State Agency Contracts for Quality Assurance to Ensure Compliance with CMS Guidelines
With expertise in HCBS Final Rule, PCP, and Medicaid, the Garnet River Quality Assurance & IVV team ensures a state agency complies with CMS guidelines.
With expertise in HCBS Final Rule, PCP, and Medicaid, the Garnet River Quality Assurance & IVV team ensures a state agency complies with CMS guidelines.
With more than 25,000 web pages and files, a large state agency in the Northeast needed to improve the user experience of site visitors and make content management easier for key contributors. Garnet River oversaw a complete redesign.
A large state agency spread across many locations was struggling with 19 disparate stand-alone learning management solutions. We introduced a single LMS, bringing consistency and standardization.
RPA automates repetitive and rule-based tasks. AI enables machines to perform cognitive tasks. Together, RPA and AI can transform your organization.
After a CMS audit identified CAPs for a health carrier with 4 million members, we developed a Regulatory Matrix and helped mitigate and get CMS approval for all CAPs. Approximately 75 findings were identified with proposed solutions. The plan's CMS Star Rating increased by 1 point in most categories and an overall star rating of 4.5
With 30% of a state agency's department projects exceeding approved budget, innovating around technology to improve monitoring brought it down to under 5%.
With decades of experience in healthcare mandates and operational management, Garnet River worked with the DOH to identify system changes needed to maintain funding.
During the organization’s transition period we performed a complete IT and HIPAA audit, assumed control of all IT systems, transitioned away from the IT Director, assisted with the hiring process of the new IT staff, and implemented our Co-managed IT solution in their organization.
After an initial assessment, we worked with the onsite administrator to remove obsolete software, defective hardware, poorly working antivirus, and inadequate backup systems. We then began Co-Managed IT Services and provided CTO level guidance on new projects and initiatives.
We created an attended bot, which relies on human intervention for some steps, to gather the necessary information and format it into a standard template to distribute two weekly compliance reports to senior executives. The bot saved four additional hours per week.