How to Choose an Electronic Visit Verification System: A Buyer's Guide for Home Healthcare Agencies
As of January 2025, Managed Care Organizations began enforcing an 85% EVV compliance threshold across Personal Care Services and Home Health Care Services. Agencies that fall below that rate for three consecutive months face Corrective Action Plans. Continued non-compliance can end in contract termination. That is the environment every EVV system gets measured against now.
This guide walks through what an EVV system actually does, what separates a verification tool from a tracking tool, and the specific questions a clinical director or agency owner should ask before signing a contract. It is written for decision-makers who need to get this right the first time.
What an Electronic Visit Verification System Is Supposed to Do
The 21st Century Cures Act, Section 12006, requires EVV for all Medicaid-funded Personal Care Services and Home Health Care Services. At a minimum, a compliant system has to capture six data points for every visit: the type of service performed, the individual receiving the service, the person providing the service, the date, the location where the service was delivered, and the time the service began and ended.
That is the floor. An EVV system that only captures those six fields will keep an agency technically compliant, but it will not protect the agency during an audit. The difference between a system that tracks visits and a system that verifies them is the difference between having data and having proof.
Here is the distinction that matters. A tracking system records what a caregiver says happened. A verification system produces evidence that the visit actually occurred at the right place, at the right time, with the right people. When a payer asks for documentation on a visit from eight months ago, the tracking system hands over a log entry. The verification system hands over a timestamped, geo-tagged, tamper-proof record that was generated at the point of care.
The Verification Gap and Why It Matters
The EVV software market is full of products that meet the federal minimum and nothing more. They collect the six required data points, they generate reports, and they integrate with state aggregators. On paper, they check the box.
The gap shows up during enforcement. In June 2025, the Massachusetts Attorney General's Office secured indictments against a Randolph-based autism service provider for allegedly submitting more than one million dollars in false MassHealth claims. According to the AG's filing, the provider was accused of fabricating documentation to support services that were never delivered. A visiting nurse agency has faced a 35 million dollar reimbursement demand in a separate matter involving inadequately verified services. These are not outliers. CMS estimates over ten billion dollars in improper home health payments each year nationally.
What those cases have in common is that documentation alone was not enough. Regulators are no longer asking whether a visit was logged. They are asking whether the log can be trusted. That is the question an EVV system has to answer.
What to Evaluate When Comparing EVV Systems
Every vendor will claim their system is compliant, easy to use, and trusted by hundreds of agencies. Those claims are not useful for decision-making. The criteria below separate systems that look similar in a demo from systems that perform differently under audit.
1. Verification Method
How does the system actually confirm that a visit happened? Some products rely on self-reported check-in, which means the caregiver types or taps that they arrived. Others use GPS alone, which confirms a phone was at a location but not that a service was rendered. The strongest verification combines a location-specific QR code scan at the point of care with GPS confirmation at the service point. That combination is harder to falsify because the QR code only exists at the correct physical location, and the GPS coordinate has to match.
Ask the vendor directly: if a caregiver tried to clock in from home, would the system flag it? If the answer is anything other than yes, the system is tracking, not verifying.
2. Tamper Resistance
Records that can be edited after the fact are records that cannot be trusted by a payer. Evaluate whether timestamps can be changed, whether location data can be overwritten, and whether historical entries can be modified without an audit trail. Ask how the system handles offline capture, which is common in rural service areas, and whether records generated offline are still timestamped at the original moment or when they sync.
3. Audit Readiness
A system that can produce a clean audit report in ten minutes is worth significantly more than a system that requires a week of spreadsheet work. Evaluate the reporting interface during a demo. Ask to see what a compliance report looks like for a single day, a single caregiver, and a flagged exception. If the output is messy or requires manual formatting, that is what the agency will be handing to auditors.
4. Mileage and Reimbursement Accuracy
Mileage tracking is not peripheral. Payroll disputes and reimbursement errors compound quickly across a mobile workforce, and manual mileage logs are one of the most common sources of billing discrepancies. A good EVV system calculates travel distance automatically based on verified visit locations, which removes the guesswork and the disputes.
5. Implementation Timeline
Agencies facing the 85% MCO compliance threshold do not have 90 days to deploy new software. Ask how long same-day setup actually takes, what training caregivers need, and what happens to existing scheduling and payroll data during the transition. A system that takes six weeks to go live is a system that is still generating non-compliant visits while the clock is running.
6. Technical Support Model
Most small and mid-size agencies do not have in-house IT staff. That means the EVV vendor's support model is the agency's support model. Find out who answers the phone when a caregiver cannot log in at seven in the morning on a Saturday. Ask whether support is included in the subscription or billed separately. Ask for the average response time on escalations.
7. Total Cost of Ownership
Per-seat pricing is the number on the invoice, but it is not the full cost. Evaluate setup fees, training costs, integration fees with payroll or EHR systems, and any fees for audit report generation. A low per-seat rate with expensive add-ons can cost more than a transparent all-in-one model.
Questions to Ask Every Vendor
Before signing a contract, get written answers to the following:
- Does the system verify that a visit occurred at the correct physical location, and how?
- Can historical records be edited, and if so, what is logged when they are?
- What happens to visit data when a caregiver works in an area without cellular coverage?
- How does the system integrate with our state's EVV aggregator?
- What is the average time from sign-up to first verified visit?
- Who provides technical support, and what are the response time commitments?
- What does an audit report look like, and how long does it take to generate one?
- What happens to our data if we end the contract?
A vendor that cannot answer these clearly or tries to redirect the conversation toward features is a vendor that will not hold up during an audit.
How MyVisits Was Built to Answer These Questions
MyVisits was founded by Joseph Catan, who spent 18 years as a Clinical Director managing in-home service verification. The platform exists because the verification tools available to him during that time did not hold up to the standard a clinical director actually needs to defend against an audit.
The SecureVerify technology combines QR code check-in and check-out at the client's service location with GPS confirmation at the point of care. Mileage is calculated automatically based on verified visit endpoints. Every record is timestamped and tamper-proof. Audit-ready reports are available on demand, not compiled manually. Setup is same-day, and technical support comes directly from MyVisits rather than being outsourced, which means agencies do not have to hire or contract an IT team to maintain compliance. The infrastructure runs on AWS.
Pricing is straightforward: $89 base plus $45 per provider seat. The first 30 days are on us, with full functionality from day one, so the agency can evaluate the system under real operating conditions.
The Cost of Getting This Wrong
An agency that picks an EVV system based on the lowest per-seat price and discovers during an audit that the records cannot be defended is an agency facing reimbursement demands, Corrective Action Plans, and potentially contract termination from its MCO network. The cost of choosing a verification platform that actually verifies is small compared to the cost of a single enforcement action.
Medicare fraud penalties reach $250,000 per incident. Reimbursement demands in recent cases have climbed into eight figures. The 85% threshold is not a suggestion, and the three-month corrective window moves faster than most agencies expect.
The right EVV system is the one that answers the question regulators are asking. Not whether the visit was logged. Whether the log can be trusted.
Ready to See What Verification Looks Like?
MyVisits offers same-day setup, tamper-proof visit records, automated mileage tracking, and direct technical support from the team that built the platform. Try the first 30 days on us and see the system work under your actual operating conditions.