Case Story: Illinois Department of Human Services

Man doing paperwork next to computer

Picture this: you manage home care for your state’s human services department. One thing that really sets your state’s policies apart is its consumer-directed care model, meaning, people receiving home care services can choose their designated caregiver, giving them the freedom to be more involved in their plan of care.

Despite this significant benefit, the home care payroll system requires manual data entry, resulting in many billing errors. In addition, visits are reported by the caregivers themselves, and with a lack of real-time auditing, there is potential for an increase in the occurrence of fraud or errors. Both factors combined creates duplicate payments and overpayments that leave your already-thin budget even thinner.

These were the issues and challenges that the Illinois Department of Human Services was facing, preventing them from providing an optimal program for their state. They turned to Sandata for help, setting up an Electronic Visit Verification™ (EVV) portal to automatically track, verify and reconcile visitseliminating the need for manual data entry. In addition, Sandata was able to configure a reporting tool designed specifically for the needs of IL DHS, enabling them to easily spot and investigate potential fraud, waste, and abuse.

As a result of these initiatives, in just three years, IL DHS was able to identify 4,000 hours of overpayments and save more than $3 million. In addition, they cut down payroll processing from four payrolls per month to two, and 80% of visits required no adjustments. Saving money and time, while improving carethe ultimate achievement.

Sandata: Get More Right from the Start.

More Articles You May Enjoy

Case Story: Able Health Care

Case Story: Able Health Care

Imagine… you are a Joint Commission-accredited home care agency with over four decades of service under your belt. From post-surgery nursing to palliative treatment, you cover every type of in-home service in the New York City area. However, you are facing a major...

read more
Sandata Welcomes Caregiver Inc., Texas-Based I/DD Provider

Sandata Welcomes Caregiver Inc., Texas-Based I/DD Provider

Sandata is pleased to welcome Caregiver, Inc., a Texas-based agency that provides services to individuals with intellectual and developmental disabilities (I/DD) to its network. By deploying Sandata’s billing software specifically designed for I/DD agencies, Caregiver...

read more
Sandata Partners with ANCOR to Support Community Providers

Sandata Partners with ANCOR to Support Community Providers

Sandata is proud to announce that it is continuing Solana's support of ANCOR as a Gold Partner. Solana has been an ANCOR Gold Partner since 2018 and now, as part of the Sandata family, the existing team has deeper access to resources to better address and meet the...

read more