Electronic Visit Verification: What Does it Mean for Home Healthcare?

The purpose behind the EVV mandate is to track home healthcare providers and ensure the visits they’re reporting to CMS (Centers for Medicare & Medicaid Services) are actually taking place, ensure patients are getting the care they require, and confirm that Medicaid is being accurately billed. What does this mean for healthcare providers?

Electronic Visit Verification

The US signed the 21st Century Cures Act into law in 2016. It requires state agencies to implement a system of electronic visit verification (EVV) for their services. This covers personal care services and home health care services provided and reimbursed under Medicaid. The EVV mandate is designed to ensure that people get the care they are promised. It also aims to cut down on fraudulent care claims. It has many repercussions on home care agencies, and whether those repercussions are good or bad varies by agency.

EVV electronically captures:

  • The service provided by a home care agency employee
  • The time that a visit began and ended
  • The individual who received the service
  • The date and location of the provided service

It provides a digital record of a home care visit.

The purpose of the EVV mandate is to track home healthcare providers. Essentially, it ensures the visits they’re reporting to CMS (Centers for Medicare & Medicaid Services) are actually taking place. EVV ensures patients are getting the care they require and confirm that Medicaid is being accurately billed. As a matter of fact, the last point here is particularly important. In 2014, the U.S. government recovered $3.3 billion from individuals and companies that attempted to defraud federal health programs. [1]

What are the implications on individual home care agencies?

Firstly, it’s important to know what services must be electronically verified. EVV is required if any healthcare service is provided in a private residence, and if Medicaid/Medicare is paying for it. Care services that are provided to hospital inpatients or nursing home residents do not require EVV.

Furthermore, EVV has many possible implications for home care agencies (HCAs). These include the potential to improve the quality of care given, reduce scheduling efforts, and visit verification errors. It will also enable agencies to comply with government regulations, get an edge over the competition, and achieve happier clients.

In light of compliance, it’s important to consider how EVV is mandated in different states. For the “closed model,” a state implements a single EVV system and mandates that home care providers utilize it. In an “open model,” home care providers can choose from a variety of EVV solutions that meet certain requirements. Agencies not adhering to EVV regulations may be penalized. They may even have their Medicare contracts cancelled. Even with the prospect of regulatory concerns, EVV doesn’t have to be an example of bureaucratic red tape. Firstly, it represents a valuable opportunity to future-proof organizations. It also provides employees with tools to help them work faster and smarter, delivering the best possible patient experience. In order to accomplish this, it’s important to consider the role that a workforce management solution plays.

Most states and agencies are opting for mobile solutions because they are less expensive than bio-metric scanners. They are also more reliable than landline phones, which many people no longer have. Celayix represents a perfect solution to the EVV problem. It acts as a simple, easy to use approach to accommodate EVV requirements.


How can a workforce management solution like Celayix help HCAs capitalize on EVV?

1) Government compliance:

As previously mentioned, a powerful workforce management solution like Celayix can remove red tape and allow for smooth regulatory sailing. Of course, with our software, providing a digital record is easy. With features like geo-fencing and real-time communication, you can ensure employees are visiting the relevant locations and providing adequate care. Having centralized data on a single digital platform takes away the stress and worry of governmental non-compliance.

2) Eliminate missed visits, late starts, and time theft:

A major issue in the home healthcare industry is employees missing shifts due to miscommunication, punctuality, and billing inaccuracies. With software like Celayix Time Xpress, management can supervise, monitor and collect information on-the-go. They can also instantly communicate with staff through the chat feature! By monitoring attendance, and communicating with employees in realtime, HCAs can eliminate missed shifts, as well as decrease the risk of fraud.

3) Improve business processes:

By utilizing the smartphones of field workers, HCAs can do more than just meet the EVV guidelines. They improve communication and enhance business processes! Metrics like efficiency and productivity are often talked about, but rarely defined and measured.

With the implementation of workforce management software comes the ability to vastly improve scheduling and time monitoring processes. They can also focus on integrating with your existing platforms (payroll, billing, electronic health records, etc). Now, organizations can easily publish and modify shifts, apply rules-based scheduling, and instantly communicate with employees. Equally, a huge amount of administrative time and effort can now be focused on other more value-driven areas.

4) Improved patient care and client satisfaction:

Of course, HCAs have a lot on their plates. With bureaucratic considerations like regulatory compliance and scheduling, it’s easy to forget their main purpose: caring for patients. The mission statement of any HCA will usually focus on helping care for others and improve their quality of life. When using an adaptable solution like Celayix, the plethora of secondary concerns that hinder HCAs can be tossed aside. It opens up opportunities to provide excellent service for satisfied clients.

Celayix – The Perfect Partner

At Celayix, we specialize in best-of-breed employee scheduling software, with a whole host of additional workforce management functionality. Home care agencies will need to take a step forward with the upcoming need for EVV implementation. We can help you to take this leap, solving your business problems and supporting your business along the way.

Want toto find out a bit more about what we do, or how we can help? Our attentive support staff are always happy to help.

Alternatively, you can take a product tour below. There you’ll see some of the problems we solve for customers, and how the software actually works.

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