EVV Overview for Behavior Analysis Powered By Agenda 1. What is - - PowerPoint PPT Presentation

Powered By

EVV Overview for Behavior Analysis

Powered By

Agenda

• 1. What is EVV
• 2. Who is Tellus
• 3. Next Steps

2

Powered By

What is EVV?

Mobile technology required by Florida’s Agency for Health Care Administration (AHCA) for Behavior Analysis beginning 9/1/2019:

• Accurately verifies visit activity and services

delivered.

• Provides transparency via real-time data to improve

client outcomes, operational efficiencies and program integrity.

• Reduces Medicaid fraud, waste and abuse.
• Helps ensure needed services are provided on time

and recipients get the services they need.

§ The EVV system must provide the following information: ―Date of service ―Location of service ―Name of individual providing service ―Type of service ―Individual receiving service ―Time the service begins and ends

AHCA Florida

Reduced Fraud, Waste, and Abuse Improved Care Outcomes

Benefits of EVV

Greater Transparency § Required to be fully implemented by 9/1/2019 in three pilot regions (9,10,11) for reimbursement of Behavior Analysis services in the counties of Miami-Dade, Monroe, Broward, Indian River, Okeechobee, St. Lucie, Martin and Palm Beach

Powered By

3

Powered By

EVV History in Florida

• Tellus was awarded the EVV Home Health contract with the

State of Florida Agency for Health Care Administration.

• Provider implementations started at the end of 2017.
• 400+ providers using Tellus Mobile App.
• Providers are submitting claims same day as visit.
• In full production with mandatory deadline for claims submission

through the Tellus eVV Claims Console since October 1, 2018.

4

Powered By

What is EVV?

• EVV is a technology that electronically verifies when and where care is rendered.
• The free application is enabled with Global Positioning System (GPS) technology.
• GPS coordinates are recorded only at the start time of a visit (check in) and end time of a visit (check
• ut) – the provider’s movements are not tracked.
• GPS doesn’t rely on cell or Wi-Fi service availability – GPS uses satellite technology.
• The chosen EVV system works in an offline mode – check in and check out data is encrypted on the

device until it is back in cellular or Wi-Fi range to transmit the data.

• EVV requires the rendering provider to check in and check out using a

smartphone application each time a visit begins and ends. (If you primarily deliver services within a facility setting, the System Administrator will administer the check in and check out process via laptop.)

• The EVV system links the electronic record of provider check in and check out

with claim submission – ensuring submitted claim information is valid and aligns with the prior authorization information.

Reduced Fraud, Waste, and Abuse Improved Care Outcomes Greater Transparency

5

Powered By

Provider Experience

Check In Check Off Confirm Calendar Check Out

6

Powered By

Scheduling Visits/Appointments

• The EVV System Administrator will schedule (recurring & one-time)

visits/appointments that will appear on the Provider’s calendar within the Tellus Mobile Application.

• The Provider will be able to schedule visits/appointments in real time from

their Tellus Mobile Application.

• Visits/appointments can be scheduled to start and end at different locations

(i.e: begin in a facility and ends in the community).

Reduced Fraud, Waste, and Abuse Improved Care Outcomes Greater Transparency

7

Powered By

What the Administrator Can See

• Real-time visibility to visit data:
• Missed visit report.
• Late visit report.
• Centralized electronic claims submission.
• Same-day billing.
• Mobility and flexibility for home and

community-based care.

EVV Compliance Timelines:

• September 1, 2019: Behavior Analysis

Services.

8

Powered By

Real-Time Console

• Scheduling Module.
• Prior Authorizations.
• Visit Status.
• Claims Status.
• Provider Messaging.
• Reports.

9

Powered By

Provider Controlled

Processing Timelines & Controls

Visit Completed Visit Data Returned to Tellus Tellus Pre- Adjudicates

Provider Remediates & Releases Claim Tellus Generates & Transmits Claim Payer Adjudicates and Pays Claim

Tellus system creates the claim, the provider remediates and releases the claim and then Tellus sends the claim in to the FMMIS

• system. Payments remain on the same cycle that exists today.

Near Real Time

Typically Nightly Payer Controlled

10

Powered By

Service Codes:

HCPCS Mod I Mod II Description

H2012 BA Behavior Analysis - Assistant Behavior Analyst H2014 BA Behavior Analysis - Technician H2014 BA GK Behavior Analysis – Group (up to 6) H2019 BA Behavior Analysis – Lead Analyst

11

Powered By

The Process

• Lead Analysts and Behavior Analysis Groups learn how to register with Tellus.
• This process begins mid-June with instructions provided during live meetings in each of the pilot regions along with

webinars.

• Training schedules will be posted for the June sessions by June 1st @ https://4tellus.com/ahca-ba
• Training for System Administrators will be provided (July/August)
• Training for Administrators will be delivered via in-person training and webinars.
• Administrative Console/Scheduling session (90 minutes)
• Claims session (60 minutes)
• Training for Providers/Users will be provided (July/August)
• Training for Providers/Users will be provided soon after the Administrators training
• Training for Providers/Users will be delivered via webinars.
• Mobile Application session (60 minutes)
• Visits/appointments scheduled via the EVV System Administrator Console for services to be

delivered on or after September 1, 2019.

• Providers will check in and check out for visits on the EVV Mobile Application September 1, 2019.
• Visits/appointments will be available on the EVV System Administrator Console for review and

submission to AHCA for payment September 1, 2019. 12

Powered By

CAPTURE

Visit Verification, Data Aggregation & Fraud-Waste-Abuse BI Point of Care check in, check off & check out Real-time workforce management

A comprehensive, yet flexible, platform to improve care, drive efficiency and speed reimbursements MANAGE PROCESS

The Tellus eVV Platform

13

Powered By

Next Steps

• On or after June 1, 2019, sign up for one of the June in-person sessions
• r webinar training on Next Steps with Tellus (Registration) to Implement

EVV.

• Beginning June 1, 2019, visit https://4tellus.com/ahca-ba
• Set aside time in July and/or August to attend appropriate training:
• Administrative Console/Scheduling session (targeted towards System Administrators)
• Mobile Application session (targeted towards Providers/Users)
• Claims session (targeted towards System Administrators)
• Be ready to use the EVV System by 9/1/2019.

Reduced Fraud, Waste, and Abuse Improved Care Outcomes Greater Transparency

14

Powered By

Contact Us

ahcabaevv@4tellus.com

Additional Resources http://ahca.myflorida.com/Medicaid/index.shtml Click Behavior Analysis Services Information 15