How Fiscal Intermediaries Use EVV to Simplify Payroll and Compliance
A Fiscal Intermediary, also known as an FI, supports individuals who receive personal care and similar services through state funded programs. An FI administers funding sources and makes sure payments follow program rules. These services often come through programs managed by the Department of Disability Services and the Department of Social Services.
In addition, an FI manages the administrative work tied to these programs. This work includes payroll, reporting, and required documentation. Many individuals and families cannot manage these tasks on their own. As a result, the FI takes on this responsibility and ensures compliance. This support allows caregivers and participants to focus on care instead of paperwork.
The Role of Payroll in FI Operations
Payroll ranks as one of the most important responsibilities of a Fiscal Intermediary. In the past, this process relied on paper timesheets. Caregivers filled them out by hand and submitted them for review and approval. This approach often caused delays, errors, and extra administrative work.
To solve these issues, RSI builds systems that modernize payroll workflows. One of the most effective tools in this effort is Electronic Visit Verification, known as EVV.
What Is Electronic Visit Verification
Electronic Visit Verification is a federal requirement for Medicaid funded personal care and home health services. EVV uses technology to confirm that caregivers deliver services as scheduled. Caregivers use a mobile phone or approved device to check in and check out of visits. They also record key visit details during each shift.
This process replaces paper timesheets with electronic visit data. As a result, payroll teams receive more accurate and reliable information. EVV reduces fraud, supports compliance, and improves payroll accuracy. Most importantly, it helps caregivers spend more time focusing on their clients.
Flexible EVV Requirements Across Programs
Although EVV is required, agencies do not have to use a single system or data standard. States and programs can choose different EVV providers, transmission methods, and data formats. Over time, they can also switch EVV vendors as their needs change.
Because of this flexibility, Fiscal Intermediaries often face added complexity. Many FIs work with multiple programs, each using a different EVV solution.
RSI’s Modular EVV Solution
To address these challenges, RSI uses modern development practices and a modular system design. Each part of the EVV process operates as a separate component. This structure allows RSI to adapt quickly to different EVV providers and evolving data formats.
First, the system receives data from each EVV solution. Next, it transforms that data into a standard format used for payroll processing. This approach eliminates the need to build separate workflows for every EVV provider. In turn, it reduces complexity and improves long term maintainability.
Why Modularity Matters
Because RSI uses a modular design, teams can update the system quickly and efficiently. When an EVV provider changes its data format or when a new provider joins the system, RSI adjusts only the necessary components. The rest of the payroll workflow continues without interruption.
As a result, RSI responds faster to regulatory updates and technology changes. This flexibility delivers quicker value and a stronger return on investment for Fiscal Intermediaries.
Driving Value for Fiscal Intermediaries
RSI helps Fiscal Intermediaries manage payroll, compliance, and reporting with confidence. The EVV solution reduces administrative workload while supporting accurate and timely payments. It also ensures compliance across multiple programs and agencies.
With a flexible and scalable system in place, FIs can support growth without sacrificing accuracy or control.
Learn More About RSI
Looking to simplify EVV processing and strengthen your payroll operations? Contact RSI to learn how our solutions can help your organization operate more efficiently and grow with confidence.