Sponsored Webinar

Many States are requiring providers of home and community-based services to have an electronic verification (EVV) system in place to measure the time for which these services are being rendered. EVV is an electronic system that verifies when provider visits occur and documents the precise time services begin and end. It ensures that individuals receive their medically necessary services. Many of these services are authorized but how does a payer validate the authorized to billed services? This session will cover the exposure that plans have to this billing scheme, the types of schemes commonly seen, relationships between providers and patients, the importance of recording downshifts, and the importance of supervisory visits and plan of care update frequency.

Join us to learn:

  • How to identify overall plan exposure to schemes.
  • Detection methods to identify schemes and relationships between providers and patients.
  • Methods to develop ratios of authorized to billed timeframes.


Tom Figurski
Sr. Consultant, Payer Solutions
LexisNexis Risk Solutions

Rick Grape
Director, Market Planning
LexisNexis Risk Solutions