EVV Showcase April 30, 2019 The content contained herein (“Confidential Information”) is the confidential property of HHAeXchange and may not be copied or distributed without the express written consent of HHAeXchange. Distribution of this document or disclosure of any Confidential Information set forth herein to any party other than the intended recipient(s) of this presentation is expressly prohibited.
Agenda • What’s Happening in Homecare • About HHAeXchange • HHAeXchange EVV • Q & A
What’s Happening in Homecare? 3
Homecare Technology Evolution The evolution of healthcare models and regulation will require Providers to adopt technology to keep pace. High Adoption of Homecare Tools 2020+ Performance / Quality / Outcomes TODAY! Mobile Technologies / EVV Advanced Caregiver Availability Advanced Clinical Capabilities Compliance Management Innovative Communications Capabilities Directly with Payers Clean Claims & Billing Management Referral & Scheduling Time and Attendance / Telephony Low Time
21 st Century Cures Act Passed by Congress in December 2016, the 21st Century Cures Act requires that providers of Personal Care Services confirm visits via Electronic Visit Verification (EVV) by January 1, 2020. 5
Value-Based Care The homecare industry is moving to a new value-based care approach focused on improving patient outcomes and rewarding quality care. • Reducing Readmissions • Tracking Outcomes • Real-Time Alerting 6
Importance of EVV for Self-Directed Care Participants & Providers Payers • Ease of Use • Cures Act Compliant • Flexible EVV Without the Need • Real-Time View into Visits and for Scheduling Services Delivered • Patient & Family Visibility into • Reduce Fraud, Waste, and Care Delivered Abuse 7
About HHAeXchange 8
HHAeXchange Mission & Purpose To provide simpler and better outcomes for patients who represent some of the most vulnerable and fragile members of our society. HHAeXchange connects the dots among payers, providers and patients. We’re minimizing risk and simplifying processes across our homecare client environments. Our Promise: Enable the most effective homecare ecosystem every day
HHAeXchange as a Partner 3,800+ $9.1B 437,000 Homecare Agencies Billed Annually Patients Monthly 431,000 82M 35,000 Caregivers Monthly Visit Confirmations Back-Office Users 10
Homecare Management Platform Electronic Visit Verification Compliance • Real-Time Clock-in / Clock Out Dashboard • Patient Eligibility Checking • Telephony in 30+ Languages • Caregiver Exclusion List Checking • Caregiver Mobile App in 7+ Languages • Caregiver Medical / Training Compliance • FOB Device • Visit Confirmation Compliance • Bluetooth Beacon Device • Plan of Care / 485 Adherence • Electronic Timesheet Entry • Emergency Preparedness Scheduling Human Resources • Patient & Authorization Management • Payroll Integration • Case & Schedule Coordination • Overtime Management • Plan of Care Documentation • PTO / Holiday Tracking • Caregiver Availability / Skillset Matching • Travel Time / Expense Management • Caregiver Mobile Case Broadcasting / Acceptance • Online Applicant Portal • Real-Time Caregiver Communication Billing Value Based Care • Pre-Billing Claims Scrubbing • Care Pathways • eBilling (837) / eRemittance (835) • Real-Time Observations • Consumer Directed / Private Pay • Patient Risk Alerting • Accounts Receivable • Clinical Documentation / Assessments • Collections Management • On-Demand Reporting
The “Single Source of Truth” A Shared Web Platform Where Homecare Payers and Providers Effectively Interact Payer Compliance Oversight and Program Monitoring Increased Compliance Visibility Member Satisfaction Operational Effectiveness Payer Benefits Provider Benefits • Broadcast New Cases • Eliminate Denials • Accelerate Payment • Receive New Cases • Create & Manage Authorizations • Robust Compliance • Real-Time Authorizations • Integrated EVV • Communicate Eligibility Changes • Clean Claims • Clean Claims • Improve Outcomes • Enhance Care Coordination • Reduce FTE’s • Eliminate Denials Payer MCOs Visits Providers Members 72
EVV Capabilities 13
EVV Methods FOB Device Caregiver Mobile App • Unique code for clock-in/clock-out • 7+ Languages • The unique code can be submitted • Real-time Communication via the HHAeXchange Mobile App • Mobile Case Broadcasting or Telephony • Offline Capabilities • Ensures the caregiver is at the • Dynamic Plan of Care Logging physical location of the affixed FOB • Patient Signature Ready device • Free Download on iOS and Android Bluetooth Beacon Telephony • The only Bluetooth EVV device in the industry • 30+ Languages • Automatically pairs with • Toll Free Phone Numbers HHAeXchange Mobile App • Plan of Care Logging • Caregivers must be within 15 feet of • Speak Out Duties Beacon to clock-in/clock-out • Ideal for servicing members in apartment buildings or rural areas
Self-Directed Capabilities Participant Control • Participant can verify each shift’s start and end times as well as services performed • Required signature at clock-in/clock-out Scheduling • Flexible scheduling for last-minute changes or unscheduled shifts • HHAeXchange creates the schedule based on the caregiver’s clock-ins/clock-outs Offline Mode • Caregivers can log services in locations with limited or no access to internet • Visit data is captured electronically at time of service delivery and transferred back in real-time through HHAeXchange to the fiscal intermediary 15
Self-Directed Web Portals Family Portal • Family members can view alerts, review visits, validate services performed, review clock- ins/clock-outs, and stay up-to-date on changes in the participant’s condition Caregiver Portal • Caregivers can view/edit their schedules, interface with fiscal intermediaries, request shifts, and more • Accessible and synced on mobile and desktop Payer Platform • State and MCO Dashboard for real-time monitoring of EVV, authorization management, provider network health, and business intelligence 16
User Friendly • Available in multiple languages • User Interface is based on common mobile device conventions • Tasks can be accomplished with a minimum number of clicks or taps • One simple and easy-to-use user guide with step-by-step instructions • Participants can utilize the HHAeXchange Family Portal to view and validate schedules and services 17
Participant Flexibility • Participants and Caregivers can use their personal mobile devices, computers, or tablets for clock- in/clock-out • HHAeXchange’s EVV supports clock-ins/clock-outs outside the home (ex: Doctor’s office, physical therapy) • No physical device installation required, but it is optional • HHAeXchange offers repair and replacement of EVV devices 18
Questions? info@hhaexchange.com 855-400-4429 19
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