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EVV Setup

EVV (electronic visit verification)

EVV requires capturing 6 data elements to verify the service being billed:

  1. Patient receiving the services
  2. Practitioner providing the service
  3. Type of service
  4. Location of service
  5. Date of the service
  6. Time the service begins and ends.

EVV is captured on sessions that meet the following criteria:

  • The EVV Billing Requirement is set up against the insurance plan for this patient's coverage. Read how to add an insurance plan billing requirement.
  • The insurance plan benefit is set to Requires Patient Present.
  • The location type of the patient-specific location this session takes place at is home or other.
  • The provider is using a mobile device, allowed location access (the app requests access to their location), and pressed start/end session on the day of the session. (Currently, start/end session only shows on direct care sessions. Coming soon for all service types that require EVV!)

When the above criteria are met:

  • When the practitioner presses Start Session:
    • The start time of their session is updated to match the exact time they pressed Start Session.
    • Their exact geolocation (latitude and longitude) is tracked.
  • When the practitioner presses End Session:
    • The end time of their session is updated to match the exact time they pressed End Session.
    • Their exact geolocation (latitude and longitude) is tracked.

Coming Soon: EVV Integration with Sandata, and EVV Encounter Validations