EVV and eBilling Insights for Home Care Agencies

As home healthcare rules continue to change, maintaining compliance with regulations is critical to both the success and sustainability of home care agencies. Electronic Visit Verification (EVV) and Electronic Claims Submission (eBilling) are the most crucial compliance components. 

These systems are not just about adhering to legal mandates; they are essential tools for ensuring accountability, streamlining operations, and ultimately delivering high-quality care.

In this blog, we’ll explore the differences between EVV and eBilling and how Aaniie’s advanced solutions can help home care providers easily navigate these complex processes.

Understanding Electronic Visit Verification (EVV)

What is EVV?

Electronic Visit Verification (EVV) is a system designed to verify that home healthcare services are actually delivered as planned. Mandated by the 21st Century Cures Act, EVV is required for Medicaid providers in most states to ensure that caregivers are where they need to be at the right time, providing the right services. 

The required information for EVV includes critical details such as:

• Date of the visit
• Clock-in and clock-out times and locations
• Identification of the client and the caregiver
• Services delivered during the visit

These elements serve as “proof” that the care was provided, which is crucial for both ensuring patient well-being and preventing fraudulent billing practices.

Why EVV Matters

EVV is more than just a regulatory requirement—it’s a cornerstone of trust in home care. By ensuring that visits are accurately documented and verified, EVV helps protect vulnerable patients from neglect while safeguarding agencies from non-compliance risks, such as payment delays and potential sanctions.

The EVV Process with Aaniie

Seamless Integration with State Aggregators

Aaniie simplifies the EVV process by integrating seamlessly with state-selected aggregators like Sandata and HHAeXchange. This ensures that the data captured during visits is automatically transmitted to the appropriate state databases, minimizing the risk of errors and ensuring compliance with state regulations.

One-on-One Training for Success

To help agencies get the most out of their EVV systems, Aaniie offers personalized training sessions. These sessions cover everything from configuring caregivers, clients, and visits to managing EVV submissions. By ensuring that all aspects of the process are correctly set up, Aaniie helps agencies avoid common pitfalls that can lead to payment delays or compliance issues.

Comprehensive EVV Management Tools

Aaniie’s EVV management tools are designed to streamline the entire process. With features like KPI tracking and an EVV management dashboard, agencies can easily monitor their submissions, identify any issues, and make the necessary adjustments to ensure that all data is accurate and compliant. These tools not only reduce administrative burdens but also provide peace of mind by ensuring that all documentation is in order when it’s time for Medicaid to review the claims.

What is eBilling?

Understanding eBilling

While EVV verifies that services were provided, eBilling ensures agencies get paid for those services. Electronic Claims Submission (eBilling) involves creating and submitting claims to payers, such as Medicaid, through a clearinghouse. This process is critical for the financial health of home care agencies, as it directly impacts cash flow and revenue.

Key components of eBilling include:

• Clean claim submission: Ensuring all necessary information is included in the claim to avoid rejection.
• Payment requirements: Understanding what each payer needs to process a claim.
• Clearinghouse processing: The intermediary that formats and sends claims to payers.
• Unit-based fee structure: Billing based on time units rather than hourly rates.
• ERA/835 payments: Electronic remittance advice and automated receipts for payments.

Why eBilling is Essential

Efficient eBilling is essential for maintaining a steady cash flow. Incorrect or incomplete claims can lead to delays in payment, which can be financially crippling for home care agencies. By ensuring that claims are accurate and complete, eBilling helps agencies avoid these pitfalls and ensures that they are compensated for the care they provide.

The eBilling Process with Aaniie

Expert Training for Accurate Claims

Aaniie provides specialized training to ensure that agencies can create and submit claims accurately. This training covers everything from the basics of claim creation to the intricacies of submitting through a clearinghouse. By helping agencies submit “clean claims,” Aaniie reduces the likelihood of rejections and ensures that payments are processed quickly.

Integration with QuickBooks Online 

To further streamline financial management, Aaniie integrates with QuickBooks Online. This integration simplifies the payment posting process, making it easier to manage financial documentation, track revenue, and ensure that all records are up-to-date and accurate. This level of integration saves time and helps agencies maintain a clear and accurate financial picture.

Advanced Accounts Receivable Aging Reporting

Managing accounts receivable (A/R) is a critical part of financial management for home care agencies. Aaniie’s A/R Aging Reporting features provide a clear view of outstanding payments, helping agencies stay on top of their revenue cycle and ensuring that no payments fall through the cracks.

Receiving Payments via ERA/835

Aaniie has the capability to automatically receive payment information from the payer electronically and post a receipt directly to the applicable claim. This reduces risk of human data entry error and cuts down the wait time for payer remittances to be mailed. It also eliminates the need to log into a separate portal to verify the claim was paid, saving time and headaches.

The Benefits of Aaniie’s EVV and eBilling Solutions

Aaniie’s intelligent EVV and eBilling solutions offer home care agencies a comprehensive toolset for staying compliant, reducing fraud, and ensuring financial stability. By providing seamless integration, expert training, and advanced management tools, Aaniie empowers agencies to navigate the complexities of EVV and eBilling with confidence and control.

In addition, Aaniie, understands that not all caregivers are comfortable with advanced technology. To help those caregivers, Aaniie offers a telephony option that allows caregivers to clock in and out using the client’s authorized phone number. This inclusive approach ensures that all caregivers, regardless of their tech-savviness, can comply with EVV requirements, providing them with the support and relief they need with Aaniie.

By accommodating different levels of technological comfort, Aaniie not only ensures compliance but also fosters a supportive work environment. This caring approach significantly contributes to improving caregiver retention, as caregivers feel valued and understood, leading to higher job satisfaction and loyalty.

Ensure Your Agency’s Compliance with Aaniie

Home healthcare compliance with EVV and eBilling regulations is non-negotiable. Non-compliance can lead to severe consequences such as payment delays, potential sanctions, and, most importantly, compromised patient care.

By partnering with Aaniie, agencies can ensure that they are meeting these requirements and optimizing their operations for greater efficiency and accuracy. Aaniie’s secure solutions offer a clear path to compliance, financial stability, and, most importantly, the delivery of high-quality care to those who need it most.

To learn more about how Aaniie can help your agency succeed, contact us today to schedule a free demo or consultation. Explore our solutions and discover how we can help you easily navigate the complexities of EVV and eBilling.