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Our Service Solution— An ASSET For Your Agency
The GordanJacobs™ Firm, a national medical billing operation located in Connecticut has opened an EVV Service Bureau to assist the Home Health Service Providers.
Your
state Department of Social Services (DSS), their MMIS contractor may be
working to implement electronic visit verification (evv) in conjunction
with your state Medical Assistance Program.
What does this mean to you the service provider?
As of this writing, if you are a provider of services within your state, you
may be required or rather ‘mandated’ to use an evv system to dispense
services offered
and bill claims onto the appropriate payor within the evv system or you
will not get paid for services provided. Most of you, if not all, may
be forced to use a system that you did not select nor
test drive before you were required to utilize.
Yes, there will be many training manuals distributed and many
workshops scheduled and attended, yet the feeling of uncertainty still
looms in the offices across the country.
Without question, your states decision to head in this direction and
implement the use of an evv system to
all of its providers of service throughout the state was smart and well
planned. The evv system, as a whole, was designed and developed to create
efficiencies across the board from care plan management, scheduling,
compliance, billing and level of services provided to the end user, the
Client/Consumer.
The evv system is BIG and has
many moving parts working in conjunction to improve the level of
services provided. This “is” a good thing however, the burden has
fallen on the provider to effectively use an unfamiliar system to
essentially conduct the same level of service your agency is already
performing.
Many of you have systems currently in place to manage and
perform services provided. Now, it seems that your administrative
work flow has doubled. In many situations, it has. You are still using
the management and performance systems put in place by your operation
to conduct your day-to-day functions as a business. To add to this, you
are now required to use a system that, for the most part, duplicates
your daily functions in order to get paid for services provided.
Bottom line, the use of the evv system by your operation will come at a
cost to your business. You will need to train already over-worked staff
and/or hire new dedicated staff to interact with the EVV system, daily.
The concept behind creating an EVV Service Bureau was to make available
trained evv staff to ‘properly’ maintain your evv system remotely. One
dedicated point of contact within your organization is all that will be
needed to successfully function your EVV system working with our EVV Service Bureau. Remember, “We make EVV Manageable.”
More importantly, you need to consider “adjudication” risks and
compliance liabilities when working within your evv system. The word
‘adjudication’ is defined as a formal judgment on a disputed matter.
This word has appeared several times throughout the evv publications
delivered to your operation. Your state agency intends to use the
information gathered within your evv system when conducting their
annual audits upon your provider organization. Simply converting an
event exception to a confirmed status without proper documentation will
create future financial risk to your operation.
Currently, your state
agency is assessing the vast amounts of data that an evv system
creates, daily. It has yet to be announced as to how this data will be
used in the adjudication of claims processed for your operation. Only
proper exception maintenance and management will reduce the risks
associated with the forthcoming adjudication actions. This is something
very real and very important to consider when your internal staff works
your evv system. Our Exception Verification
system is your agency's main line of defense against forthcoming
adjudication risk liabilities and compliance liabilities. Our system verifies and documents
every system exception issue and records the action needed to convert
an exception to a billable event.
When your operation utilizes our EVVM Service Solution to
manage and maintain your evv system you will save time and money
while reducing adjudication risks and compliance liabilities found
within the current version your state’s evv system platform.
Contact
an Account Representative for complete details on how to engage our EVV
Management Service Solution for your business today.
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