Changing the Way Home Healthcare Payors Meet Tomorrow’s Challenges
Agencies that pay for home healthcare services face growing pressure to reduce costs, eliminate fraud, abuse and waste, and increase provider accountability, all while ensuring appropriate member care.
Only one solution offers the functionality you need to meet all of these tough challenges – Santrax® Payor Management from Sandata Technologies, the leading provider of home healthcare information technology solutions for more than 30 years.
Maximize Visibility and Control of Home Health Programs
Offering unmatched visibility into provider operations and improved documentation for audits and investigations, SPM provides the foundation necessary for greater control of clinical, financial and operational processes. With Santrax® Payor Management, you receive a single composite view of schedules, services and data collected by all participating providers across a jurisdiction.
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Using real-time information provided by caregivers at the point of service via Electronic Visit Verification, Santrax® Telephony features track caregiver arrival and departure times, location of service delivery (using proprietary ANI processing), member and direct care provider IDs, and tasks performed during a visit. It supplements this data with advanced scheduling and rules-based billing models that drive increased compliance and claims accuracy, virtually eliminating inappropriately billed services. Errors can be addressed by exception in accordance with the protocols you define.
Santrax® Payor Management integrates powerful provider management tools and market-leading telephony to give you real-time insight into the delivery of home healthcare services. Using the information gathered from caregivers at the point-of-service via Electronic Visit Verification, SPM’s jurisdictional model enables the Payor to have a single composite view of the schedules, services and data collected by all participating care providers in an electronic health record. SPM provides accurate, up-to-date business intelligence that enables you to monitor and audit encounters, billing, care plan delivery and service benchmarks across a specified jurisdiction.
A Powerful Return on Investment
By providing greater visibility into the delivery of home and community-based services across a jurisdiction, Santrax® Payor Management:
- Reduces costs and the incidence of inappropriately billed services
- Decreases fraud, abuse and waste from 10% to 25%
- Ensures tight control over services authorized and services paid
Integrated Market-Leading Technology
Santrax® Payor Management combines several powerful Sandata solutions in one completely integrated, easy-to-use platform, including:
- Santrax® Telephony – The fully integrated market-leading Electronic Visit Verification solution that ensures the Right patient is served at the Right time, in the Right location, with the Right plan of care by the Right caregiver.
- Santrax® Agency Management – A powerful and comprehensive system that automates agency processes and provides end-to-end processing for all key clinical, financial and operational functions, including scheduling and billing.
- Santrax® Jurisdictional View – An analytics platform for real-time encounter tracking and monitoring, as well as retrospective analytics and analysis.
A Winning Solution for All Stakeholders
Santrax® Payor Management provides valuable benefits to constituents across the home healthcare continuum.
Access state-of-the-art Speaker Verification, an automated, full-feature module that is based on software provided by the industry leader in Speaker Verification, Persay.
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Each caregiver is enrolled in the Speaker Verification system at the start of the service with the agency. After the enrollment process is complete, whenever the field worker makes a Santrax® Telephony phone call, they are prompted to repeat their enrollment pass phrase. Each recording is then compared with their voice print that is on file and scored. The agency is notified on Santrax® Telephony Reports and in Visit Maintenance as to whether the call passed or failed the Speaker Verification accuracy threshold assuring that the authorized worker is the one who made the call.
Assured Coverage
Sandata is the only company that assures accurate coverage through a complete set of visit verification technologies.
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In addition to our market-leading telephony (STx) solution, Sandata also offers real-time GPS technology, verifying employee location via cell phones, and a Fixed Location Tracking Device when no phone service is available. You can feel confident that visit verification is occurring at the point of service, helping to guard against allegations of fraud and abuse, while improving clinical care.
Improving your agency’s financial and operational performance is the focus of Sandata’s skilled implementation team. Experienced with thousands of implementations, the Sandata team manages every aspect of implementation, including integration with third-party systems, as necessary.
Learn about training, client services and account management.
Find Out More
To learn more about how Santrax® Payor Management can improve jurisdictional oversight of home healthcare delivery, or to schedule a demo, email spmteam@sandata.com or call 1-800-544-7263.
