A single audit run across 90 days of your Sandata export. Every exception flagged. Every dollar of recoupment exposure quantified. Delivered as a branded exception log and PDF risk summary.
Every visit record in your 90-day export is run against six exception categories, cross-referenced against your active caregiver roster.
GPS coordinates flagged where caregiver location at clock-in/out doesn't match patient's address of record.
Visits logged outside authorized service hours — too short (potential fraud) or too long (billing exposure).
Any visit record missing one or more of the six federally required EVV data points.
Claims submitted to Medicaid with no corresponding EVV record — the highest-risk exception category.
Same caregiver, same patient, overlapping timestamps — a common system data error with significant audit implications.
EVV records cross-referenced against your active caregiver roster to flag visits logged by caregivers with lapsed credentials or unverified qualification status.
All flagged records, categorized by exception type, with columns for visit date, caregiver ID, patient ID, exception category, and estimated dollar exposure.
An executive-ready summary of total exception rate, top exception categories, estimated recoupment exposure, and prioritized remediation recommendations.
Priced by visit volume across the 90-day window. Add a caregiver roster screen for a single bundled deliverable.
You export your Sandata EVV data and send via encrypted file transfer. No PHI required — we work with de-identified visit records.
Our tool runs structured exception logic against your data: all six required EVV fields, location verification, duration analysis, claim matching.
You receive your exception log and PDF risk summary within 5 business days.
A 30-minute walkthrough of findings with prioritized next steps. Included with all engagements over $499.
Submit a request and we will confirm scope, pricing tier, and secure file transfer instructions within one business day.