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Expenses, mileage, and rate modifiers on a bill

How to add expenses, bill mileage and travel time, and apply rate modifiers — and how billing the client stays separate from paying the caregiver.

Beyond plain care hours, a private-pay bill can include expenses, mileage, and travel time, and you can adjust rates with modifiers. Here's how each works — and how billing the client stays separate from paying the caregiver.

Note: expenses, mileage, and travel time apply to private-pay billing. Insurance claims bill only the care hours worked, so these extras aren't included on a claim.

Expenses

On an invoice, open a shift's line-item menu () and choose Add Expense. Give it a description, quantity, and rate. Expenses are billed to the client as their own line item.

Mileage and travel time

Mileage and travel time are separate line items, each with its own workspace rate:

  • Mileage — you enter the miles, and Careswitch applies your workspace's billable mileage rate.

  • Travel time — you enter hours and minutes, billed at your travel-time rate.

Billable and payable are tracked independently — what you bill the client for mileage or travel can differ from what you pay the caregiver.

Rate modifiers

Modifiers adjust a rate up or down. Bill modifiers (what you charge) support a multiplier (e.g., 1.5×) or add-to-rate (e.g., +$5/hr). Holidays come preloaded and apply automatically on the right dates, with multipliers you can edit. Create your own in Settings → Rate Modifiers, and they become available on shifts.

Bill modifiers (client charge) and pay modifiers (caregiver pay) are set separately — a holiday can be 1.5× to the caregiver but 2× to the client, for instance.

FAQ

Do expenses get paid to the caregiver?

No — expenses are billed to the client and appear on the invoice only. They don't create a payroll item for the caregiver.

Why is billable mileage different from payable mileage?

They're independent: the client charge and the caregiver reimbursement are set separately, each with its own rate.

Do holiday rates apply on their own?

Yes — preloaded holidays auto-apply their multiplier on those dates. You can edit or remove them per shift.

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