AI HubConsequences for Home Care Agencies Neglecting EVV Requirements
Agencies operating in home care know that compliance isn’t optional—it’s foundational. This video delves into what happens when an agency fails to meet 21st Century Cures Act‐mandated Electronic Visit Verification (EVV) system requirements: from claim denials to jeopardised payer relationships.
According to the Centers for Medicare & Medicaid Services (CMS), states must implement EVV for Medicaid personal-care and home-health services or risk FMAP reductions.
Agencies may face rejected or “pended” claims that don’t match verified EVV data, which forces them into manual correction loops or lost revenue opportunities.
Who we empower every day
By Role
- Agency Owners & Compliance Leads: Protect your revenue stream and avoid regulatory exposure.
- Billers & Finance Teams: Additional scrutiny, corrected claims and administrative headaches await when EVV is incomplete.
- Operations/Schedulers: Missed visits or unverified shifts = unbillable hours.
With CareSmartz360, you can shift from “at risk” to “compliant by design.” Automation, verification and audit-ready data mean you stay ahead—so you can focus on growth, not fix-it mode.
