Sandata State Solutions: Make Your Medicaid Program More Efficient, Accountable, and Compliant
Far too much of your team’s time is spent on tedious manual processes and monitoring program integrity. Validating provider claims against EVV data before payment is another headache – as is assigning the right providers to care for your members. Sandata’s State Payer solutions do away with these frustrations – which is why more states trust Sandata over other providers to ensure transparency and make better decisions. Our end-to-end solutions automate the flow of data from order to billing, facilitate timely delivery of care, and ensure you only pay for care that is actually delivered.
Time-Saving. Transparent. Transformative.
Increased Efficiency
We eliminate the need for manual processes, decrease the time to first provider visits, and allow real-time communication between all stakeholders.
Greater Visibility
We aggregate program data into a single environment, improving oversight, compliance, and reporting. Our robust data and analytics give you the visibility you need to improve oversight and accountability. At the same time, you can make better-informed financial decisions and improve patient care.
Easier Compliance
We support end-to-end Electronic Visit Verification (EVV), including data aggregation and claims validation, enabling compliance with the 21st Century Cures Act. We understand what project success requires – and guarantee a successful implementation and CMS certification.
An Open-Model, Flexible, and Compliant Solution
Sandata invented EVV over 40 years ago, and we’ve had more successful implementations than anyone in the industry. We chose to be an open model solution, giving our customers the advantages of interoperability with third parties, seamless integrations with other systems, the flexibility to customize and extend systems based on needs, and the scalability to adapt to changes in technology and organizational requirements over time. The result is a fully compliant EVV program that allows you to better serve your neediest populations with efficiency and accountability.
Visit Capture EVV
Our EVV solutions easily capture all Cures Act compliance data elements and support collecting tasks, member verification, group visits, multiple languages, and service location input.
- Offers multiple EVV technologies to ensure real-time home and community-based visit data and verification is always available and captured at the point of care
EVV Portals
- Allow states to view and make corrections to visits while requiring all visits to meet program rules and include a full audit history
Aggregator Portal
- Minimizes friction by allowing providers to use EVV and billing systems of their choice while ensuring all program data meets the payer’s rules
Supporting Services
Claims Validation
The most important requirement for Claims Validation, meaning confirming there is EVV data for a paid claim, is to determine the specific “‘rules”’ to match EVV visit and claims data. Sandata has successfully led 58 payers in seven sStates through this claims validation process and knows from experience the questions to ask and potential problem areas to avoid.
Fraud, Waste & Abuse Analytics
It’s crucial for homecare providers to be vigilant, implement robust compliance programs, and collaborate with regulatory bodies to ensure the integrity of homecare services and prevent Fraud, Waste & Abuse (FWA). Sandata FWA Business Intelligence-powered analytics and dashboards are tailored for state stakeholders working in FWA prevention and program integrity activities, helping to transform raw data into actionable insights.
Business Intelligence & Analytics
Elevate your decision-making at every level with FuseTM BI. Our dashboards offer strategic insights for executives, as well as tactical guidance for decision makers at every level. This ensures a seamless blend of strategic vision and operational efficiency.
Order Manager
A seamless, easy-to-use application that minimizes manual burden, inefficient processes, compliance risks, and data issues. Order Manager expedites the distribution of member cases to improve homecare service delivery for your members. Accessed via a web-based, HIPAA-compliant portal, the automated process enables real-time, secure communication with your provider network.
Contact Us
Let’s get the conversation started about how we can help you ensure higher quality, more efficient, and compliant homecare services for your members.
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