Santrax® Payer Management (SPM) leverages the integration of the plan-of-care, authorizations, eligible participants, and home care provider agencies (including self-directed caregivers) to ensure care is delivered in the home setting as authorized. Using a variety of technologies, the system captures caregiver arrival and departure times, location, participant and caregiver IDs, and tasks performed during the visit. Rules-based claims submittal increases compliance and claims accuracy, reducing inappropriately billed services. The result is improved oversight into HCBS program delivery, streamlined claims, and reductions in fraud.
Our comprehensive Electronic Visit Verification™ with Assured Coverage™ offers multiple ways to verify visits have occurred including: