Electronic Visit Verification
Introduction to Electronic Visit Verification (EVV)
The 21st Century Cures Act, which was signed into law in December of 2016, is changing the way care services are being delivered in the home. The act directs states to require the use of an Electronic Visit Verification (“EVV”) system for Medicaid-provided personal care services and home health services. To minimize fraud, effective January 1, 2019, reimbursement for Medicaid services rendered will be tied to meeting EVV requirements.
What is EVV?
Electronic Visit Verification (EVV) verifies visit activity for in-home and in-community care services delivered and offers a measure of accountability to ensure that individuals receive the care and services they need an are authorized to receive.
Fundamentally, EVV is a tool that can help safeguard that only verified home care visits are billed, supporting program integrity as well as quality and safety goals. This is attractive to Payers who often rely on EVV to target and reduce fraud, waste, and abuse.
Providers use EVV to manage and monitor the delivery of care and services, streamline paper-based transactions, and reduce duplication of effort in documenting services – even in the absence of a payer mandate.
There are many different types of EVV ranging from web-based timesheet capture to sophisticated telephony using Interactive Voice Response (IVR) and GPS enabled mobile applications.
EVV systems must verify the following:
Type of service
Individual receiving service
Location of service
Time the service begins and ends
Date of service
Individual providing service
How can providers benefit from EVV?
Improved patient care and outcomes
Increased productivity and efficiency
Reduced cost to provide care
Reduced paper-driven documentation and workflow
What is missing in today’s EVV solutions?
Often, when change is brought on quickly, it becomes hard to cut through the noise of promises, features, and benefits a solution may offer. Providers have struggled to take full advantage of EVV based solutions as they have been built quickly and poorly to capitalize on regulation changes. Unfortunately, this is problem not just limited to EVV solutions, it is a problem with a majority of healthcare technology and it has persisted for decades.
For the sake of those delivering and receiving care, it’s time for a change. The rise of customer experience focused companies has brought with it an expectation that needs to take hold in the current healthcare system. Solutions being built for care not only need to meet patient and provider expectations, but they need to exceed them as they are serving life and death scenarios.
Enabling EVV success
Providing quality care has never been harder than it is today. Rising demand, decreasing margins, demanding payers, and stiff competition has left care providers seeking solutions fast. Providers must seek solutions that enable them to deliver more with less. They must also seek solutions that are easy to implement and require minimum training.
Providers who wish to thrive in these conditions must look beyond software that meets the minimum regulatory requirements and look for solutions that are built to enable a better experience for the patient and their employees.