The ACA does not care what you scheduled. It cares what was worked and paid.
Measurement depends on hours of service, which means it has to come from payroll. Schedules, estimates and client authorizations are not a substitute.
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Good measurement starts with the payroll export.
What Is Actually True
Home care schedules change constantly, so scheduled hours drift from worked hours. A measurement built on the schedule will be wrong in ways that matter.
Payroll holds the paid hours by caregiver by pay period, which is the data the rules rely on.
What We Do About It
We work with whatever your payroll system exports and tell you early whether it contains what the measurement needs.
Where the data is incomplete, we describe what to change so the next period is clean, rather than building on guesses.
From scattered records to one clean export.
What We Need
A payroll export with caregiver, pay period and hours paid, including paid leave.
What We Do
We check the export, fill in what we can and flag gaps.
What You Get
A clean hours dataset and instructions for producing it each period.
Questions on this topic.
Short answers for agency owners.
Do we need new software?
Not necessarily. Many payroll systems export what is needed. We tell you what to ask for before you spend money.
What if caregivers are paid by visit?
Hours still have to be measured. We help you decide how to record hours of service for visit-based pay.
How far back do we need to go?
A year of data is the usual starting point, depending on the measurement method you adopt.
General information, not legal or tax advice. Confirm the rules that apply to your agency with your attorney or tax advisor.
Send us your renewal.
We’ll tell you whether it looks competitive, where we see opportunity, and the five questions we’d put to your carrier. No cost, and no obligation to move anything.
The renewal letter
Your current plan summary
Contribution split by tier
Enrolled counts by tier
Four documents, two more if your group is 50 or more. Nothing else; every extra one is a reason to postpone.
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