For home care & home health providers
Are scheduling costs eating into your margins while billing gaps go unnoticed?
Avoidable overtime, expensive staffing agency cover and inefficient scheduling can quietly increase the cost of delivering care. At the same time, unbilled services, rejected claims and reconciliation gaps may mean legitimate revenue is being left uncollected. Novada Tech's Scheduling Audit & Efficiency examines both sides of your operations: what you are spending to deliver care, and whether you are accurately billing and collecting what you are entitled to.
5.0
Average client rating
77
Provider reviews
205
home care and home health providers across the United States
Why Novada Tech
An independent look at the financial and operational performance behind your care services
Good care depends on more than filling shifts. It depends on running an efficient operation and accurately capturing the revenue your organization is entitled to.
At Novada Tech, we help home care and home health providers examine the relationship between workforce expenditure, service delivery, billing and payments. Rather than relying on assumptions, we use your organization's existing records to understand what is happening, identify potential discrepancies and recommend improvements.
Our approach focuses on three things
Workforce Cost Efficiency
Identify avoidable overtime, inefficient worker allocation, unnecessary agency reliance and scheduling practices that may be driving up costs.
Billing & Revenue Assurance
Examine whether eligible services have been billed and claimed accurately, and whether submitted claims and payments have been properly reconciled.
Practical Operational Improvements
Turn findings into prioritized recommendations your management team can act on.
We do not simply look at what your organization spends. We also examine whether the care you deliver is being recorded, billed and paid for correctly.
Customer proof
Supporting care organizations across the United States
Novada Tech took the time to understand our business, our challenges and what we were trying to achieve. What stood out was their practical approach, attention to detail and genuine commitment to our business outcomes. They felt like a partner who understood our sector, not just another service provider.
Founder, Josh
Maxicare Plus
The problem
One provider. Two ways to lose money.
Your organization could be paying more than necessary to deliver care while also missing legitimate revenue from services already delivered. These two financial risks can occur at the same time.
Avoidable workforce costs
Every unplanned schedule change, unnecessary staffing agency booking or avoidable overtime shift can increase your operating costs. Over time, inefficient workforce allocation and excessive staffing administration may reduce your financial margins.
Common areas worth investigating
- Avoidable overtime and penalty expenditure.
- Excessive reliance on staffing agency hours.
- Inefficient shift allocation and worker utilization.
- Unnecessary travel and scheduling inefficiencies.
- Short-notice staffing changes and administrative workload.
Billing & revenue leakage
Your organization may deliver eligible services but experience discrepancies between what was provided, what was billed or claimed, and what was actually paid.
Common areas worth investigating
- Eligible services delivered but not invoiced or claimed.
- Incorrect billing rates or support item applications.
- Rejected or unresolved claims.
- Underbilling and potential overbilling.
- Outstanding payments and reconciliation discrepancies.
The real challenge is that these problems often sit in different systems, reports and teams. Your schedule shows scheduled work. Your service records show what was delivered. Your billing system shows what was claimed. Your financial reports show what was paid.
But are those records being reviewed together? That is where Novada's audit comes in.
What our audit covers
A comprehensive review of scheduling efficiency, billing and revenue assurance
Our Scheduling Audit & Efficiency service examines two critical areas of your organization.
Workforce cost & scheduling efficiency
Are you making the best use of your workforce without compromising care delivery?
- Overtime and penalty expenditure.
- Agency staffing costs.
- Worker availability and utilization.
- Shift allocation and scheduling patterns.
- Unfilled shifts and last-minute coverage.
- Travel and scheduling efficiency.
- Schedule, timesheet and payroll discrepancies.
- Administrative effort involved in workforce coordination.
The objective: identify opportunities to reduce avoidable staffing costs, strengthen workforce allocation and improve service delivery reliability while maintaining appropriate staffing and care standards.
Billing, claims & revenue assurance
Are you accurately claiming and collecting what your organization is legitimately entitled to receive?
- Eligible delivered services that may not have been invoiced or claimed.
- Underbilling and incorrectly applied charges.
- Rejected, delayed and unresolved claims.
- Discrepancies between service records, invoices and payments.
- Outstanding legitimate payments.
- Potential overbilling and compliance exceptions.
- Payment reconciliation and billing control weaknesses.
