Category: Electronic Visit Verification

State Medicaid agencies are increasingly mandating community reinvestment requirements in contracts with Medicaid managed care organizations (MCOs). These requirements necessitate that MCOs reinvest a portion of their profits back into the communities they serve to improve health outcomes. At least ten states have adopted or are implementing such requirements. Direct Care Innovations provides solutions that […]

With the ever-increasing growth of Medicaid and Medicare managed care, Direct Care Innovations is at the forefront of providing solutions that help agencies navigate these complex systems. On average, 100 million enrollees receive federal health benefits, representing a significant portion of the CMS budget. The Office of Inspector General (OIG) has released a strategic plan […]

New federal EVV regulations for Nebraska Medicaid were to be fully implemented by August 2024 but have yet to be completed by the approved deadline. Fortunately, the Department of Health and Human Services (DHHS) has recognized the intricacies of such a complex and sophisticated task and provided a new implementation date for required EVV regulations. […]

Since the introduction of EVV across the home health industry, several other benefits have been discovered beyond verifying home health care visits and preventing Medicaid fraud. For this reason, EVV compliance is a crucial tool that many of Direct Care Innovations‘ clients find significantly beneficial. Let’s examine three surprising benefits of EVV and how they […]

Fiscal management of health care services is essential for home health agencies, care providers, and clients and their families. With financial oversight, home health leadership can ensure quality care for patients and their families, provide resources and support for staff, and balance rising costs with efficient business practices. Direct Care Innovations has helped many of […]

The direct care workforce is at an all-time low, and there are currently no effective solutions for this challenge. The increasing demand for direct care workers continues to grow, and elderly populations and individuals with disabilities are relying more and more on home-based care. With such a high need for direct care workers, why are […]

Last February, 23 individuals were charged with healthcare fraud involving $61.5 million in Medicare schemes. This complex, illegal scheme exposed patients to unnecessary testing and physician services and took advantage of vulnerable populations who depend on Medicare for crucial medical services. Unfortunately, this isn’t the only time healthcare fraud has been an issue. Direct Care […]

In February of this year, a major Medicare fraud scheme was discovered in southeast Michigan with 23 individuals being charged with several healthcare-related crimes. The perpetrators defrauded Medicare with $61.5 million in kickbacks, bribes, and Medicare bills for services that were either medically unnecessary or never provided. Patients were also exposed to excessive drug testing […]

In the fall of 2022, the U.S. Department of Health and Human Services (USDHHS) revealed its first collaborative and strategic national plan for providing family caregivers with various supports and resources. The 2022 National Strategy to Support Family Caregivers consists of several hundred action steps that can help relieve family caregivers of the extra burdens […]

Caring for a loved one who is ill or living with a disability at home is a 24/7 job. Consequently, caregivers need to create space to properly care for themselves. Otherwise, you risk burnout and exhaustion, which serve neither you nor your loved one. Direct Care Innovations wants you to know that help is available […]