The 21st Century Cures Act mandates that every state select and implement an electronic visit verification (EVV) system. But not all EVV systems are created equally. With so many vendors and systems out there, it can be difficult to discern which is best for your state. So, how do you choose the right one? Here are some points to consider as you search for an EVV vendor and partner.
1. Cost vs. Savings
Undeniably, implementing an EVV system can be a sizable financial burden. However, we encourage you to think of this expense as a reliable and worthy investment. Each EVV vendor employs a different pricing model for their system, balancing the initial cost of implementation and training against ongoing transaction and device fees. It's vital to apply cost-benefit analysis to the systems and vendors you are considering, but it's equally important to consider how much money a well-designed, carefully executed EVV program could save you.
2. Specialized Expertise:
There are companies who provide EVV alongside a wide range of services, and there are companies who specialize in EVV. Seek out vendors that are familiar with state and health plan workflows, challenges, and goals. Do they understand the connection between verification and claiming to reduce fraud, waste, and abuse in home healthcare? A worthy EVV vendor will show an appreciation for the needs of all stakeholders: states and their taxpayers, managed care organizations, caregivers, provider agencies, and, of course, patients and their families.
3. Innovative Technology:
With EVV software, functionality is crucial. It goes without saying that an effective EVV system should be easy to use and designed to integrate seamlessly. But remember: systems that do not include features and processes to actively combat fraud, waste, and abuse won't result in measurable savings or improve the quality of patient care. HealthStar Visit uses military grade GPS to vet the location, time, and duration of a caregiver’s visit against the patient’s approved service location. That's a level of accuracy stock smartphone apps simply can't offer. Moreover, we believe an EVV like HealthStar Visit holds the potential to simplify tedious administrative processes. Tools like automatic claims generation and submission can reduce back-office workload for provider agencies and ultimately improve cash flow.
4. Implementation Experience:
There is no substitute for experience implementing and managing large-scale EVV programs. Operational and revenue cycle management experience is important, too. As you meet with vendors, ask for data or case studies documenting how successful their programs have been in decreasing improper payments. Does their approach to EVV demonstrate a commitment to meaningful change, as well as compliance? Look for an agile company that is prepared to adapt to the rapidly evolving world of EVV.
With the demand for EVV systems at an all-time high, there's never been a better time to begin the vendor selection process. Whether you are looking to implement EVV for the first time or switch to a better system, we hope you'll keep these important factors in mind.