The objective: identify potential revenue discrepancies, improve billing accuracy and strengthen the controls that support legitimate, compliant claiming.
Tailored to your funding arrangements
Medicaid providers
Review relevant support item applications, service records, applicable pricing conditions, invoices, claims and payment reconciliation.
home health providers
Review relevant service claims, agreed prices, client contributions where applicable, service delivery evidence and payment reconciliation.
Residential home health providers
Review relevant subsidy and supplement records, resident billing, funding adjustments and payment reconciliation processes.
The opportunity
Small operational inefficiencies can create significant financial pressure
Consider what can happen inside a busy care organization.
Overtime becomes routine
Last-minute shift changes regularly result in overtime. The required care is delivered, but management may have limited visibility over whether better workforce planning could reduce avoidable expenditure.
Agency cover becomes the default
External agencies are repeatedly used to fill vacancies. Agency support may be necessary, but without reviewing internal availability and recruitment readiness, unnecessary dependence can develop.
Delivered services do not fully reconcile with claims
Support records show eligible services were delivered, but the corresponding claims or payments do not consistently match. Some discrepancies may represent recoverable revenue. Others may indicate billing errors requiring correction.
Management reports do not tell the whole story
Scheduling, payroll, service delivery and billing data sit in separate systems, making it difficult for management to identify connected financial problems.
Novada's audit helps bring these records together, identify supported discrepancies and prioritise meaningful improvements. We do not assign speculative dollar values to every empty shift or billing exception. We examine the evidence to determine what the findings actually mean.
Your own numbers
Do the arithmetic before you talk to us
We will not invent a figure for you. Here is the sum, on your own numbers.
What the avoidable coverage is costing you
Your numbers, not ours
What are you paying in overtime and staffing agency rates to cover call-offs you could see coming?
What is true for you
On your figures, the premium you pay for coverage is worth
$52,160
- 40 hours × $14 = $560 a week, or $29,120 a year
- 12 shifts × $160 = $1,920 a month, or $23,040 a year
- $29,120 plus $23,040 = $52,160 a year
At that rate, the part worth looking at is $13,040 a year.
Our approach
Not just another report. Clear findings you can act on.
Our approach is built around four principles.
Evidence before assumptions
We examine actual organizational records rather than applying generic estimates to your workforce or revenue.
Workforce costs and revenue together
We review both sides of the financial equation: the cost of delivering care and the accuracy of billing and payments.
Clear financial distinctions
We separate confirmed discrepancies, potential recoverable amounts requiring verification and estimated future improvement opportunities.
Practical recommendations
We provide prioritized recommendations that management can assess, assign and implement.
Our goal is not to recommend unnecessary changes. It is to identify what is working, what requires attention and where improvements could provide meaningful value.
Who we help
Designed for home care and home health providers managing complex workforce operations
Medicaid service providers
For providers delivering disability support services, including supported independent living, community access, in-home support and other applicable services. We help examine workforce scheduling, support delivery records, expenditure and claiming processes.
home health providers
For organizations coordinating caregivers, home visits, travel and community-based care. We examine relevant workforce allocation, travel efficiency, billing and payment reconciliation processes.
Residential home health providers
For organizations managing ongoing staffing requirements, shift coverage, relief arrangements and resident funding processes. We review relevant workforce expenditure, scheduling efficiency and financial reconciliation processes.
Whether you operate one service location or manage several teams, the review is scoped to your organization's needs and operational complexity.
How it works
Four simple steps to greater operational and financial clarity
Initial discovery conversation
We begin with a complimentary 30-minute discussion to understand your service model, workforce arrangements, systems and current challenges. We will explain how the audit works and determine whether it is a suitable fit.
Scope and records review
We agree on the scope, review period, information requirements, timelines and fees. Relevant information may include schedules, timesheets, payroll summaries, agency invoices, service delivery records, billing and claims reports. All information access is subject to agreed confidentiality and security arrangements.
Operational and financial analysis
We analyse the relevant records to investigate scheduling efficiency, staffing expenditure, service delivery alignment, billing discrepancies and payment reconciliation. Where sufficient evidence exists, we estimate the financial implications and distinguish confirmed discrepancies from matters needing further verification.
Findings and improvement roadmap
We present the audit findings and explain what they mean for your organization. You receive prioritized recommendations, supporting evidence and a practical roadmap for addressing the identified issues.
