Electronic Visit Verification Software

Conduent delivers solutions to make subsidized in-home care services more accessible and secure for patients, providers and state government administrators.

Conduent’s Electronic Visit Verification (EVV) software uses mobile, biometric and/or Interactive Voice Response (IVR) technologies to ensure accurate tracking of in-home patient care visits. EVV helps state agencies streamline burdensome manual, paper-driven processes,while simultaneously reducing fraud and ensuring compliance with the 21st Century Cures Act, which requires all states and territories to implement EVV for personal care services (PCS) by January 1, 2019 and all home health aide services (HHS) by January 1, 2023 or risk losing a portion of their federal assistance for yearly Medicaid expenditure.

Conduent stands ready to help you meet growing healthcare service demands, leveraging digital tools and expert insights to rein in costs, lower fraud risks, and better serve patients under your state’s care.

Our Electronic Visit Verification system captures and manages the data points listed below to ensure compliance with the Act, verifying pre-authorization and generating a claim. It can also be configured to capture additional information and is flexible and adaptable to accommodate future requirements.

Requirements include:

  • Type of service performed
  • Individual receiving service
  • Date of service
  • Location of service delivery
  • Individual providing service
  • Time service begins and ends

Comprehensive and compliant

This solution is a comprehensive group of software applications built from the State point-of-view, providing oversight of all aspects of data capture for home visits. EVV minimizes fraud and ensures compliance. We offer:

  • Visibility throughout the claim lifecycle, from authorization to claims processing
  • Features and design built with the state Medicaid marketplace in mind
  • MCO support functionality
  • Modular and comprehensive design providing the functionality that fits your program
  • Flexible pricing model to suit your budget and needs

Integrated database

At the center of our offering is the Conduent Claims Management Data Clearing House. This cloud-based data repository is the hub for all components of the overall solution. The clearinghouse can accept data from key application modules or accept data from other disparate systems operating outside of our Claims Management framework. Regardless of source, data is imported and normalized to become a composite part of the overall clearinghouse data store.

Why Conduent

As a trusted, proven long-term partner with hundreds of government agencies, Conduent touches millions of lives every day. By improving digital interactions, we’ll help you meet your mission and provide a positive experience to constituents.

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