For years, Medicaid home care service delivery claims lacked the validation to accurately document actual hours worked, creating an environment for fraud, waste and abuse. As a result, the elderly and disabled are sometimes deprived of the appropriate number of service hours they are authorized to receive.
Electronic visit verification (EVV) is a system using digital devices that collect data to document home care service delivery start and end times, verify the hours worked and ensure that claims payments align with service delivery hours.
And now, with the passage of the Cures Act, states have real incentives to implement EVV, as the federal government will reimburse states for 90% of EVV implementation and 75% of ongoing EVV costs.
Vesta is the number one EVV vendor in Texas, successfully serving…
- over 150,000 Medicaid eligible individuals
- – 12 Managed Care Organizations
- the entire geographical territory of Texas
- over 300,000 EVV transactions collected each weekday
- over 180 million historical EVV transactions
- over 2600 Medicaid providers
With 20 years of history as a compliance management system for Medicaid providers, Vesta is uniquely experienced and qualified to help state agency and payers implement EVV efficiently.