EVV requirement
Every Medicaid personal care and home health visit must be verified by an electronic visit verification system — no matching EVV transaction, no payment.
The most rigorous EVV claim-match engine a home-care agency can run.
VisitProof clears EVV exceptions daily, recovers denied and aging visits before state correction windows expire, and protects compliance scores — as states flip from soft edits to automatic no-match-no-pay denials in 2026.
Every state's EVV policy handbookFive exception root-cause categories, gate-checkedDHSMV · USCG · UCC · judgment lien searchesSpecialist release on every pack5-business-day SLA
Why claims get denied
A single unmatched visit can cost you the entire claim.
A home-care agency's Medicaid revenue is only as strong as its EVV matching. Miss a GPS mismatch, a missing clock-out, a unit discrepancy, or an authorization misalignment — and the claim is automatically denied. With states like Ohio, Texas, Missouri, and North Carolina flipping to hard edits in 2025–2026, there is no grace period left.
Most agencies run this by hand, from memory, once or twice a week. The state's EVV handbook has not been read end-to-end since the last time it mattered. That is exactly where completeness gaps hide.
VisitProof exists to close that gap with a single, exhaustive standard applied identically to every file.
36%
of all FY2024 Medicaid fraud convictions were personal-care attendants — why states enforce EVV matching hard
The benchmark
Measured against the letter of each state's EVV policy — subsection by subsection.
We do not summarize the law and hope. Every claim is scored against a versioned rule pack tied to the exact text of each state's EVV handbook and the 21st Century Cures Act §12006. These are the provisions each claim is held to.
Correction windows
Each state defines a maintenance window (e.g., Texas 95 calendar days) after which visits lock permanently. VisitProof enforces countdown timers against every window.
Reason codes & evidence
Corrections must use state-valid reason codes and be supported by source evidence (schedules, caregiver confirmations, GPS logs). VisitProof drafts corrections with the exact code and evidence.
Fee restriction
Medicaid billing agents cannot charge a percentage of collections. VisitProof charges flat monthly fees — never a percentage — aligning with federal law.
Usage score thresholds
States like Texas issue corrective action plans below an 80% EVV usage score. VisitProof tracks and reports usage scores to keep agencies compliant.
Audit documentation
Every correction must be documented for audit. VisitProof packages a complete evidence log for each claim, ready for state review.
How a claim is cleared
Intake to specialist release, with deterministic gates the AI cannot overrule.
AI extracts and drafts. Deterministic rules — running as code, outside the model — decide what is complete. A human specialist signs every release. That order is never reversed.
01
Delinquency Gap Scan
Upload your EVV aggregator exports, schedules, authorizations, and claims. We return a free completeness read: which exceptions are present and which are missing.
02
Evidence & root-cause analysis
As your authorized clerical agent, we ingest EVV records, schedules, authorizations, and 835 remittances; classify every exception by root cause (GPS, clock, unit, authorization, other).
03
Grounded correction drafting
Corrections are drafted from validated data and the state's EVV handbook into field-locked templates — no legal opinions, no invented facts.
04
Deterministic completeness gates
Amounts reconcile to the ledger to the penny; the correction window is verified; the evidence checklist is resolved; SCRA is screened. Any failure blocks release.
05
Specialist release
A billing specialist reviews the exception queue and signs the release. High-value or complex claims route to attorney review first.
06
Delivery
You receive the cleared claims: corrections, evidence log, compliance score report, and a weekly cash-recovery report — ready for submission.
The bar we hold
Rigor you can measure.
100%
Specialist-released
No claim ships without a human signature.
5 days
Standard SLA
From complete intake to released corrections.
<1%
Critical-defect target
Tracked against a gold-standard claim library.
4
State handbook sources
Ohio, Texas, Missouri, North Carolina — every applicable file.
Why VisitProof
Built to be the most thorough option an agency has.
Documentation-complete, by design
The deliverable is completeness itself — every exception cleared and accounted for or explicitly exception-coded. Nothing is left implicit.
Deterministic, not vibes
The gates that decide completeness are code, not a model's opinion. A drafting error cannot slip past a statutory requirement.
In its lane, on purpose
We prepare documentation and run searches as your clerical agent. We never contact the patient, give legal advice, or conduct the billing.
Engagement
Flat fee, per released claim. No contingency, ever.
Simple, predictable, and aligned with a documentation standard — not a cut of any recovery.
- A free Delinquency Gap Scan before you commit — see exactly what is missing.
- One flat fee per released claim; disclosed pass-through search fees.
- Optional fixed-fee attorney review for high-value or complex claims.
- Optional Backlog Cleanup Project for historical denied claims.
FAQ
Questions, answered precisely.
Is VisitProof a law firm?
No. VisitProof, a service of Your Deputy, Obuke LLC, provides documentation-completeness services. It is not a law firm, does not provide legal advice, and does not represent you in any legal matter. Attorney review is available and recommended for high-value or complex claims.
Do you contact the patient or collect the debt?
Never. VisitProof is not a debt collector and does not contact patients or beneficiaries. The agency remains the billing provider and the party responsible for submitting all claims.
What makes a claim 'complete'?
Completeness is defined by the state's EVV handbook: the five exception root-cause categories resolved, the correction window verified, the evidence checklist resolved, and SCRA screened. Deterministic gates enforce each one before release.
How fast is it?
The standard SLA is five business days from complete intake to a specialist-released claim. The free Gap Scan is returned much sooner and tells you exactly what is still needed.
How are you priced?
A flat fee per released claim, plus disclosed pass-through search costs. No contingency and no percentage of any recovered amount or claim proceeds.
See what's missing before it costs you a claim.
Start with a free Delinquency Gap Scan. Send your EVV exports and claim details and we'll return a completeness read against every subsection of your state's EVV handbook.
Documentation-completeness service · not legal advice · the agency submits every claim.