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EVV Service Solution Offering:
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EVV Management Services (EVVM)
••• EVVM Service - Overview ••• EVVM Service - Detailed Overview ••• EVVM Service Packages ••• EVVM Case Study: Cost vs. Revenue ••• EVVM Above & Beyond  Download More Information
The
GordanJacobs™ Firm is not affiliated nor associated with Sandata
Technologies, Inc. Any such relationship or association is not intended
nor implied.
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EVV Management Service Solution - Detailed Overview Our People - Your System The GordanJacobs™ Firm has developed a powerful service solution to assist the Home Health Service Providers with the daily maintenance and management of their evv system platform throughout the USA. Off-load the cumbersome daily evv system maintenance, management and billing processes to the GordanJacobs™ Firm allowing YOU to put more focus on the provider side of your business. The EVV Management Service Solution (EVVM) was developed to work in "conjunction" with the functionality of the evv system to protect and enhance revenue collection using our state-of-the-art technology, proven evv methodologies, effective evv system management procedures and a highly trained staff. The result is an outsource service solution dedicated to serve our clients with reduced in-house operational cost and increased revenue collection with the use of their evv systems platform. Our People Maintain Your System Remotely Our people, remotely, maintaining and managing your evv system daily through our exclusive EVVM Service Modules. We pay close attention to every detail within every event that impacts the billing process and your revenue. Our EVVM Service Modules - In Detail: This EVVM Service Solution Detailed Overview was developed to outline each Service Module performed for agency clients of the GordanJacobs™ Firm utilizing the EVV Management Service Solution. The modules outlined herein cover critical daily functions required to reduce in-house operational cost and increase revenue collection with the use of your evv systems platform. The services covered by the GordanJacobs™ Firm, EVVM Services are defined in detail within five (5) Service Modules: 1  . Exception Management Service ModuleThe single most important aspect of your evv system is the daily maintenance of your scheduled authorized events or visits by your caregivers. Additionally this will be the area within the evv system where revenue loss is generated. Your care plan authorizations are now set to a “not to exceed” method for daily scheduling and billing. Provider service code units are set to be dispensed daily, Sunday to Saturday. Should you have a caregiver call out for a scheduled authorized visit you will need to reschedule this event during the current week or that service authorization will be exhausted. Additionally, even when your caregiver successfully clocks IN and OUT of the evv system and has entered all of the appropriate tasks at the end of the visit, the evv system may still flag the event as an “exception”. ALL system exceptions, viewed in RED, will need to be managed properly and converted to confirmed, viewed in GREEN, in order to proceed to billing process.  Our Exception Management Module monitors, maintains and manages all exceptions within your Event Maintenance window, daily. We capture and code each exception both electronically and in paper trail format. We create an Exception Verification Request (EVR) form and send it on to our Client for verification response and processing. We then apply EVR responses received to each event. Our Exception Managemant module confirms all event elements, confirms service authorizations and confirms all billing elements thus confirming each event is complete and proper to be reviewed as a billable item. Our module also captures the detailed confirmation notes and creates historical documentation on each event we service. Our EVVM Service Solution is your agency's main line of defense against forthcoming adjudication risk liabilities and compliance liabilities that have yet to be announced by your state agency. For a more detailed view on our Exception Verification Request process, download the EVR Process Workflow Overview and our EVR Form Guide. 2. Billing Review Management Service Module 
Of equal importance to Exception Management module above is our Billing
Review Management module. This area of your evv system holds every
billable event authorized by a given care plan. This is where the
authorized billing documentation is generated and passed off to MMIS
contractor electronically for payment processing. Your evv system can
create several if not hundreds of billable events daily. They all need
to be checked for possible issues before proper billing submission can
