EVV System for North Carolina
Alora has made EVV easy for North Carolina home health care agencies. Thousands of caregivers enjoy the unmatched ease of Alora EVV every day because it makes their work-life easier! The benefit for the agency is not only compliance with NC Medicaid requirements, but also far greater operational efficiency than ever before.
Home Care Software with North Carolina DHHS Compatible EVV
- Live-Monitor visit activities and avoid the possibility of lost revenue due to no-shows
- Enjoy faster billing – completed visits are automatically readied for billing and payroll through Alora’s EVV automation
- Ensures patients are administered the planned medically necessary services
- Go paperless with Alora’s Plan of Care based visit notes
- Eliminate the inefficiency associated with manual data entry
- Centralize workflow into one complete solution for Home Health Care & EVV
- Improve the efficiency of home health aides & caregivers during and post-visit
- Reduce the chances of errors in documentation
Learn more about Home Health Software for North Carolina
Alora Integrates with Sandata, HHAeXchange and CareBridge EVV Aggregators
For NC Medicaid and MCOs, Alora system captures the EVV information for you. The EVV data captured is automatically transmitted to payer’s EVV data aggregator such as HHAeXchange, Sandata or CareBridge. NCDHHS has chosen an “Open Model” for EVV, meaning agencies are free to choose any EVV system that best fits their needs. Alora is the all-in-one EVV system for NC.
With Alora, your caregivers can use just one easy-to-use EVV system for all payers, irrespective of who the aggregator is. They do not have to use multiple EVV software. As an all-in-one solution, Alora makes work simpler and straightforward resulting in happier staff.
The following list shows EVV aggregators and the payers they cover.
HHAeXchange EVV Aggregator:
- Carolina Complete Health
- AmeriHealth Caritas of North Carolina
- United Health Care Community Plan of North Carolina
- Wellcare of North Carolina
- Carolina Complete Health HHCS
- Amerihealth Caritas of North Carolina HHCS
- United Health Care Community Plan of North Carolina HHCS
- Wellcare of North Carolina HHCS
Sandata EVV Aggregator:
- Fee for Service Medicaid programs
CareBridge EVV Aggregator:
- Healthy Blue of North Carolina
Alora generates a claim ready EVV data to be transmitted to HHAeXchange as well as CareBridge. This claim ready EVV data doubles as EVV and claim submission. With Alora being your single EVV vendor for North Carolina, your staff does not have to deal with multiple EVV systems.
Home Health Software with Built-in EVV
Alora is one of the most preferred alternate EVV systems for North Carolina because agencies can use only Alora for all their EVV needs irrespective of who the payer is. Behind the scenes, Alora can transmit the EVV data to the appropriate aggregators chosen by the MCOs or the state. With Alora, EVV is integrated into your agency workflow. This integrated solution eliminates the need for double entries while increasing accuracy and productivity.
Alora EVV Features
Live Real-time Monitoring
Alora offers live monitoring of home visits, notifying your agency of both no shows and delayed visits. Alora provides a real-time view of all home visits activity in real time. This ensures that your agency stays compliant and informed while avoiding the risks associated with lost revenue due to visit disruptions.
Faster, More Efficient Billing and Payroll
Alora EVV is integrated within a robust home health software solution. EVV data is automatically captured flows into the Alora full homecare software system. When an agency caregiver exits the patient’s home, the visit is instantly updated within Alora’s system with the start and end time recorded. The visit is then marked as completed. Instantly, the visit is ready for billing and payroll. All visits that did not occur as planned are flagged for manual review by your administrators.
Reduce Claim Denials Risk
Once EVV begins in 2021, the possibility of denied claims will increase for those who are not comfortable with an compatible system. Is your agency going to be at risk for claim denials? Alora integrates EVV into claims processing to eliminate the risk of claim denials. With Alora, you can rest easy.
See how Alora can help your agency
Simplicity through Automated Workflow
Alora standardizes ease & automation through NCDHHS Compatible home health software technology, positioning your agency to enjoy a heightened level of workflow that ensures efficiency and accuracy. The outdated process of committing several manual hours daily to enter and verify EVV data will be a welcome elimination from your staff’s workflow. Inefficient practices cost agencies time and money while raising the possibility of costly errors that can put reimbursement and agency solvency at risk. With Alora, simple is not only power, it’s also profitable.
Call 1-800-954-8250 Ext 2 to speak with a North Carolina EVV Agency Solutions Consultant.
The Advantage of Built-in EVV for North Carolina Agencies
Alora makes work life easier for both administrators and caregivers. The benefits of having Electronic Visit Verification fully integrated within Alora’s homecare software system begin with the fact that Alora already houses visit information from the point the caregiver arrives at a patient’s home. Upon their arrival at a patient’s residence, caregivers can simply press “Start Visit” and proceed with patient care.
