Case Study
The Practice
Quality Assurance & IVV
The Client
A state department of health agency in the Northeast
The Challenge
In order to retain Federal funding, Departments of State need to ensure their systems and procedures comply with Federal, State, and Local Quality Assurance mandates. The client needs a service provider with deep experience in Medicare and Medicaid.
The Solution
Garnet River’s team, with decades of experience in healthcare mandates and operational management, works with the Department of Health to identify necessary system changes, prioritize development and deployment order with their technology vendors, and ensure that the vendors test sufficiently. In addition, the Garnet River team identifies system problems that have financial impact, such as Medicaid paying for ineligible claims and not paying for eligible claims. Garnet River is also an overall efficiency and process improvement partner and helps identify other areas of cost reduction, operational efficiencies, and staff satisfaction leading to higher retention.
The Impact
Garner River’s client continues to keep its federal funding, has continued to drive cost reductions, and driven a higher retention of Medicare providers.
