Logic Updates for Provider Authorization Guardrails
Caregiver Option for Splitting Invoices Per Day
Resolve Claim Rejection Issues Faster
Capture Visit Edit Reason when Changing Service Location Details
IN THE NEWS
HHAeXchange Acquires Sandata Technologies
Last month, HHAeXchange announced its acquisition of Sandata Technologies, a homecare solution. Together, HHAeXchange and Sandata are well-positioned to meet the growing need for home and community-based services (HCBS).
HHAeXchange’s transaction with Sandata builds on the company’s recent strategic acquisitions of Cashéand Generations. These investments collectively support HHAeXchange’s ongoing advancement of its mission to enable caregivers, families, providers, and payers to deliver the best care in the home.
For our Payer Network Management system users, we’ve made some improvements that we think you’ll love:
New Payer Support Center Knowledge Base: We’re thrilled to announce the launch of our brand-new Support Center site. Stay in-the-know with product release notes, FAQs, training videos, and more! Access it via the link below or within the application under Support Center. Check out the new Payer Knowledge Base →
Authorization Improvements: We have added a new authorization type of Bi-Weekly which defines the number of hours available in a two-week period. This will support customers who authorize services in two-week segments.
Authorizations will now import successfully even if the Member’s placement is still pending. Currently, subsequent authorizations sent via interface reject for the reason “Placement is pending for selected provider.” This will eliminate those rejections in the authorization interface.
Authorization Dashboard Updates: We have redesigned the existing Authorization Dashboard page to provide additional meaningful insights. Authorizations are bucketed into Active, Future, and Expirations with summary and detailed widgets displaying additional filters and metrics. Users can track and drill info authorization utilization trending of Active Authorizations.
Enhanced POC: Payers will now have visibility into all (both payer and provider created) Plans of Care, print duty sheet, and view history on POC fields. Users can see all duties with the status not performed/no action taken in addition to the current statuses of performed/refused. This will give coordinators full visibility to manage member care.
Add Custom Rounding Option (Nearest 15 Minutes w/ Minimum of 1 Unit): Additional flexibility added for invoice rounding rules with an option for "Nearest 15 Minutes (minimum of 1 unit)" on the service code level. Under this option’s calculation, 7 minutes will round down and 8 minutes will round up.
PROVIDER PRODUCT UPDATES
Here are our top Provider updates:
Logic Updates for Provider Authorization Guardrails: If the payer adds hours to an authorization, or if a provider did not use all the allocated hours within a given period, the system will automatically reallocate those hours to current and future period guardrails. This allows full utilization of the authorization and eliminates manual work for the providers.
Caregiver Option for Splitting Invoices Per Day: Split invoices by caregiver when selecting the choice to organize invoices by Per Patient, Per Day, Per Service Code.
Resolve Claim Rejection Issues Faster:Providers with SFTP sites can now get specific reasons for claim rejections without needing to contact support.
Capture Visit Edit Reason when Changing Service Location Details: Providers adding or editing Service Location Details, will select from a preset dropdown a New Reason and Action Taken. They are also able to add a note in a free text field.
NEED MORE INFORMATION?
Explore the full details of these updates in the Release Notes section of the HHAeXchange Support Center. You can also reach out directly to your Client Success Representative with any questions—we’re always here to help!
About HHAeXchange
Founded in 2008, HHAeXchange is the leading technology platform for homecare and self-direction program management. Developed specifically for Medicaid home and community-based services (HCBS), HHAeXchange connects state agencies, managed care organizations, providers, and caregivers through its intuitive web-based platform, enabling unparalleled communication, transparency, efficiency, and compliance. For more information, visit hhaexchange.com.
HHAeXchange, 130 West 42nd Street, 2nd Floor, New York, NY 10036, USA
