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Contents

Disclaimer

Common Terms and EVV

Electronic Visit Verification (EVV)

Provider Overview

Mobile App Overview

Mobile App Clock out Verification

Landline Overview

Fob Overview

Historical Entries

Auditor Role in OR PTC DCI

Looking Up a User

Identifying Consumer/Provider Pairings

Finding the Provider’s UniID in the Provider Profile

Finding the Provider Number in the Provider’s Profile

Entries and Entry Status Breakdown

How to View Entries

Entry Statuses

Useful Features for Auditors in Provider Profiles

Additional Features in Provider Profile- Map/GPS

Additional Features in Provider Profile- Events Tab

Relevant Reports and How to Create Them

Authorization Entries Report

Punch Entry Details Report

Employee Service Account Punch Notes Report

PTC Support Resources and Contact Information

Disclaimer

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Table of Contents
The content found in this document is intended for Staff with the Auditor Role using the OR PTC DCI system.

Common Terms and EVV

Common terms in OR PTC DCI are as follows:

  • Authorization – Contains data for how many hours and/or miles the provider has available to work in each pay period.
  • Consumer – A person who receives services from a provider. Sometimes referred to as a client, recipient, or service recipient, Oregonian, or participant. In OR PTC DCI, the Client profile type is used.
  • Consumer Employer Representative – A person selected by the consumer to help with Optional Signoff on the time a provider works. In OR PTC DCI, the Guardian profile type is used.
  • Cost Center – This is equivalent to the branch. There are two different versions of cost centers in OR PTC DCI, one ending in EU (external user) and one not (i.e. 2011-EU and 2011). The cost center ending in “-EU” is where consumers are housed. This is also where entries are created by providers. The non-EU cost center is where staff profiles are housed.
  • Pay Period – A pay period for a provider is a two week (14 day) time period that begins on Sunday the first week and ends on Saturday the second week.
  • Permissions – Determines actions a user can take in addition to their role. The only permission staff may have in the system is the Authorization Admin Permission which allows them to edit authorizations.
  • Provider – A Homecare Worker or Personal Care Attendant who provides services to consumers based on their authorization. In OR PTC DCI, the Employee profile type is used.
  • Punch Entry (Time Entry) – An entry representing a time or mileage entry by a provider for services being performed for a consumer.
  • Roles - Determines primary actions a user can take for a specified cost center. Staff can only be assigned one role per cost center. Roles are given over the non-EU cost centers.
  • Service Account – Links the provider and the consumer in OR PTC DCI.
  • Service Code – Represents what type of service is being provided (ex. Hourly, Mileage).
  • Signoff – Term used to describe the optional process consumers use to verify punch entries created by their provider.

...

  • OR PTC DCI was implemented to comply with federal regulations in the 21st Century Cures Act called Electronic Visit Verification (EVV).
  • EVV requires states to capture the following data elements when Home Health Care Services are provided:
    • Type of service performed;
    • Consumer receiving care;
    • Provider who is providing care to consumer;
    • Date of the service provided;
    • Time the service begins and ends; and
    • Location services are provided.

Provider Overview

A Provider provider enters time into OR PTC DCI using one of three EVV-compliant methods:

  1. Mobile App (includes optional consumer verification)
  2. Landline
  3. Fob

...

Mobile App Overview

  • Clocking-in: Providers can clock in from the home screen. They will select which consumer they are providing services to. The mobile app records the location of the user at clock in but does not continue to track location during the shift.
  • Clocking-out: Providers clock out (again from the home screen) and attest that their time is correct. The mobile app records the location of the user at clock out.
  • Consumer Verification: The consumer has the option to review and signoff on the punch entry submitted by the provider while clocking out.
  • Reviewing Hours: Providers can see previous punch entries as well as see how many hours they are authorized to work at the time of clock-in or when creating a historical entry. Additionally, the app maintains a count of hours used on a per week basis.

...

Consumers are not required to sign off on the their providers time entries of their providers. However, the OR PTC DCI Mobile App continues to give consumers the option to sign off on a time entry during the clock out process. Below are the three options the provider will see during clock out:

...

