Netsmart CareThreads
Netsmart CareThreads

Episode · 8 months ago

#homecare #autism and #IDD How Electronic Visit Verification Impacts Providers

ABOUT THIS EPISODE

A federal mandate called the 21st Century Cures Act required providers to comply with electronic visit verification (EVV) by January 1, 2021. That date has come and gone, and some providers are still concerned about what EVV holds for them.

In this episode of Netsmart CareThreads, Hannah Patterson, vice president and general manager at Netsmart, talked with Joe Marte, a client alignment executive with Netsmart.

Joe spent time as a provider himself before becoming vice president for business development at TELLUS. After Netsmart acquired TELLUS, Joe brought his understanding of EVV to us.

Here's what Hannah and Joe discussed on this episode:

- What EVV is and who it impacts

- The mandate's silver lining for providers

- Why provider staff members often love the EVV mandate

This discussion with Joe Marte was taken from our show Netsmart Care Threads. If you want to hear more episodes like this one, check us out on Apple Podcasts.

If you don’t use Apple Podcasts, you can find every episode here.

Welcome in that smart care, threads, apodcast were human services and postocute leaders across the healthcarecontinuum come together to discuss industry trends, challenges andopportunities. Listen is we uncover real stories about how to innovate andimprove the quality of care to the communities we serve? Let's get intothe show. Welcome to today's episode of the Netmart Podcast, my name is SannaPatterson Vice President and general manager. Here that's mart and I am yourhost today. I am super excited about our guest, Joe Marty from Netsmart's,most recent acposition tellet and the topic for today's episode is electronicvisit, Verification or otherwise known as EVV and how it really impacts. Ourproviders today well spend some time on covering what it is some items aroundthe twenty fist century, herezack mandate that will require it and forwhom and for the rest of our conversation, we wool plore the silverlining for provider, but first and foremost Joe. Thank you so much forbeing here. Will you go ahead and...

...introduce yourself and tell us a littlebit about you perfect? Thank you. So much for letting me on the podcastreally excited about APO is jump into the podcast community, so I'm actuallya formal provider myself. Currently I'm a PRIAN alignment executive with nownext, smart, so that', a recent title that I ges Presentl esteimed and butbefore a t E. Vice President of Visi development tell us and what brought meto tell us. As as a former provider I saw where ev movie VV was going. I hadabout thirteen hundred caregivers that we had to wrap our whole culture rap toget them on EVV, and I'm telling you it wasn't easy in the beginning, but theinformation that we received because of EVV and what happened because he VVVwas really adounagus as an agency just to provide better care quality care andgive a lot of tracking internally Soi saw what tells was doing in theindustry, and I wanted to jump on board and have a bigger impact of what VV wasgoing to do all across America. Yeah,...

...that's great, and can you give us alittle bit of history on tell us the company itself, you K so tolas actuallywas started as an application for a provider and as they were, goingthrough the different aspects of being a great application. EBV actually wasassociated in Florida and they had to start using AVD. At that point therewas another vendor and they were looking at what they wanted to do withthat vendor and how to be compliant and an RFP came from the state tell it saidyou know: let's go after that RP we have a great product. We think we knowwhat we're doing and we applotted for it and we got it. So we won that ourpnd with ATRP. We were able to get numerous mcols across the date and nowall the way across the country with numerous states and mcls. So reallyworking, not only with the provider, the states and the MCO plans, that'sgreat and with the Netporn acquisition I know we have providers in our spacethat are anxious about the mandade. What have you experienced to date aspart of the process that you can share with our listeners yeah? So so really,you know. The great news is as we're...

...going for more of that start up pane tobeing really polidified and getting a lot of resources from the next Mar fromthat smart. So we're really excited because that was one thing as a growingcompany you're, always just trying to fill holes and make things work for nowwe're getting a lot of these strategic, some of the strategic aspects of alarger company. That really knows what they're doing and giving those resourceto tellet to make a great product and a great customer user experience. I lovethat. Thank you so much for bringing that up. I think thereare still a greatdeal of providers that are extremely concerned about the mandate, even somewho don't completely understand really what EVV is. Can you explain it alittle bit and tell us who is actually impacted by the mandate? Yeah, that'sperfect and in fact I had two calls today with people that have been usinga system and didn't even know the Mandae whas happening in certain states.So really what EVV is is electronic vis of varifacation, as you mentionedearlier, and there was a federal mandate called the curzact Bhutinitiated to be ready, atwo thousand...

