With Sandata Payer Solutions, your organization can expect to benefit from:
Provides direct communication of orders and care plans to your providers facilitating secure communication, order tracking denial/acceptance, and measuring the compliance of care.
EVV portals allow you to view visit data through an easy-to-use user interface to monitor activity and make visit capture corrections as required.
Sandata’s Aggregator minimizes friction by allowing providers to use EVV and billing systems of their choice while ensuring all program data meets Payers’ rules. Payers use the Aggregator portal to monitor the overall EVV program.
Visit Capture EVV
Sandata 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.
Ensures you only pay claims for services that were actually delivered to your members, regardless of which system the provider uses.
Oversight and Analytics
Sandata provides robust business intelligence tools, including flexible dashboards and ad hoc reports, to allow payers to easily monitor all HCBS service delivery and readily detect potential fraud, waste, and abuse.
With over 40 years supporting provider agencies across the country, Sandata brings the experience, innovation, and customer-centric approach that makes it possible for agencies to get more right from the start.™
Here’s How it Works for Managed Care Organizations
MCO’s are facing many challenges: the complexities of Medicaid, shrinking margins, outdated processes, keeping patients safe and in their homes, and so much more. Sandata’s solution for MCO’s enables you to integrate processes and streamline workflows, reducing the friction between you and your providers. Our end-to-end software has helped more than 50 MCO’s in 18 states improve processes, manage costs, and provide program analytics to understand and fix the challenges they face in the complex healthcare system.
Recently, the Centers for Medicare & Medicaid Services (CMS) overhauled their state payer Electronic Visit Verification (EVV) certification process. While the new process is more simplified and streamlined, it is still quite involved and can be tricky to...
Port Washington, NY, September 2, 2021 – Sandata today announced that it was selected by the state of California to be the state vendor for Electronic Visit Verification (EVV) Phase II. EVV is a telephone- and computer-based solution that electronically...
Sandata congratulates the State of Maine on achieving certification by the Centers for Medicare and Medicaid Services (CMS). CMS certification uses an outcomes-based approach to ensure business needs of the state and CMS are meet by systems that receive federal...