occur.Our Billing Review Management Module monitors, maintains and manages the billing review cycle within your evv system and identifies issues with events that are still pending to be resolved. Here is where we track and protect your trending revenue against your anticipated revenue projections. We capture and code all pending billable events. We park no-authorization events and communicate parked no-authorization events with our Client. We further review all exhausted service units across current event scheduling, review all pending authorizations and confirms the review process of pending billable events as “items” ready for invoice creation and submission by Client. This will reduce EOB error codes found within the remittance advice. Again, our module captures all the detailed notes and creates historical documentation on each event we service. We work very close with your operation in resolving open issues so your agency can meet expected revenue collection. 3. Billing Submission Management Service Module  The final step in your billing cycle is invoice creation and submission. Without this, your agency simply will not get paid. After the above mentioned Service Modules have been properly completed by our EVVM Services, your agency is ready to generate invoices for services rendered. Our Billing Submission Management Module monitors and manages the invoice creation of items ready to be billed for services performed by your caregivers. These billable items are futher passed through our extensive review process to double check for possible errors that could effect final payment thus, reducing the risk of EOB error codes generated within the remittance advice received. We then gather all billable items ready to be invoiced within claim cycle parameters and convert items ok to bill into “verified” invoices, batch verified invoices and submit these invoices for payment onto the appropriate payor electronically for payment processing within your normal billing cycle for our Clients. Again, our module captures all the detailed notes and creates historical documentation on each event we service. 4. Event Scheduling Management Service Module  A “perfect world” would be a system where a schedule is created, validated and authorized through an electronic care plan and the caregiver arrives at the consumers location where the visit and service performed are verified. In reality, when dealing with “people” and "systems", getting to that end result is far more complicated. Schedules change, people arrive early or late, people call out, and yes, the system creates glitches. All of these “life issues” will effect the original scheduled event and will have a major impact on your end-of-cycle billing. Our Event Scheduling Management Module creates, updates and manages event scheduling within your evv system across your authorizations to maximize and capture recognized projected revenue for your operation. We manage service code authorizations and split shift service authorizations, if required. Our service module identifies revenue losses due to scheduling issues. Moreover, this module maximizes event creation, maximizes services scheduled by staff as well as services performed by staff. Additionally, we create the all detailed notes and create historical documentation on each schedule we service. 5. Care Plan Management Service Module 
(from a system perspective) Since the implementation of electronic
care plans are now submitted electronically, to reside within the back
end of your agency's evv system, the care plan management from the
state to the provider is now seamless. Care plans can now be updated in
real- time (24 hours) and passed onto the provider without notice. Your
authorizations can change or expire without notice to your agency. This
will have an effect on your agency's scheduling and billing activities
moving forward.Our Care Plan Management Module monitors care plans within the system for expiration and/or changes services provided by your agency onto the consumer. This module also validates services authorized across scheduling to identify and verify any exhausted services scheduled or provided for past, present and future events. We also manage all your care plan authorizations to identify potential revenue gains or losses due to authorization changes. We validate care plan expiration dates and manage event creation of services offered and performed by staff.  Documentation Profile Management System All Service Modules performed by the GordanJacobs™ Firm include our Documentation Profile Management System. This system creates a documentation profile, system-wide, of operational maintenance outside your evv system of services performed as well as verification documentation used in event exception management performed within your evv system. Documentation is provided to our Client via our Cloud system, a secure FTP (File Transfer Protocol) account created for our Client as part of our Service Agreement. The documentation created for Client's Documentation Profile is as follows: a. Daily Event Call Report(s). This is a daily snapshot of all system events created within Clients EVV System. b. Daily Event Exception Report(s). This a daily snapshot of all system event exceptions created within Clients EVV System. c. Daily Exception Verification Request Form(s), (EVRs). This contains the daily EVRs created by GordanJacobs and presented to Client for verification purposes. d. Daily Exception Verification Request Forms Received. This contains the daily EVRs received by Client and presented back to GordanJacobs for event exception management purposes. These files contain the verification action items received and performed. e. Billing Reports. This contains Billing Summary Reports of billing activity performed and posted by GordanJacobs through Client’s EVV System. f. Pending Events. This contains any pending events that are on hold awaiting authorization or additional information required to clear event exception. g. Client Upload Directory. Here is where our Clients return completed EVR responses and supply any additional servicing documentation that may be needed. Additionally, Daily Event Call Report, Daily Event Exception Report and Exception Verification Request (EVRs) forms are created electronically in encrypted .PDF format and made available daily M-F via the EVVMs Cloud system. Service workflow and documentation flow were designed to be seamless between your agency and our service bureau operation. Service Portal Definition:  The GordanJacobs™ Firm