...and nineteen. They give gave everyone ayear, two thousand and twenty, and then they said. If you want to make PV goingin, not a place, they gave everyone an extra year. Waver, that's going to begoing into effect in January, first of Tw Thousand and twenty one, and that'sfor personal care services, homeeltbayed, hairegivers, PCA workers,community direct workers, waver program workers, all those ones that are morethan nonstill and in some states even skilled, to go into effect. For thatJanuary, first deadline, ind, really what they're trying to kit is from EVV.They want to know really what's going on in the home more real time, when theservice happened to location of the service, the time and deservice beginsan end. The identity of the person doing the service and the one receivingthe service and what service that was. Maybe it's a caregivring. You knowhomemaking service, nursing service. They really want to have those aspectsand start collecting that information...

...to provide the best care, and now it'sgoing to be done all electronically instead of on time, Cape Yeah- butthat's great. So you mentioned the twenty first century curiosact andthere was a delay or a waver that was provided for those agencies that areperforming personal care services. So is it a global or is it I guess, astatewide mandate for January, first, two thousand and twenty one or theirstates that are, you know, exceptions to part of this regulatory change andshift yeah. So the federal mandate sayseveryone has to start using an EVD system January first, two thousand andtwenty one. So really, every agency needs to look at that in every state'sa little different. I'm not how they're rolling it out sommer, saying you haveto collect the information and they're going to aggregate it later. Others aregoing to be bye audit. So really, you need to go through each state andfigure out what your state want for you can call nuts mark. We can look atexactly where your state is tat and...

...give you the best direction to knowwhere you need to go on the future yeah. We definitely see a lot of that in thehealthcare industry itself, especially in the national pandemic. That we'vebeen so totally understand. The regulat regulations are constantly envolvingand it can be extremely challenging to keep up, especially nowadays, so we allknow that Changeis hard right. So one of the valuable reasons we had O youonthe podcast is because you've had a different take on the manday being aprovider yourself. As you mentioned, how do you see that this mandate canbecome a silver lining for providers? Yeah, that's a great question and, tobe honest, when we first started VV, as probably like most every other caregiving organiznation and said what in the World Thi is more regulation, fe'realready not making enough money, and now they want more regulation and more more burden on a provider. And, as Istarted looking at what evv really tracks, it was really what alreadyneeded to be tracked than no one put on paper or no one put into the into thesphere of collection. So we really...

...looked at it as we started rolling itout, because we had to and started finding eficiencies that we got in inregard to the offices. So one big efficiency that we got is paper timesheets for something that was taking at least two or three full time peopleevery week to manage. Just in one of my offices, because you also get you havethe bigger they have to come in, they have to do the service. They have toget a paper time ODA. They have to go to the office. Turn that time. togain.Someone has to record all that in the computer and if there's any errors,they have to call the caregiver bag and say, looks like there's an air. Youhave to come back and get thit spilled out, so we can make sure you get paidand make sure we're able to build now with evv. We get all of that data rightout of devite sent right to our backend Ntry of tool, so really took a lot ofthose people just painstaking work and made it very simple, and now we getthat every day, instead of every week...

...to provide even more efficiency. Soit's really a great program. One of the other big things that we had is planupcares if Youve oberated e CARAGIVER agency, usually you call thecaregiverence. They have a new client for you. Come pick up. The planot caregrain would be upto plan of care. We meen with that carrgiver in the officefor a half hour review all the materials. Then they go out and have todo that whole paper time. keething. Now all of that data from the planet Harecan be loaded into an advice. sence that device cand they have it all right,then so they're av a look with the client themselves review all theirtasks, get its signature, make sure that Vig is done every day and thegreat thing now, if you did those four hours on the Caregivin on that plan ofcare, you're able to spend it directly an start building every day, instead ofevery week, every fwe weeks, orverry three weeks like mether agens, you doso it can really speed up, not only direct delivery care, but then thebilling process, so it just started...

...revolutionizing, as we went day and dayit seemes like every two weeks, we're coming up with a new epipany of whild.It's actually really great. Why din't? We start some of this earlier yeah,that's extremely helpful and to hear your take on this, so I can absolutelythink of a few providers that we work with. That would love to have thissophistication to make sure that they're reducing you know, burden onthe field, staff, improving efficiencies and care, and obviouslyspeed up their reimbursement and really hadn't thought of a way to do thisbefore. So you think that the really you know the requirement could be ablessing in disguise for providers. So, honestly that this is what we came upwith is exactly. Is We looked at this regulation and at first we had thegrumpy face until you started realizing everything that could do and really thebottom line was now before we would have prolytwenty complaints a week. Itwas a large agency, so that's still small percentage of people not gettingthe service that they thought they...

