The AI exception desk for home care cash flow and compliance readiness
KELIdesk monitors every billing exception in real time, auto-resolves what it can, and surfaces only what needs your team — all on top of the HHAeXchange you already use.
Free 7-day guided demo · Connect your real HHAeXchange data · No credit card
Exception Feed
$42,180
held revenueMaria Santos— Pemberton, J.
EVV mismatch · 2h ago
Darnell Brooks— Nguyen, T.
Auth mismatch · 6h ago
Priya Patel— Weston, C.
Missing docs · 18h ago
Louis Garnier— Alvarez, R.
Timesheet approval · 1d ago
AI Triage — EX-4819
Auth expired 3 days before visit date. Contact payer to request retroactive auth. Task drafted for coordinator.
The problem
The gap isn't claim submission. It's exception resolution.
Denials pile up. Staff juggle exceptions in spreadsheets. Revenue sits blocked for days. And every day without a system means more claims aging out permanently.
12–18%
of claims denied on first submission
Most denials are fixable — but without a system to catch and route them, they age out and never get resubmitted.
11–17 days
average delay on denied claim reimbursement
Every day a denial sits unresolved, cash flow tightens. Staff without a clear queue can't prioritize by dollar impact.
Spreadsheets
still the primary exception tracking tool
Manual logs in Excel don't flag urgency, don't assign owners, and don't connect back to your billing system.
Audits
are getting more aggressive
Home health agencies face increased payer scrutiny. Without a timestamped audit trail, you're building your defense from memory.
How it works
The exception autopilot, end to end.
Three steps. No new software. No retraining. KELIdesk sits on top of HHAeXchange and handles the work between detection and resolution.
Real-time exception detection
Monitor and classify
KELIdesk imports your HHAeXchange data continuously. Every billing exception is detected the moment it appears, categorized by type, and assigned a dollar impact — automatically.
EVV mismatch · Auth expired · Missing docs · Timesheet pending · Payer edit
AI-generated next steps
Triage and draft
For each exception, KELIdesk generates a plain-English explanation and an ordered action plan. Draft corrections and task packets are ready before your billers open their queue.
"Auth expired 3 days before visit. Contact payer for retroactive auth. Task drafted for coordinator."
Team executes. Audit trail updates.
Approve, resolve, log
Your team reviews, approves, and acts. KELIdesk handles caregiver outreach when needed, auto-resolves fixable items, and timestamps every action for compliance readiness.
Full lifecycle: created → classified → resolved → resubmitted → paid
Platform
Four pillars. One complete system.
Every plan includes the complete platform. The only thing that changes with your tier is active caregiver count.
Exception Intelligence Dashboard
Every exception bucketed, dollarized, and tagged for action.
- Live feed of every billing exception
- Buckets: Urgent / Open / Aging
- Dollar impact estimate on each exception
- Auto-classified: EVV mismatch, auth, timesheet, missing docs, payer edits
- Fixability tags: auto-fix · review · escalate
AI Triage + Recommended Action
Plain-English explanations and draft fixes for every denial.
- Plain-English explanation of each exception
- Ordered next steps — who does what, in what order
- Draft correction instructions and task packets
- Ready-to-execute packets for billers and coordinators
- Caregiver outreach automation (SMS / AI voice when needed)
Cash Acceleration Queue
Fix what matters most. Every morning, KELIdesk tells you where the money is.
- Priority ranked by dollar impact × days aging × probability of resolution
- Daily ops summary: blocked revenue + fixable count
- Cash flow dashboard: recovered revenue, resolution speed, clean claim trend
- Resolution velocity by exception type
Audit Trail + Resolution Log
Every action logged. Compliance-ready from day one.
- Full lifecycle log: created → classified → resolved → resubmitted → paid
- Timestamped, user-attributed, outcome-tagged
- One-click compliance exports
- EVV audit-readiness foundation
15%
Average first-pass denial rate in home health
MGMA / CMS data, 2023
$125B
Estimated annual revenue at risk from claim denials (U.S.)
AHA Annual Survey, 2023
65%
Of denied claims are never resubmitted
Change Healthcare Denials Index, 2022
11 days
Average delay on denied claim reimbursement
HFMA Benchmarking Study, 2023
What KELIdesk is built for
Built for outcomes, not more tools.
We present these as engineering targets, not client results. We believe specificity earns trust — and we do not make claims we cannot support.
Engineered to surface exceptions within minutes of occurrence.
Not hours. Not days. Before they age and become harder to resolve.
Built to recover a meaningful share of your denied revenue.
By prioritizing high-impact, high-resolution-probability claims every morning.
Designed so your billing team never misses a fixable denial again.
Clear queues. Clear owners. Clear next steps. No exceptions left without a path.
Built to make compliance audits something you face with confidence.
Every action is timestamped, attributed, and exportable — from day one.
ROI calculator
See what your denied revenue is worth.
Adjust the sliders to match your agency. The ROI benchmark uses the Starter plan annual cost of $30,000.
