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Electronic visit verification : ウィキペディア英語版
Electronic visit verification
Electronic visit verification (often referred to as "EVV") is a method used to verify home healthcare and Hospice visits to ensure patients are not neglected, to cut down on fraudulently documented home visits, and is the means of electronically verifying that a caregiver is physically present with the patient. EVV monitors locations of caregivers and is mandated by certain states, including Texas and Illinois. Other states do not mandate it, but use it as part of its Medicaid fraud oversight created by the passing of the Affordable Care Act in 2010.〔 It is also widely used by employers of home healthcare providers to verify employee's locations and hours of work as well as document patient care. Today, most states and other payers rely on EVV as a more effective monitoring tool than a hand-signed document.
(Electronic Visit Documentation | Caring Magazine Article )
While verification of a visit using EVV (''Electronic Visit Verification'') is important, it doesn’t universally address the scope of the data set that is collected or the timely integration with the provider’s EMR system. EVD (''Electronic Visit Documentation'') includes EVV-related date, time, and location, but also services, tasks, and other discipline specific information that makes up a complete record of the patient encounter.
Because EVD solutions integrate tightly with a provider’s EMR system, timely management of field staff can occur, enabling providers to effectively respond to scheduling, clinical, or service exceptions. EVD also yields precise productivity reporting, efficient payroll processing, and generates accurate,and timely claims.
This article, published in Caring Magazine in July, 2011, describes how EVD can help facilitate a proactive approach to combating fraud and abuse and discusses payer models that best enable home health agencies to provide accurate, accountable services.
==History==

Electronic visit verification was created to help cut down on fraud and ensure that people receive the documented care they need. EVV was designed to help verify that services billed for home healthcare are for actual visits made.〔(【引用サイトリンク】url=https://www.dads.state.tx.us/evv/ )〕 The passing of the Affordable Care Act signed into law in 2010 made provisions for the cut down of fraud and over-payments, requiring states to stop Medicaid payments to providers when there is credible evidence of fraud. At least 10 states implemented an office of inspector general to oversee Medicaid fraud investigations, with many moving towards a system of verifying home healthcare visits in order to help reduce fraud.〔
Several states have introduced electronic visit verification with some mandating it for home healthcare. In January 2014, Illinois became the first state to mandate the use of EVV when the Department of Human Services required it for its home services program.〔 As of June 1, 2015, the Texas Health and Human Services Commission mandates that electronic visit verification be used for all home healthcare visits billed to the state.〔 The state of Ohio began the process of implementing an electronic verification system that would be used starting in 2016. It estimated the use of EVV will save the state approximately $9.5 million in its first two years of use. Other states that use but do not mandate EVV include Louisiana, Alaska, and Tennessee.〔
Electronic visit verification is widely used throughout the healthcare industry, not solely by government entities. Companies use it for compliance and quality assurance. Employers of home healthcare providers use it to verify employee's locations as well as document patient care.〔 It can also be used to verify hours of work and document time sheets for healthcare workers.〔

抄文引用元・出典: フリー百科事典『 ウィキペディア(Wikipedia)
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