...deserved people leaving early that wecould never track. Maybe a caregiver not showing up on time for now realtime, you're able to get that data and start really making good decisions andimprove your quality scores not only from a healthy standpoint but justcustomer service. So we are able to get a lot more smily faces and andrecommendations for clients, because now they're actually getting theservice that they're supposed to will before it was always back in wait forthe complaint Wut. You know if you're already getting into plane, you'realready losing the game. If you can stem all those off because now you'reproviding that real time data her cargier your clients, it made a worldof difference and really have been a silver lining, not lke for my agency,the numers atody that I've talked to that are really doing avb and doing itright. Yeah such a great information. So you mentioned a little bit on theproviders side. Do you think that staff will be happier with not having to comeand themit their? You know time slip on...

...a daily basis or a weekly basis fortheir ability of getting paid wlso. I think everyone just Hav to look at itand time is money and if I can eliminate me going to my office, so Ithink there's two aspects. So I'm going to back up there's two asfects. I havethe office taff that they deal with hundreds of calloffs a week and theydeal with the client, the caregivers and the nurses coming in and havingissues were now, they all can look at a computer screem and make sure thatservice was done. So that's saving a whole bunch of peadache phone calls andIges in the office. Now we take the Care Giver Thet Up until this point. AsI said earlier, they're coming the office to the get their planet hair.Then they're going to see the client n every week. They either have to mail inor come in the offise and turn their time to in review it with someone inthe office, that's anywhere from Anfiftunen D, twenty thirty minutes tosometimes hours every month. For now...

...they don't have to do any of thatthey're going to be able to send it right through the application, have alltheir hours adjupted and really that's what we found as many many of thecharegovers once they found other caregivers, they were using the at andBhasically said. Wait! You don't have to go to the office every week anymore.You don't have to turn in your time sheet. Well, why am I not using ABB-and that was really the sperm that changed everything for us is we hadsome great caregivers that started using the APP and they found meEfficiencie, O ai haven't been the oppotine too months, while the othercharateers going there every week and really started getting thoseCareciverin to turn the EVD to help them have more time in their busy lives. Yeah such wonderful information for ourlisteners, and thank you as always for taking the time with me today. I knowwe've been hearing so many things and Concerne over mandays and it's beenrefreshing and super enlightening to hear how they can actually bebeneficial. So do you have any parting...

...words or thoughts or commons for thoselisteners on the line today yeah, so I do want to just make one big one thingclear, because you know we talk about efficiencies and regulations, but Ifeel like the biggest reason we all got into the indistry as we want to helppeople. We have whether it's children, adults, those with disabilities. Theyneed this extra help to be able to live every day, and we got in this to helpthem and with these regulations were actually going to be able to help themeven more the goal of Eviat to provide those better outcomes to have that realtime, visibility, N to visits to make sure they're getting the best carepossible and really that's the thing that we want to look at is the finishline, is really providing the best care and having the best outcome for theseclients and with VV they're, actually going to be able to start doing thatand provide the best care and make sure that these these people are gettingeverything that they deserve and really...

...work with them to get everything thatthey want in life through the services that are provided yeah. Such wonderful ends tha. Thankyou so much for being here Joe. I sincerely appreciate it absolutely I golove being here and I look forward to any time e can get online and talkabout how ob Pecan help people well. Thank you all for listening and forjoining of this episode at the CARATHREDS podcast. If you have anymore information that you're inquiring, please visit the ntspcom website tohear more about solutions that tellis or Netmart and offer you, as providers,have a great day thank goveybodding at net smart. We understand the challengesfacing provider organizations, our team will hep you navigate changing value,based care models with solutions and services that make person center careor reality will equip you with technology and services that provideholistic, real time. Es Of Care Histories that inform better decision,Makin and better outcomes visit us today, an ntstcom net smart serving you,so you can serve others thanks for...

...listening to the net smart care threats,podcast through collaboration and conversation, we can work together tomake healthcare more connected than ever before and better support thecommunities we serve to ensure you never miss an episode. Please subscribeto the show in your favorite podcast player, if you use apple, podcast, we'dlove for you to give us a quick rating for the show. Just have the number ofstars that you think the podcast deserves until next time.

In-Stream Audio Search

NEW

Search across all episodes within this podcast

Episodes (24)