No guesswork. No invented savings figures. Just a structured assessment using your organization's records.
What you receive
Walk away with a clearer picture of your operations
Your comprehensive audit provides agreed deliverables tailored to your organization.
Workforce efficiency findings
Understand where scheduling patterns, overtime, agency expenditure or worker allocation may be creating avoidable costs.
Billing and revenue assurance findings
Identify potential unbilled services, billing discrepancies, rejected claims and reconciliation exceptions.
Financial opportunity assessment
See supported estimates of potential cost improvements and legitimate revenue opportunities, with relevant assumptions and limitations clearly explained.
Operational risk and controls review
Understand where recordkeeping, workflow gaps or financial controls may need strengthening.
Prioritized improvement roadmap
Receive a clear action plan showing what should be addressed, why it matters and how improvement efforts can be prioritized.
Findings walkthrough
Discuss the findings with Novada so your leadership team understands the evidence and recommended next steps.
The objective is to give you information you can act on, not another document that sits on a shelf.
After the audit
Finding the problem is the first step. Keeping operations strong is the next.
Once improvement opportunities have been identified, providers can choose how they want to implement the recommendations. Some organizations may prefer to manage improvements internally. Others may benefit from additional operational support.
Introducing Novada's Workforce Continuity service
We also help home care and home health providers build and maintain dependable internal workforce capacity through:
- Proactive recruitment and workforce pipeline support.
- Candidate screening and clearance coordination.
- Worker onboarding and induction.
- Training administration.
- Compliance and credential tracking.
- Payroll administration and workforce reporting.
Our objective is to help providers build a more reliable workforce and reduce avoidable dependence on expensive external staffing agency coverage. Workforce Continuity is a separate service, and there is no obligation to engage Novada for ongoing support after the audit.
Questions
Frequently asked questions
What is included in the Scheduling Audit & Efficiency service?
The audit reviews agreed areas of workforce scheduling, labour expenditure, service delivery records, billing, claims and payment reconciliation. It is designed to identify potential inefficiencies, financial discrepancies and improvement opportunities.
Does the audit also review Medicaid billing and claims?
Yes. For Medicaid providers, the agreed scope can include support delivery records, invoices, relevant support items, pricing applications, rejected claims and payment reconciliation. All potential claim corrections are subject to applicable rules and verification.
Does the audit cover home health billing?
Yes. We tailor the review to relevant home health or senior living funding and billing arrangements.
Will we need to replace our scheduling software?
No. Our audit is designed to use relevant records from your existing systems, subject to availability and agreed access arrangements.
What if our scheduling is already working well?
That is a positive starting point. The audit may still help validate existing practices and identify issues relating to billing, claims or financial reconciliation. We will discuss whether there is a genuine need before recommending an engagement.
How much does the audit cost?
Final fees depend on your organization's size, operational complexity and the agreed scope, so we confirm the investment with you before any work begins. The initial discovery conversation is complimentary.
How long does the audit take?
The review period and delivery timeline depend on your organization's size, systems, service locations and data availability. We confirm the scope and expected schedule before commencing.
Can Novada guarantee cost savings or recovered revenue?
No. We identify evidence-supported discrepancies and potential opportunities, but actual savings and revenue recovery depend on the underlying circumstances, applicable rules and implementation decisions.
Is this an official Medicaid registration or compliance certification audit?
No. This is an operational and financial efficiency review. It does not replace an Medicaid registration audit, statutory financial audit, accreditation review or specialist regulatory advice.
Is our operational and client information kept confidential?
We use agreed confidentiality, access and information-handling controls. The review should use the minimum personal information necessary, and sensitive records should not be submitted through the general website inquiry form.
Can Novada help implement the recommendations?
Yes. We can discuss suitable follow-on operational support, including our separate Workforce Continuity offering. You may also choose to implement recommendations using your own team.
Book
Your organization already has the records. Let us find out what they are telling you.
Book your free 30-minute scheduling and revenue discovery call. During this conversation, we will:
- Learn about your service delivery and workforce arrangements.
- Discuss relevant scheduling, staffing cost and billing concerns.
- Explain the audit process and the information reviewed.
- Determine whether a comprehensive audit would be appropriate.
- Outline the next steps and indicative pricing.