The OR PTC DCI Fob is another EVV compliant method of EVV that can be used in the consumer’s home.

  • The fob is a small device that must be kept in the consumer's home. 
  • Provider presses a button and must write down the six-digit numbercode. There is an optional timesheet that can be used to track these codes with the start and end times of the shift.
  • Before the grace periods period ends for the pay period, providers are responsible for recording time entries in the web portal, by entering the six-digit number to verify the time/location.

...

  1. Begin typing the name of the user you’re searching for. You can also search via the Profile ID to ensure you are getting the correct person.
    1. For consumers, the Profile Id is their prime number.
    2. For providers, the Profile Id is their UniID. This can be found in Mainframe on the PRV8 screen.
    3. For CERs, the Profile Id is the prime number of their associated consumer with a “1” at the end (Ex. ABCDEFGH1). If they have more than one consumer, their Profile ID is based on the prime of the first consumer they were assigned.
  2. Click Search.
  3. You will see your search result at the bottom. Click on the correct search result to go to the user’s profile.
  4. The profile details page will display.

Identifying Consumer/Provider Pairings

...

  1. From a provider’s profile, click the Entries tab.
  2. Sort entries by date the services were performed by clicking the Service Date column. This will make finding specific entries easier. There are also search filters to help identify entries within a specific pay period or in a specific status.

Entry Statuses

Status

Description

Open

An active entry (clock in has occurred but not clock out).

Unverified

An entry that was created/edited on behalf of a provider by a staff member.

These entries must be verified by the provider or another staff member to initiate the approval process.

Pending

An entry that has been successfully saved and is waiting for review (through

either

the automated approval process

and/or the manual pending entries approval process

)

. An entry could also be pending because it failed one or more business rules and needs to be corrected by either the provider or a staff member

.

Approved

An entry that has been approved by either Auto-Approval or a staff member and is eligible to be batched for payment.

Batched

An approved entry that was pulled into a pending payroll batch.

Processed

An approved entry that was pulled into a processed payroll batch.

Rejected

An entry that will not be paid. An entry can be marked as rejected upon clock out if certain business rules are failed or manually by the provider, consumer, CER, or staff while in a pending status.

Useful Features for Auditors in Provider Profiles

...

  1. From the provider’s profile, scroll down to see the Entries tab and click the punch entry you’d like to investigate.
  2. After clicking on the entry, you will be taken to the Punch Details page.
  3. Scroll down to see Client Details, Employee Details, EVV Details and Reason Codes.
  4. Continue scrolling down until you see a row of tabs. Click Map.
  5. This will show you the start and end locations listed on the right. These indicate exactly where the provider clocked in and out from.
    1. If it is the same location, you will have one location pin on top of the second. You can also see the start and end locations listed off to the right of the map.
    2. If there are two locations and you only see one on the map, you can click the plus sign to zoom in on the map so that you can see the start and finish locations.

...

Reports are a great way to see data that is not easily viewed by looking at individual profiles or entries. Some common reports you might pull include:

Report

Functionality

Authorization Entries Report

Displays the information relevant to the authorization, such as start and end date, hours used, and hours remaining.

Punch Entry Details Report

Displays important details about the provider, Consumer, Punch Entry Status, EVV Method, the punch ID, Service Code, who created the entry, the date the entry was created, the IP address where it was created, who approved or rejected the entry, etc. You can also view the input method and the entry type.

Employee Service Account Punch Notes Report

Displays notes and canned statements entered by the Provider which may explain activities that occurred during a shift.

Authorization Entries Report

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The resources available consist of:

  • Quick Reference Guides (QRGs) – These are short documents intended to help guide users through common system tasks which will be faced regularly.
  • Computer Based Trainings (CBTs) – These are online modules intended to allow users a more engaging experience as users click through the operations as the trainer is narrating the steps.
  • Guides – These are longer documents which cover many system functions and walk users through what the screens look like as well as the fields that will need to be filled out.
  • Business Processes – These explain the steps to complete different tasks, including the steps within Mainframe, OA, and OR PTC DCI.

...