• Anonymous Registry

Real Incidents. No Names. No Agency.

These aren’t hypotheticals. They’re stories from Indiana home care operators who lived them.

Every incident below was submitted anonymously by an agency operator. No agency names. No patient names. No identifying information. Just the facts of what happened — because these stories deserve to be told, and because every operator reading them deserves to know: this is not just your problem.

This is why we built AgencySync. Not because we read about the problem in a report. Because we lived it — and then we found out everyone else was living it too.

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No agency names. Ever.

We never ask for your agency name. We never publish it. The registry is structured to be useful without being traceable.

No patient information.

Incidents are described by type, timeframe, and region only. No patient names, Medicaid IDs, or case details.

You control what you share.

Every field except incident type, timeframe, and region is optional. Share as much or as little as you're comfortable with.

The Registry

6 incidents documented.

All submitted anonymously. All real. All from Indiana home care operators.
Scheduling Overlap

Personal care aide and skilled nursing visit scheduled for same patient, same morning, same 2-hour window. Both visits EVV-verified. Claim from personal care agency denied on audit review — payer flagged the overlap 6 weeks after billing.

Fall 2023 Central Indiana Submitted anonymously

How it was caught

Discovered during a routine billing reconciliation when the denial came through. By that point, the visit was 6 weeks old and the aide had already been paid.

Outcome

Personal care agency had to write off the visit. No fraud finding — but the denial triggered a 90-day enhanced review period for that payer.

Impact

Estimated $340 write-off. 12 hours of staff time on the appeal. Enhanced review added 3–4 weeks to all subsequent claims for that payer.

Near-Miss

Coordinator caught a scheduling conflict the morning of the visit — two agencies had the same patient scheduled for overlapping personal care hours. Neither agency knew the patient had recently added a second provider.

Winter 2023–2024 Northwest Indiana Submitted anonymously

How it was caught

Coordinator happened to call the patient to confirm the visit time and the patient mentioned “the other lady is coming this morning too.” Manual catch. Complete luck.

Outcome

Both visits rescheduled. No claim filed for the overlap. No audit triggered.

Impact

Near-miss only because of a coincidental phone call. If the coordinator hadn't called, both visits would have been EVV-verified and billed. The overlap would have been on record.

Billing Dispute

Agency received a post-payment audit notice from an MCE payer citing 14 visits over a 3-month period where EVV records showed potential overlap with another provider. Agency had no visibility into the other provider's schedule.

Spring 2024 South-Central Indiana Submitted anonymously

How it was caught

Payer audit. Agency had no prior knowledge of the overlaps — first notification was the audit letter.

Outcome

Agency had to provide documentation for all 14 visits. 9 were cleared. 5 resulted in recoupment totaling approximately $2,100.

Impact

$2,100 recoupment. 3 weeks of administrative time responding to the audit. Ongoing enhanced monitoring for 6 months.

Scheduling Overlap

Patient receiving both personal care (Agency A) and home health aide services (Agency B). Scheduling coordinator at Agency A had no way to know Agency B's schedule. Overlap discovered when patient's family called Agency A to report that “two aides showed up at the same time.”

Summer 2024 Northeast Indiana Submitted anonymously

How it was caught

Patient family complaint. Both aides were already in the home.

Outcome

One aide left. Both visits were documented and billed. Payer flagged the overlap during claims processing — one claim denied.

Impact

One denied claim ($285). Patient family relationship strained. Significant staff time managing the situation and the subsequent denial.

EVV Discrepancy

EVV system showed a verified visit for a patient at the same time another agency's EVV record also showed a verified visit. Both records were legitimate — the patient had authorized both services. But the EVV overlap triggered an automated payer flag.

Late 2023 Marion County Submitted anonymously

How it was caught

Payer automated review flagged both records. Agency received a request for additional documentation.

Outcome

Both visits ultimately paid after documentation review. But the process took 8 weeks.

Impact

8-week payment delay on both claims. Staff time on documentation. No fraud finding — but the process treated it like one until proven otherwise.

Near-Miss

Agency implemented a new scheduling system and during the data migration, a batch of recurring visits was duplicated in the schedule. For two weeks, the system was generating EVV check-in prompts for visits that were already covered by another provider.

Q1 2024 Central Indiana Submitted anonymously

How it was caught

Internal audit during the migration review period. Caught before any duplicate visits were EVV-verified.

Outcome

No visits billed. No claims filed. Corrected during migration validation.

Impact

Near-miss. Caught internally. But the root cause — no visibility into what other providers were scheduling for the same patients — meant the agency had no way to know if this was happening with any of their 200+ active patients.

Have a story that belongs here?

Every incident you share makes the case for why this visibility layer needs to exist. No names. No identifying information. Just the facts.

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Anonymous Incident Inquiry
No agency name. No patient information. No identifying details. Your submission appears publicly in the registry above.
Why this matters

Every incident in this registry is evidence that the coordination problem is real, widespread, and happening right now across Indiana home care. Not theoretical. Not a vendor’s sales pitch. Real stories from real operators.

When you submit your incident, you’re not just sharing a story — you’re making the case for every other agency that’s been through the same thing and hasn’t had a place to say it.

What we do with submissions
  • Published publicly in the registry above — anonymized
  • Used to demonstrate the scope of the coordination problem
  • Shared with payers and state agencies (anonymized) as evidence for policy change
  • Never used to identify, implicate, or contact any agency
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