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HID Global aims to cut Medicaid fraud via NFC

HID Global has introduced a care worker tracking service that meets Medicaid Electronic Visitor Verification (EVV) requirements. The service uses NFC tags and NFC phones to provide an “indisputable and auditable” record of visits made to patients.

HID Global

Based on HID Global’s NFC Trusted Tag platform, the service integrates with a range of clinical and administrative software systems and is designed to cut down on fraudulent claims, while reducing the cost and improving the accuracy of billings and reimbursements.

“Medicaid and Medicare reimbursements for home-based care in excess of $31 billion, and a booming home health industry that is expected to reach a value of $150.8 billion by 2018, have given rise to a multi-billion dollar fraud problem for public and private insurers,” HID Global explains.

“One of the most common fraudulent activities is submission of claims for payment of services that were never provided, a situation exacerbated by manual verification processes that make it easy to falsify records.

“To eliminate fraudulent claims, Medicaid programs in several [US] states now require home health agencies to implement EVV systems to prove that a caregiver was physically present in the patient’s home for the required length of time.

“While some states mandate the use of specific EVV equipment, others simply require EVV systems that meet minimum technical and functional standards.”

“HID Trusted Tags satisfy these requirements by leveraging the near ubiquitous nature of NFC-enabled mobile devices to enable a highly secure EVV system that is both easy to use and impossible to defraud,” says Marc Bielmann, HID Global’s vice president of identification technologies.

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