In an industry where issues of mistrust and system abuse often rule the headlines, family and friends want reassurance that their loved ones are being provided with proper care. Government programs, like Medicaid, need accountability for the money they pay out, and proof positive that members are receiving proper care and caregivers are being held accountable. Electronic visit verification (EVV) alone doesn’t solve all problems, but implementing an EVV system is the first step to combatting fraud and abuse to ensure program integrity.
Signed into law this week by President Obama, the 21st Century CURES Act mandates, among other actions, that EVV be used for in-home visits for home care and personal care visits.
While EVV is an effective monitoring tool for tracking arrivals and departures – thereby reducing false claims of time spent with a member – it only goes so far. Capturing and tracking data from an EVV solution won’t help Medicaid payers reduce readmissions unless they actively manage the process and consider a collaborative and transparent home care platform.