Optum Electronic Visit Verification

Ensure accountability

The Optum™ Electronic Visit Verification solution is a reliable and cost-effective solution that helps more efficiently deliver care by improving payment accuracy, program integrity and overall patient care. Using global positioning system (GPS) technology, Electronic Visit Verification provides a platform for measuring, recording and verifying home health caregivers and transportation services in real time.

The demand for high-quality community-based health and transportation services is expected to grow as the U.S. population ages and with the emphasis states are placing on home-based care. Electronic Visit Verification validates whether a caregiver’s actual time spent with a beneficiary matches the time claimed and billed, thus helping to make sure essential care is delivered.

Electronic Visit Verification can be used by skilled and private service providers, including: home health agencies, personal care providers, occupational, physical and speech therapists, durable medical equipment suppliers, transport services, and specialty pharmacy companies. By requiring providers to use Electronic Visit Verification, state and federal agencies can:

  • Achieve fiscal savings by reducing or eliminating overbilling
  • Reduce or eliminate payment for no-shows
  • Promote appropriate care delivery for some of the most vulnerable clients
  • Submit and reconcile claims for services in real time
Optum Electronic Visit Verification can:

Reduce or eliminates waste
Agencies can reduce or eliminate waste by requiring skilled and private service providers to use Electronic Visit Verification. Governments can be assured that resources are going where they are needed most while ¬addressing the needs of more citizens and managing budgets.

Improve the integrity of home health and long-term care services
As part of an ongoing effort to curb fraud, waste and abuse in the home health and community-based services segment, Electronic Visit Verification helps states deliver appropriate care to their most vulnerable populations.

Electronic Visit Verification allows payers to:

  • Reduce improper payments
  • Increase efficiency of the audit process
  • Deliver significant value to providers with minimal abrasion
  • Improve patient care
  • Enhance the ability to increase capacity
  • Provide care to more beneficiaries and enrollees