Stand-alone EVV systems lack prior data from the visit, lack information on a client’s Medicaid ID, and lack agency information, caregiver identity, and details of the services being provided. Caregivers are forced to enter all of this information upon arrival, wasting time, and raising the risk of manual entry mistakes. A state-approved system requires extensive training and the hassle of navigating EVV data in two separate systems. Alora’s EVV solution removes these burdens from agencies with a centralized interface designed for both agency admin and caregiver ease. Caregivers can use Alora EVV on their mobile device of choice.
Care Plan based Visit Notes for your Aides and nurses
Alora generates patient-specific visit notes derived from the Plan of Care. Aides and nurses can perform documentation directly from Alora’s EVV interface on their mobile device, simplifying processes and creating assurance that care was implemented accurately and on time.
Empower Nurses and Aides
Alora empowers aides and nurses with a software tool to not only capture electronic visit verification but additionally
- Access Alora from their smartphone or other mobile devices
- Check their schedules
- Look up client information on their mobile device
- Complete plan of care-based visit notes
- Communicate with the agency through secure mail with text notifications.
Alora offers agencies an award-winning nurse-friendly home health software solution that is fully supported by a technical support team committed to agency success. Nurses can complete visit notes and assessments right at the patient’s home while enjoying access to all relevant clinical information at their fingertips. The EVV component of Alora grants caregivers immediate access to skilled nursing visit notes and OASIS assessments, ensuring that workflow at the patient’s home stays simple and straightforward.
Telephony
What occurs if and when your caregiver arrives at a patient’s home and finds no Internet connectivity? Alora offers homecare telephony as a back up to our GPS based NC EVV software. If your caregiver is performing services in a home and Internet is out, the caregiver can use Alora’s telephony solution to capture EVV.
All-in-One Solution for North Carolina Home Health Care
Alora is not solely an Electronic Visit Verification (EVV) solution, additionally, it is a powerful home health software for NC agencies. Alora is engineered to operate as a complete system for homecare, covering the full financial, clinical, and operational aspects of a home health care business.
Excellence, Efficiency, and Financial Success
Alora Home Health Software offers all the features and functionality for your agency to reach the next level:
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· Billing · Electronic claims for all payers · Medication profile and interactions · Accounts receivable · HR functions · OASIS & comprehensive assessment · OASIS analyzer · Plan of care (485) · Automatic 485 generation · Electronic signature capture · Dashboard |
· Eval, POC & notes for all disciplines · Integrated Faxing · Physician orders · Flexible Scheduling · Internal email · Payroll · ICD10 codes · Quality assurance · Communication log · COVID-19 Screening · Referral tracking |
Alora‘s flexible implementation methodologies allow you to choose the features you and your employees need to realize peak productivity.
Mobile-Ready Web-based Platform – Connectivity with Any Device
Alora’s Home Health Software is a fully mobile, browser friendly solution. Alora’s point of care features can be scaled to any device. Caregivers can access Alora using their smartphones, tablets, and laptops.
When does EVV start in North Carolina?
Section 12006 of the 21st Century Cures Act requires that the North Carolina Department of Health and Human Services (DHHS) begins using an Electronic Visit Verification (EVV) system for Personal Care Services (PCS) effective Jan. 1, 2021 and for Home Health Care Services (HHS) by January 2023. Home Health Aide services are subject to EVV beginning Jan. 1, 2023. EVV is NOT required for adult care homes, licensed residential facilities, or supervisory and admission visits by nurses.
EVV is defined as an approved system that uses electronic visit verification technology to record the time, date, location, and specific services that are provide during visits. These requirements are to ensure that people who should receive services, in fact, receive them as executed and reported.
Alora Home Care Software features an integrated EVV solution that offers compatibility with NC EVV software requirements. Alora’s EVV for NCDHHS protocols is an enhanced EVV solution that is fully integrated into a powerful Home Health Software for North Carolina agencies.
ALORA is a Certified Alternate EVV Provider for the State of North Carolina
The NCDHHS allows agencies to choose an EVV system of their preference if they so desire. The term “third-party EVV system” or “alternate EVV system” refers to such providers that operate independently of the State-supplied Sandata system. Such EVV applications can be used at will by provider agencies and will be responsible for delivering EVV data to NC Medicaid to comply with EVV specifications.
