Campaign Flights

Fraud is not just a compliance risk—it’s a threat to funding, trust, and the sustainability of direct care programs. According to the U.S. Department of Health & Human Services, Medicaid improper payments topped $80 billion in 2022 (source: HHS OIG).

This fall, agencies are under more pressure than ever to tighten systems before year-end audits. Enter Electronic Visit Verification (EVV): not just a compliance requirement, but one of the most effective fraud prevention tools in the industry.

Understanding the Power of EVV

At its core, EVV confirms when, where, and what services were delivered—in real time. With the 21st Century Cures Act, all states are required to implement EVV for Medicaid personal care services and home health care (source: Medicaid.gov).

For agencies, EVV means:

• Fewer false claims.
  
• Elimination of “phantom visits”.
• Real-time accountability that protects every dollar.

How EVV Stops Fraud Before It Starts

Fraudulent activity often looks like:

• Billing for visits that never occurred.
  
• Inflated hours.
  
• Overlapping shifts.
  
• Misclassified services.

With DCI’s EVV system, every visit is electronically verified:

• Time in/out logged instantly.
  
• GPS/location confirmation for visit authenticity.
  
• Service type validated.
  

💡 Result: agencies are audit-ready with transparent, verifiable records.

Lessons for Agencies This Fall

Fall = reporting season. For agencies, it’s crunch time to ensure:

• Accurate payroll and billing records.
  
• Clean claims for year-end submissions.
  
• Fraud controls that withstand audits.

Agencies using DCI’s EVV are catching errors before they hit payroll and avoiding costly claim denials.

📊 According to CMS, agencies that adopt EVV see a 50–70% reduction in billing errors (source: CMS EVV Reports).

Building Trust Through Accountability

Fraud prevention is bigger than dollars—it’s about trust. Families, caregivers, and government payers want proof that care is delivered ethically and transparently.

Agencies leveraging DCI’s EVV demonstrate:

• Commitment to compliance.
  
• Operational transparency.
  
• Long-term program sustainability.

Preparing for Tomorrow’s Compliance

Regulations are expanding. Agencies that wait risk falling behind. Those who adopt robust, future-ready EVV systems now are positioned for:

• Upcoming Medicaid EVV requirements.
  
• State-by-state compliance updates.
  
• A more transparent funding environment.
  

With DCI’s customizable EVV, you’re not just meeting today’s mandate—you’re future-proofing operations.

 

The DCI Advantage

DCI’s EVV isn’t a standalone tool—it’s part of an integrated compliance ecosystem:

• EVV
  
• Payroll
  
• Billing
  
• Scheduling
  
• Authorization management
  

This integration means fraud prevention at every level of operations. Agencies gain efficiency, reduce manual errors, and protect funding—all while strengthening trust.