The 85 percent EVV number: where it comes from, and what your state actually requires.
Eighty-five percent is the EVV compliance number agencies ask about most, but there is no single national threshold. States set their own bar, and many hold agencies to a required share of visits verified electronically in real time. Falling under it costs money in more ways than one.
What the number measures
The share of visits auto-verified at the point of care versus manually corrected after the fact. A visit that clocks in and out through the EVV device on time, at the approved location, counts. A visit reconstructed later through a manual edit does not, or counts against the compliance rate depending on the state.
Several states enforce a strict standard, including Pennsylvania, New Jersey, and North Carolina. The exact threshold and the penalty schedule vary by state, so anchor to your own state's published rule rather than to a national benchmark.
What missing it costs
Denials and delayed payments on the visits that fall below the standard. Audits and corrective action plans on the agency. Retroactive recoupments that often arrive as a single lump amount rather than line by line. In the worst case, removal from the provider network.
Why agencies miss it
Clock-in and clock-out lapses at the start or end of the visit. GPS and connectivity problems in the field, especially in rural coverage. Thin caregiver training on the EVV device or app. EMR-to-aggregator sync failures where the visit posts locally but never reaches the state system.
How to move the number
Review EVV exceptions daily rather than at claim time. Drive down manual edits with training and device support. Reconcile EVV against claims before submission so a low compliance rate is caught while it can still be fixed, not after the recoupment letter arrives.
Plain answers, on the record.
Collect is money you never captured. Cover is money a payer can still take back.
Reeve reports the two separately and never adds them together, because only one of them is yours to go and get. The Margin Review reads both on your own export and costs nothing.
One pass over your own export, in your browser. The findings are yours to keep, with no obligation.
The recovery lane. Care you delivered and never billed, units short of what was authorized, lines paid under the published rate.
Everything in Collect, plus the exposure lane. Retired codes, authorizations at the end of their period, care delivered past what was approved.
Month to month, no annual contract. Read-only in every tier. Run the free review.
Catch the EVV shortfall before the recoupment.
The Margin Review reconciles EVV records against submitted claims for one closed period and flags every visit at risk of an EVV-driven denial or recoupment.