Faster Time to Care, Right From the Start
Our application for Managed Care Organizations (MCOs) is an integrated homecare platform that seamlessly connects MCOs, homecare providers, and states. With it, MCOs can improve communications, reduce inefficiencies, facilitate workflows, and deliver comprehensive insights across the homecare continuum.
End-to-End. Empowering. Insightful.
More Efficiency, Transparency, and Compliance
Our MCO platform addresses critical operational and delivery components by automating the distribution of cases to MCO providers, streamlining payer-provider communications, leveraging the point of care to ensure Electronic Visit Verification (EVV) compliance, delivering actionable, analytic member and provider insights, and providing seamless interoperability for all key homecare stakeholders.
A Comprehensive MCO Solution
It begins with end-to-end EVV, including data aggregation and ensuring your compliance with the 21st Century Cures Act. Next, we automate manual and time-consuming care coordination processes and decrease the time required to connect providers and patients. Because we provide greater visibility into program data, you have what you need to increase accountability and improve performance and patient care.
Case Broadcasting
Case Broadcasting 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. Other benefits include:
- HIPAA-compliant, secure two-way messaging to eliminate follow-up and case inquiry calls and improve productivity
- Seamless integration to eliminate redundant data entry and minimize errors
- Preferred routing and case placement capabilities that better match members and providers
- Secure attachments to eliminate document mailing and faxing
- Robust audit log to track all member/authorization details and demonstrate compliance
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). The Sandata FWA Dashboard provides insights into:
- GPS distance between the member and caregiver (filtered by distance with summary and details)
- Employee/provider/member matches with exclusions and sanctions lists: Exact match (SSN/NPI/Registry ID, etc.), Confidence matching
- Conflicting visits
- Overlapping services
- Authorization variances
- Visit exceptions
Empower Care Initiatives
Strengthen care coordination and improve member outcomes through greater transparency and actionable insights.
- Leverages caregivers’ frequent engagement with members to capture changes in condition and SDOH risk factors
- Improves care quality through early identification
- Enhances case-management workflows for high-priority intervention
- Improve member outcomes with proactive care intervention
- Supports payment incentives to providers
Learn How We Can Transform Homecare at Your MCO
Go beyond EVV to ensure higher quality, efficient, and compliant homecare services for your valued members. Get in touch to get the conversation started.
Contact Us