Connected human services
Pavillio empowers state and county residents to better manage and self direct their services while helping human services deliver more care, more effectively – without overhauling existing systems.
Closing the revenue gaps, improving care
We’ve been serving the human services community for more than 20 years.
home care & community services agencies choose us
$1.2B
%
of manual tasks now automated
Connected care at your fingertips
Benefits for counties
Serve more residents despite fewer resources
Benefits for residents
Care reimagined for state and local governments
A case study: Impact on Washington County
Washington County uses Social Service Information System (SSIS) to chart for services, such as Mental Health, Crisis Response and Housing Stabilization. SSIS can bill Medical Assistance (MA) services directly, but SSIS did not have a way to bill for services paid by Managed Care Organizations (MCOs).
Washington County created a custom billing application to take data from SSIS and manual spreadsheets to create EDI files to send to the MCOs.
However, it was created in an outdated environment that resulted in significant errors that resulted in unbilled services. It was also not cost-effective to maintain or scale across other counties or cities.
The Solution? Pavillio
Impact:
- 75% reduction in time to complete billing
- Significant improvements in billing accuracy
- Closed revenue gaps by reducing volume of unbilled services
“Since August 2022, we have been using Pavillio for processing our MCO Billing claims, Targeted Case Management, Medicare Part B, and Consumer Support Grants. Examples of benefits that we are enjoying with using Pavillio are its improved fraud detection, its real-time authorization management, its ability to submit to DHS and a clearinghouse for health plan payments, and real-time reporting. Because Pavillio is hosted in the cloud, I am also thankful that Washington County does not need to host or support the application.”
Eric Abraham, IT Manager
Washington County