EVV (Electronic Visit Verification) compliance remains one of the biggest headaches in home care. With shifting regulations, growing patient volumes, and high caregiver turnover, it’s no wonder that so many agencies feel stuck in a cycle of audit stress and operational firefighting.
At our most recent Nevvon webinar, we teamed up with Volter Dalzon of AZ Billing to break down why EVV remains so difficult—and, more importantly, how agencies can move from survival mode to true success.
Why Does EVV Still Fail?
Despite years of implementation, EVV is still a major challenge for many agencies. Caregivers often struggle to complete EVV properly, leading to hours lost on error correction and compliance teams “chasing” caregivers for fixes. Add in a lack of effective, accessible training and a never-ending stream of tech changes, and it’s easy to see why the problem persists.
But the real consequences are felt in delayed reimbursements, failed audits, burnout, and margin pressure—especially for agencies relying heavily on Medicaid. As Allan Levine, Nevvon’s SVP of Revenue and Growth, put it:
“When caregivers understand how EVV impacts their pay, their schedule, and their patients—not just the agency—compliance issues shrink dramatically.”
Training Gaps: The Human Side of EVV
One key theme was the importance of training and onboarding. It’s not enough to tell caregivers what to do; agencies need to show them why it matters and make sure every new hire leaves orientation comfortable and confident with the tech they’ll use.
A few standout best practices:
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Native language training: “Employees are 70% more likely to be successful when trained in their native language,” Allan shared. Accessible, multilingual resources are critical for a workforce where English is often a second language.
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Hands-on onboarding: Before a caregiver leaves the office, make sure they’ve logged into every app and understand the systems they’ll use—from EVV to payroll.
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Continuous refreshers: Don’t dump all the information at once; make it easy for caregivers to revisit training and get real-time support.
Data, Feedback, and Culture: The Road to Success
As Volter Dalzon explained, small operational fixes—like cleaning up phone numbers and caregiver IDs in your system—can prevent the most common EVV errors.
“The most preventable EVV failures are the ones within your control—bad data, outdated contact info, missing IDs. Clean up your data, and you’ll clean up your audits.”
Both speakers stressed the need for:
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Real-time monitoring: Keep EVV dashboards open during high-volume times, so you can catch mistakes and coach caregivers quickly.
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Feedback loops: Ask for input from your team and act on it. Publicly recognize and reward top performers to build a positive, compliance-focused culture.
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Peer mentorship: Sometimes, hearing advice from a colleague carries more weight than hearing it from a supervisor.
One Final Takeaway: Make It Easy
In the end, the most successful agencies are those that remove friction and meet caregivers where they are. “Make EVV simple, make it accessible, and meet caregivers where they are—especially when English isn’t their first language,” Allan summarized.
And one practical warning from Volter:
“If you give caregivers any reason to go back to paper timesheets, they will take it. Don’t let old habits be a fallback.”