functions its maintenance and management service modules through a
Service Portal. Our highly trained staff monitors and manages
your evv system remotely through the evv system login privileges
function. A staff account is created for the GordanJacobs™
Firm on your evv system with unique permissions. All of our work is
tracked and documented within your very own evv system. Your agency
will have complete oversight to the maintenance and management
functions we perform for your organization. One of the many benefits
our EVVM Service Solution offers your agency is no need to hire and
support dedicated internal staff to function your evv system. Your
operation will utilize our team of trained evv experts working your
system remotely from our service bureau.Will You Allow The GordanJacobs™ Firm To Manage Your EVV System?  Many agencies across the country are considering that very question. We have the experience, technical expertise and system contacts to help your organization succeed with the evv platform. MORE Than Just Technical Support! To successfully function your evv system, providers will need more than just technical support from the evv system vendor(s) to maintain expected revenue collection from their billing activities moving forward. Only proper event maintenance and management procedures will allow your operation to maintain the expected revenue captured and received by your evv system. This is where our experience and knowledge of evv systems shine for our clients. Technical support does not equate into client service. Our view of “Client Service” goes above and beyond just technical support. We offer a team approach with a focus on your business, as a whole. Our Client Service makes your evv system manageable, affordable and work for you like no other vendor could. Here For Your Financial Interest When a problem arises, outside of evv system functionality, with regard to a claim, whom would you call? More importantly, what would you say to address the problem? Problems with claims happen. Our clients call upon our experience in claims processing to identify what happened to the claim and how to best resolve the issue, quickly. Based on the situation, we identify the issue and direct you as to whom you would need to contact regarding the claim and what are the elements of the claim that needs to be addressed. We process hundreds of claims daily and we have, for the most part, seen it all. Most importantly, we work for you and only YOU! Our Firm is the one point of contact within the process from the payor through the evv system vendor onto your operation that works solely for your financial interest. Maximize Revenue Efficiencies 
Once your operation becomes a client of the GordanJacobs™
Firm, we begin to manage your event exceptions and we look for
patterns. Every client we serve has a unique pattern that will
ultimately effect the revenue collection within their evv system. With
our experience with working with several different types of provider
clients, based on your particular system pattern, we fine-tune your
system to capture as much revenue your authorizations will allow.
Bottom line here is, your internal staff will not have the experience
of multiple client evv systems to benefit and adjust your evv operation.Detail, Detail, Detail... Our staff is trained to identify every detail that effects the revenue collection of your operation. We know what to look for with regard to final payment for services performed from every event created within your evv system. Our exception verification process was developed to benefit our clients by our experienced staff maintaining every event and managing every exception within your evv system into proper billable events, ready for billing. Question: Does your internal staff have an effective process in place that focuses proper attention to each detail of an event that ultimately affects the billing process? Most of our clients have spent all of their time between billing cycles just getting the invoice and billing process completed by deadline. Not much time was available to focus on the details that have effected their collectable revenue. This is the main reason we're able to increase collectable revenue in most cases for our clients. How Complicated Is Outsourcing Your EVV System? —Simple! Simply put, not complicated at all. If you can print, sort, scan and send, then your evv system will be in the hands of the experts via our Cloud system. It’s just that simple. Our approach within our EVV Management Service Solution is really quite simple: [— If This, Then That—]. We train your staff on how to interact within our management solution. Complete and confident training of your staff takes less than 30 minutes. Plus, all clients receive an EVVM Client Operational Manual that covers all of the functional aspects of our service solution. One dedicated point-of-contact is all that will be required from your operation to fully function your evv system utilizing our EVV Management Services. The GordanJacobs™ Firm EVV Service Bureau was established to be a world-class service provider in the evv system space. Our proven maintenance and management methodologies coupled with our effective control systems and with a highly trained staff ensures a seamless outsourcing experience for your evv system operational needs. Contact an Account Representative for complete details on how to engage our EVV Management Service Solution for your business today. ••• Next, EVVM Service Packages |
