🇦🇺Australia

Bußgelder und Rückforderungen wegen unzureichender EVV‑Nachweise

Updated: Feb 20266 verified sources

Definition

Australian EVV providers highlight that electronic proof of presence is used to ensure accurate billing and to satisfy government and funder audit requirements in home care and aged‑care settings.[4][6] EVV systems capture who provided care, to whom, what service, where, and the start/finish times – data that is then used to support payment claims.[1][3][5] Local vendors explicitly position EVV as protection against fraudulent or inaccurate visit claims and as a way to provide evidence in audits.[4][6][7] If a provider cannot prove that a funded visit occurred (wrong address, missing times, inconsistent duration), the claim can be denied or repaid. While Australian statutes do not yet mandate EVV by name, these controls sit under conditions of funding in home care packages, CHSP and state community‑care contracts, where non‑substantiated services are not payable and may be retrospectively recovered after audit. Given typical home‑care provider margins of 3–5 %, even a small rate of unsubstantiated or disallowed claims creates a material financial loss.

Key Findings

Financial Impact: Logic‑based estimate: 1–3 % of annual community and home‑care service revenue at risk as unpaid or clawed‑back claims due to missing or non‑compliant visit evidence (e.g. for a provider billing AUD 5m/year, this equates to AUD 50,000–150,000 in direct revenue loss).
Frequency: Recurring; risk materialises on every funding claim cycle and during periodic funder or internal audits.
Root Cause: Manual or inconsistent capture of visit data, use of paper timesheets or basic timekeeping apps without GPS/location validation, and lack of integration between rostering, EVV and billing systems causing data gaps that cannot withstand audit scrutiny.

Why This Matters

The Pitch: Home‑ and community‑care providers in Australia 🇦🇺 risk losing 1–3 % of their funded revenue through rejected or clawed‑back claims when EVV records are incomplete. Automation of visit capture, GPS proof of presence and direct claim generation from EVV data eliminates most of this risk.

Affected Stakeholders

CEO / Executive Director of home‑care and disability service providers, CFO / Finance Manager, Funding and Compliance Manager, Operations Manager / Service Delivery Manager, Clinical or Care Coordinators, Rostering and Payroll Teams

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Financial Impact

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Current Workarounds

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Methodology & Sources

Data collected via OSINT from regulatory filings, industry audits, and verified case studies.

Evidence Sources:

Related Business Risks

Umsatzverluste durch fehlerhafte oder verspätete Leistungsabrechnung ohne EVV‑Automatisierung

Logic‑based estimate: 1–2 % of potential annual billings lost as unbilled or under‑billed visits because visit data is not reliably captured and converted into claims (e.g. AUD 20,000–40,000 per year for a provider with AUD 2m in billable home‑ and disability‑care services).

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