Reference · clinical, operations and billing
QA Compliance, Driver Scores, and the visit timesheet
Overview
Three reports come with CaseLoop rather than being built. Each answers a question your own cards would take a long time to reach, and each is scored in a way worth understanding before you act on it.
QA Compliance
One therapist at a time, one row per active case, one column per criterion. The score is the share of applicable criteria that pass.
Criteria depend on capabilities your agency may or may not run. If you do not do practice supervision, scoring people against it produces a number that is wrong in a way nobody can see.
CANS is not one of these switches. It is decided per case from the referring county on the face sheet, so one family can be CANS-exempt while the rest of a caseload is not.
| Setting | Controls |
|---|---|
| Email correspondence | The criteria about correspondence being logged and uploaded, and both CANS email criteria |
| Practice supervision | The monthly practice-supervision criterion |
| Monthly report due day | The day monthly reports are counted as late after — configurable, not fixed at the 2nd |
FPS Extension Requested has only two outcomes, Yes and N/A — there is no failing branch. Wherever it applies it contributes a guaranteed pass. If an overall figure looks a little higher than you expected, that is part of the reason, and it is worth knowing rather than discovering.
Opening it, reading every cell, and the calendar behind it are a guide of their own: The QA Compliance Report.
Driver Scores
One number per driver over a rolling 90-day window, built from three metrics that are kept separate and visible rather than blended into something unexplainable.
| Metric | Weight | What it measures |
|---|---|---|
| Submit timeliness | 43 | Paperwork in within 24 hours of the visit |
| Cancellation avoidance | 36 | Provider-caused cancellations, graded by how much notice was given |
| Completion | 21 | Visits completed |
| Score | Band |
|---|---|
| 95 and above | Exemplary |
| 85 – 94 | Meets |
| 70 – 84 | Needs improvement |
| Below 70 | Corrective action |
Each score carries a confidence. “Shrinkage prior is unreliable” means the agency average it would be pulled toward is itself thin — the comparison is not yet carrying weight. Do not open a corrective-action conversation on a low-confidence score.
The scoring spec is versioned, because a change to how a metric is graded makes old scores incomparable while still looking identical — same metrics, same weights, different meaning. If you are trending someone over a long period, ask us whether the spec moved inside it.
Visit timesheet
Per driver, per period: every visit, the hours, the miles, and the pay that follows from them.
One row per visit — case, type, start and end, attendance — with the time broken into parts that are paid differently:
| Column | Means |
|---|---|
| Recorded Hrs | Time on the visit itself |
| Travel Hrs | Time getting there and back |
| Pad Hrs | Allowed time around a visit beyond the visit and the travel |
| Billable Miles | Mileage that attracts reimbursement |
Driver Payroll Statement is the per-driver output to hand over or export.
This report reads what your practice system holds. It is a calculation of that data, not a second source of truth — if a visit is wrong here, it is wrong there, and fixing it there is the repair.
Troubleshooting
| What you see | What to do |
|---|---|
| A therapist’s QA score is higher than you expected. | Check the Preferences tab: a capability switched off removes its criteria entirely. Also remember that exempt criteria drop out rather than failing, and that one criterion can only ever pass. |
| A QA column is failing for everybody. | That is a process finding, not a staffing one. One criterion failing across a whole agency almost always means the step is not part of how anyone works, or the data it reads is not being captured. |
| No active cases found for this therapist. | They have nothing open, or their cases are not linked to them in the source system. Check there — the report does not invent an assignment. |
| A driver has no score. | No visits in the 90-day window. The window is rolling, so someone who has been away simply has nothing to score. |
| A driver’s score moved sharply on one incident. | Look at the confidence. On a light caseload a single late-notice cancellation moves the number a long way, which is exactly why the shrinkage exists — and why a low-confidence score is not a performance conversation. |
| Timesheet hours do not match what a driver says they worked. | Compare the three columns separately. Disagreements are usually about travel or pad time rather than the visit, and those are the parts people do not count the same way by hand. |
| A day’s pay looks lower than the hours imply. | It is probably capped. The uncapped figure is shown beside it. |
| Rates in the report are out of date. | They come from your practice system. Update them there and re-run the report. |
Build your own — Building reports covers the builder, which reaches every system you have connected.