By RaeAnn Grossman

Electronic Visit Verification (EVV) is a technology that verifies where and when a caregiver begins services for a client and when they clock-out. This creates a breadcrumb trail that provides the basis for billing, staff safety, and service efficiency.

The need for EVV arose from some providers inflating their time spent or making up services rendered. It became too easy for unethical care providers or agencies to pencil in false service times and bill Medicaid or Medicare for the services. As we all know, the result was that millions of dollars were being fraudulently or inappropriately collected by agencies.

Now with the EVV technology, there is no disputing that a caregiver is in the location they checked in from (via GPS or registered landlines) or that they are safe.  In addition, they must “check out” from the technology or the application will notify the caregiver’s supervisor.

New Regulations Require EVV

Many states have already begun requiring EVV for registered agencies, but the EVV requirement is about to become a national mandate. In the last months of President Obama’s time in office, he signed the 21st Century Cures Act, which contained a lot of legislation.

Pertaining to home health, the Cures Act requires that all home health agencies and personal care services that accept government reimbursements have an EVV solution in place by the end of 2019 (now 2020 due to the delay signed by Congress) for personal care.

If are interested in reading the legislation, here is the Cures Act and EVV legislation from the U.S. Congress website.

Now that there is a national mandate, many states are in the process of creating EVV policies. We’ll discuss some of the warnings and successes of different state EVV mandates, how it improves efficiency and patient care, how it applies to social determinants, risk adjustment, quality, and cost of care strategies, and how in-home evaluation organizations are using it in our July 18 webinar.  Join us by registering here.