NC EVV VENDOR
NCDHHS officially awarded a contract to Sandata Technologies, LLC in September of 2020 and will begin using their services for NC Electronic Visit Verification (EVV) statewide on Jan. 1, 2021. NC Medicaid will continue to issue updates with providers regarding the onboarding of Sandata, including dates and times of provider and beneficiary training.
Agencies are free to use an Alternate EVV system for North Carolina Medicaid.
WHY ALORA?
ALORA’s NC Home Health Software System with Built-in EVV Features
- Live-Monitor visit activities and avoid the possibility of lost revenue due to no-shows
- Enjoy faster billing – completed visits are automatically readied for billing and payroll through Alora’s EVV automation
- Ensures patients are administered the planned medically necessary services
- Go paperless with Alora’s Plan of Care based visit notes
- Eliminate the inefficiency associated with manual data entry
- Centralize workflow into one complete solution for Home Health Care & EVV
- Improve the efficiency of home health aides & caregivers during and post-visit
- Reduce the chances of errors in documentation
North Carolina Medicaid EVV
Additional Information & Facts on North Carolina Electronic Visit Verification
Electronic Visit Verification (EVV) is defined as a system that verifies through electronic means the date, time, and location of when a person receives services in the home or community.
Per the NCDHHS website:
In compliance with Section 12006 of the 21St Century Cures Act (the Cures Act), P.L. 114-255 was added to Section 1903(l) of the Social Security Act (SSA). Section 1903(l) requires the use of an EVV system for Personal Care Services (PCS) and Home Health Services (HHS) that require an in-home visit by a provider for states participating in the Medicaid program. Programs subject to the EVV requirement include State Plan Personal Care (PCS) [In-Home], Community Alternatives Program for Children (CAP/C), Community Alternatives Program for Adults (CAP/DA), self-directed personal attendant care services, Innovations Waiver, TBI Waiver and the 1115 Managed Care Demonstration Waiver.
What waiver programs/services will begin EVV when Medicaid Managed Care launches on July 1, 2021?
Effective July 1, 2021, State Plan Personal Care Services (PCS)Medicaid-only beneficiaries will be managed by the Prepaid Health Plans (PHPs) and are subject to EVV through the PHPs.
Which NC Medicaid beneficiary services are required to participate in EVV?
EVV applies to Personal Care Services (PCS) [In
-Home] provided under the state plan, or 1915(c) waivers and 1115 Managed Care Waiver. EVV is required for State Plan PCS, Community Alternatives Program for Children (CAP/C), Community Alternatives Program for Disabled Adults (CAP/DA), and self-directed personal attendant care services. These services and programs are subject to EVV beginning Jan.1, 2021. The Innovations and TBI waiver services as well as identified (b)(3) services will be subject to EVV by March 31, 2021.EVV will be required by the 1115 Managed Care Demonstration waiver (Standard Plans) at Managed Care go-live on July 1, 2021
What is considered a “Third-party” or “Alternate” EVV system?
The term “third-party EVV system” or “alternate EVV system” refers to the ability of a provider agency to use an EVV solution of their choosing that is not the State-supplied Sandata EVV system. These EVV applications can be used by the providers and will be responsible for delivering EVV data to NC Medicaid to comply with EVV requirements. Please note that providers choosing to use a third-party system may incur a cost from the vendor for that EVV system and the interface to NC Medicaid’s EVV system. A Global Positioning System (GPS) confirmation is required in North Carolina when using a third-party vendor.
Read our Blog on North Carolina Electronic Visit Verification for more information on this topic
You may also visit the official NCDHHS website
EVV & The 21ST Century Cures Act
Section 12006 of the 21st Century Cures Act required that all 50 States implement EVV in Medicaid programs for personal care services by January 1, 2020, and for home health care services by January 1, 2023, for in-home visits.
More About Alora
Alora is one of the nation’s premier providers of software solutions for the Home Health Care industry. We are a trusted partner to countless agencies operating within the state of North Carolina, improving agency productivity, profitability, and performance. Alora automates virtually every data capture and management function of an agency’s day-to-day operations. Integrated EVV functionality ensures that agencies can handle all of their workflow within one centralized system.
The 21st Century Cures Act mandates the use of EVV systems by home care agencies when billing through Medicaid. Alora helps agencies meet and exceed these requirements for electronic visit verification for North Carolina Medicaid patient visits.
Since 2005, Alora has been a preferred software for home health agencies in North Carolina helping these organizations improve patient care and operational efficiency. Alora was built on a culture that encourages continuous improvement and customer satisfaction. The result is a team of professionals who are dedicated to effectively satisfying your needs by providing the most powerful, yet easy-to-learn and implement technology.
Read more about electronic visit verification in NC, as well as finding a compliant NC EVV system in our NCDHHS EVV BLOG
