Getting paid
Almost nobody checks. Per-visit pay arrives as one number, the number looks plausible, and the work of verifying it is worse than the amount in question — which is exactly why the small errors survive.
It's rarely anyone being dishonest. A visit gets documented late and lands in the next period. An eval gets paid at the routine rate. A patient cancels, you drive out anyway, and nobody agrees on what that's worth. Two agencies pay on different cycles and you can't remember which visits belonged to which.
Each one is small. A single missed visit is $70 or $85. But four of them across a year is a car payment, and the reason they add up is that the only person who could catch them is the one person too busy to look.
When a pay stub arrives, you only need to answer one question: does the visit count match? Not the dollars — the count.
The reason this works is that "I think you missed a visit" starts an argument, while "on the 14th I saw Mrs. G at 10:40 and it's not on this stub" ends one.
Two things, and they're the same two things that make a mileage log defensible:
You don't need clinical detail — this is a billing record. Date, patient identifier, time, and the fact that it happened.
Keep the two rates straight. If evaluations or discharges pay differently from routine visits at your agencies, a count-only check will look right while the dollars are wrong. Record the visit type at the time, or the mismatch becomes invisible.
Earnings and payments are two different columns and most clinicians only watch one. What you actually want is a running balance per agency: everything you've earned there, minus everything they've actually paid you.
That balance is the single number that tells you whether you're being paid correctly. It's also the number that turns an awkward conversation into an administrative one — you're not accusing anyone of anything, you're reconciling an account.
If the numbers don't line up, don't send a paragraph. Send a statement: each completed visit with its date, the patient, the rate, and the total. Agencies process statements all day long. A statement asks a clear question and it's very hard to answer with a shrug.
None of this is worth a separate ritual — you'd stop doing it by February. It has to be a byproduct of the work itself.
In VisitWell, marking a visit done is how you track your day, and it's also what counts the money. Earnings tally by week and by agency on their own. A running "who owes you" balance sits on the Earnings screen. And when a stub doesn't match, a printable statement for any agency and month is one tap away, built from the same visit log — so the record you send is the record you kept as you went.
Open VisitWell — free during early accessNo signup, nothing to install. Your patient list never leaves your phone readable.