Monthly denied
75
claims / month
Annual at risk
$315K
in denied claims
Never resubmitted
$205K
at 65% abandonment rate
Recovery target
$0
at 35% recovery baseline
KELIdesk ROI multiple
0.0×
vs. $30,000 Starter annual cost
Pricing
Every plan. Every feature. One price.
No feature gating. No add-ons. No onboarding fees. Just pick your agency size.
Starter
Up to 75 active caregivers
$2,500
/moAt $2,500/mo, KELIdesk only needs to recover a fraction of your blocked revenue to pay for itself.
Everything included:
- Exception Intelligence Dashboard
- AI Triage + Recommended Action
- Cash Acceleration Queue
- Audit Trail + Resolution Log
- Caregiver outreach automation (SMS + AI voice)
- HHAeXchange integration — real-time import/export/sync
- Resolution Workspace (tasks, notes, owner, status, SLA tracking)
- Daily ops summary + email alerts
- Custom exception categories
- Team dashboards + assignment
- Denial follow-up workflows
- KPI reporting + ROI tracking
- Unlimited users — no seat charges
- Role-based access controls
- HIPAA-ready infrastructure + BAA support
Growth
76–200 active caregivers
$4,000
/moMost agencies start here.
Everything included:
- Exception Intelligence Dashboard
- AI Triage + Recommended Action
- Cash Acceleration Queue
- Audit Trail + Resolution Log
- Caregiver outreach automation (SMS + AI voice)
- HHAeXchange integration — real-time import/export/sync
- Resolution Workspace (tasks, notes, owner, status, SLA tracking)
- Daily ops summary + email alerts
- Custom exception categories
- Team dashboards + assignment
- Denial follow-up workflows
- KPI reporting + ROI tracking
- Unlimited users — no seat charges
- Role-based access controls
- HIPAA-ready infrastructure + BAA support
Enterprise
201+ active caregivers
Custom
Contact sales for pricing
Custom SLAs and dedicated support available.
Everything included:
- Exception Intelligence Dashboard
- AI Triage + Recommended Action
- Cash Acceleration Queue
- Audit Trail + Resolution Log
- Caregiver outreach automation (SMS + AI voice)
- HHAeXchange integration — real-time import/export/sync
- Resolution Workspace (tasks, notes, owner, status, SLA tracking)
- Daily ops summary + email alerts
- Custom exception categories
- Team dashboards + assignment
- Denial follow-up workflows
- KPI reporting + ROI tracking
- Unlimited users — no seat charges
- Role-based access controls
- HIPAA-ready infrastructure + BAA support
12-month term · Monthly invoicing · No onboarding fee · Zero new software training · Works on top of HHAeXchange
FAQ
Questions you're already asking.
And a few you haven't thought of yet.
Yes. KELIdesk works on top of HHAeXchange. For seamless integration and real-time import, export, and sync, your agency provides HHAeXchange API credentials during setup. No other system change is required.
No. KELIdesk is an intelligent automation layer on top of HHAeXchange — not a replacement for it. Your existing workflows stay in place. KELIdesk handles what happens between exception detection and resolution.
No. KELIdesk makes your billing team faster and more consistent. It handles the research, routing, and drafting — so your team spends their time on judgment calls and approvals, not manual triage.
Days, not months. There is no onboarding fee and zero new software training required. Once your HHAeXchange API credentials are connected, KELIdesk begins importing and classifying exceptions automatically.
KELIdesk is built on HIPAA-ready infrastructure with encryption in transit and at rest, role-based access controls, full audit logging, and BAA support. We do not overstate certification status — compliance details are available during the demo.
Human review and approval controls are built into every workflow. No action is taken without staff sign-off. Every AI recommendation is logged with full traceability — so you can see exactly what was suggested, and who approved it.
Yes. KELIdesk offers a free 7-day guided demo connected to your real HHAeXchange data. You see real exceptions, real workflows, and real resolution logic — before any commitment. No credit card required.
Your clearinghouse handles claim transmission. Your billing system tracks visits and generates claims. KELIdesk handles what happens after a denial or exception appears — triage, prioritization, resolution workflows, caregiver outreach, and audit traceability. It closes the gap no existing system covers.
No. Pricing is based on active caregiver count, not user count. Unlimited team members can access KELIdesk with role-based access controls — at no additional charge.
Every plan includes the complete platform — all four pillars, caregiver outreach automation, HHAeXchange integration, unlimited users, and full audit trail. The only variable between plans is active caregiver count.
Yes. SMS and AI voice outreach workflow capability is included in every plan. Standard carrier and telephony costs apply for usage-based message and call volume — details are covered during implementation.
No. KELIdesk is designed to fit your existing workflows. Because it sits on top of HHAeXchange rather than replacing it, your team continues using the systems they already know — KELIdesk works in the background and surfaces only what needs their attention.
Your denied revenue is recoverable.
Let KELIdesk show you where it is.
Free 7-day guided demo on your real HHAeXchange data. See real exceptions, real workflows, and real resolution logic.
Book a DemoNo credit card required.