifts compound into five figures a year.

Late timesheets

Chronic late submitters flagged early — the leading indicator for the payroll problems that follow.

Authorization gaps

Visits scheduled without an authorization behind them, caught before they become unbillable write-offs.

Scheduling coverage

Active patients with zero upcoming visits, so authorized census never quietly slips away.

Product modules

One portal, every part of the operation.

The reconciliation library finds the leaks. These modules run the day-to-day — same portal, same data, one login for your whole team.

CRM

Referral sources, intake pipeline, and patient & payer records.

Compliance

Caregiver credential and document tracking with expiration alerts.

Training

Assigned training modules with completion tracking.

Time Off

PTO requests and approvals, without the paper chase.

Scheduling & Time

Visit schedule and timesheet views for the whole roster.

Billing

Claims and billing status views, payer by payer.

Analytics

The four reconciliation dashboards: cash-pay risk, billing recon, scheduling, auth coverage.

How it works

Live in weeks. Nothing for your staff to learn.

1
Connect

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.

2
Reconcile

Your private warehouse fills, and the nightly reconciliations start running across visits, payroll, claims, and authorizations. First findings usually land here.

3
See it

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.

Security & compliance

HIPAA isn't a feature here. It's the architecture.

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.

A physically separate warehouse per agency

Your data never shares a database with another agency's. Not partitioned — separate.

BAAs end to end

Hosting, warehouse, and the AI copilot layer all run under Business Associate Agreements.

Encrypted in transit and at rest

TLS on every connection, with row-level security enforced inside the warehouse itself.

Least-privilege access

Your staff use the portal with role-based permissions. Nobody touches raw data.

Who's behind it

Built by a CPA who does this work every day.

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.

  • CPA-led: every reconciliation rule reflects how an auditor actually thinks
  • Software plus judgment: the dashboard finds it, a fractional CFO helps you act on it
  • Proven in production on a ~125-caregiver agency's full data set
Your Chief Advisors Healthcare

Built and Backed by YCA Healthcare, the healthcare division of Your Chief Advisors, a CPA-led Accounting, CFO, and Advisory firm.

Get started

Bring last month's payroll.
We'll show you what it finds.

A 30-minute walkthrough with your own numbers — no commitment, nothing to install, and your staff never have to learn a new system.