About EVVGuard
Who's on the other side of your revenue
You're trusting us with revenue that already went wrong once. You should know exactly who handles it and what happens to your queue.
The team
EVVGuard was built by two people who've seen both ends of this problem. Venu Yedugondla spent 25 years in enterprise consulting, fixing governance and operations for large healthcare and technology organizations, so he knows exactly how billing systems break. His co-founder is a physician who knows what a home visit means when a patient needs more time than the schedule allowed. Between them: how the money fails, and what the care really requires.
EVVGuard exists because EVV enforcement lands hardest on the agencies least equipped for it. A national chain has a compliance department. A 40-caregiver agency has an office manager with nine other jobs, and the state holds both to the same rule.
The day-to-day is run by US-based coordinators your office can reach by name, on software built and controlled in-house. The client list stays small on purpose: fewer agencies, worked properly, beats a call center reading a script.
What working with us looks like
The look (free)
Run the X-Ray on a recent 835, or send us a remittance to read. See your real number before any commitment.
The setup (week one)
BAA signed, portal access granted, and we baseline your exception queue and edit rate. You get the starting scorecard.
The rhythm (ongoing)
We work exceptions daily (draft, review, resubmit) and hold claims until visits verify. Each month: an updated scorecard and a current audit binder.
The rules we operate by
A named human signs every correction
Our software drafts each exception fix, with the reason code and the evidence behind it. Then a US-based coordinator reviews it and approves it by name. If an auditor ever asks who made a change, you can give them a name.
US-based only, by law and by choice
Several states, including Ohio, prohibit offshore access to Medicaid systems. All of our delivery happens in the US, which also means the person working your queue answers the phone in your time zone.
Flat fee, because the law requires it
Percentage-of-collections billing violates federal Medicaid rules (42 CFR 447.10). We charge a flat monthly fee. It also puts us on your side of the table: since our fee never grows with your denials, the only way we earn it is by shrinking them.
A signed BAA before any data moves
The free X-Ray parses your remittance right in your browser, so the file never reaches us. When you become a client and real data is involved, we sign a Business Associate Agreement before anything moves.
We fix what causes the denials
Every month you get a caregiver-level scorecard: who needs help, which mismatch keeps coming back, where your edit rate is heading. In our experience most exceptions trace back to glitchy apps and wrong identifiers rather than careless caregivers, so that is what we coach.
Start with the free look
Two minutes, in your browser, nothing uploaded. See your number first, then decide if you want to talk.
Run the free Denial X-Ray