Conflict Report
Conflicts occur when an Agency invoices for service, but another Agency has already invoiced a shift with the same Caregiver at an overlapping time. This generally indicates clerical error, or multiple Caregivers may be fraudulently using the same Social Security Number information and working illegally.
To avoid this scenario, the Conflict Report function compares a Caregiver’s Billed Visit information with other HHAeXchange customers. If there are any overlaps, the system provides contact information for the other Agency. The Agency running the report is responsible for resolving any issues that arise. HHAeXchange does not provide any additional support in resolving these issues.
The HHAeXchange system excludes SSNs 000-00-0000 and 999-99-9999 from the Conflict Report process. Any unresolved conflicts related to these numbers are marked as Resolved in the system.
Follow the steps below to review the Conflict Report.
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Go to Action > Conflict Report.
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Enter search parameters using the filters (listed below). Click Search.
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Visit Date From/To: Search for visits scheduled in a specific date range.
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Billed Date From/To: Search for visits billed in a specific date range.
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Contract: Search visits authorized by a specific Contract.
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Note: Search for visits with notes attached.
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Office(s): Search for visits scheduled by a specific Office.
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Last/First Name: Search for a specific Caregiver using their name.
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Conflict Status: Search for visits with a specific conflict status attached.
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The results show billed shifts where a conflict is identified. The Caregiver and shift information display, along with Contact Information for the other Agency with whom the conflict occurred.
The conflict remains (displays as) Unresolved until one or both Agencies remove the invoice for this Visit. There is no way to manually change this status.
HHAeXchange cannot provide mediation between one Agency and the other conflicting Agency. It is the responsibility of an Agency to perform an investigation and take the appropriate actions to resolve the conflict.
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Click the Add button to log any investigation notes for the conflict.
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While the Conflict Report shows only billed visits, an Agency can also use the Conflict Report Based on Schedule to identify future visits with conflicts.
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Go to Report > Exception Report > Conflict Report Based on Schedule. Conflict Based on Schedule reporting can only be performed for up to 7 days into the future.
For privacy reasons, Conflicts Based on Schedule identifies conflicts but does not disclose the other Agency with whom the conflict exists. One Agency should attempt to resolve the conflict internally by discussing findings with the Caregiver prior to billing.
Every night, an overnight process runs which updates the data used for the Conflict Report (adding new conflicts and removing resolved conflicts which occurred during the previous day).
Note the following days and the duration of records processed overnight for Conflict Reporting purposes:
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Weekday Processing (Overnight Sunday thru Thursday):
3 Months of historical data is processed overnight (every night) and refreshed for daily for use in the Conflict Report.
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Weekend Processing (Overnight Friday night thru Sunday morning):
18 Months (1.5 years) of historical data is processed over the weekend (starting late Friday night, and completing early Sunday morning), and refreshed for use in the Conflict Report, allowing for up-to-date coverage for longer periods of time.