Medical ​​Insurance Claim App for Healthcare

HEALTH    -     DENTAL     -      HOSPITAL 

New Feature in Product Development

Planned for Future Release!

Electronic Visit Verification Mandated by State

WizClaim™ Electronic Visit Verification solution will be a reliable and cost-effective solution that will help to more efficiently deliver care by improving payment accuracy, program integrity and overall patient care.

Using WizClaim™  we'll use global positioning system (GPS) technology to allow caregivers and transportation services to measure, record and verify home health services in real time.

Today's demands for high-quality community-based health and transportation services is growing as the population ages and with the emphasis states are placing on home-based care. 

WizClaim™  Electronic Visit Verification will validate whether a caregiver’s actual time spent with a beneficiary matches the time claimed and billed, helping to make sure essential care is delivered at the time and place it was designated.

WizClaim™  Electronic Visit Verification to be used by skilled and private service providers, including just a few: 

  • Home Health Agencies
  • Personal Care Providers
  • Occupational Physical and Speech Therapists
  • Durable Medical Equipment Suppliers
  • Transport Services
  • Specialty Pharmacy Companies

By requiring providers to use Electronic Visit Verification with WizClaim™  App functions will support State and Federal goals to:

  • Achieve fiscal savings, reduce or eliminate over billing
  • Reduce or eliminate payment for no-shows
  • Enhance appropriate care delivery for some of the most vulnerable clients
  • In "Real Time" submit and reconcile claims for services

What is Electronic Visit Verification (EVV)?

Electronic visit verification (often referred to as "EVV") is a method used to verify home healthcare visits to ensure patients are not neglected and to cut down on fraudulently documented home visits. EVV monitors locations of caregivers and is mandated by certain states. 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.