Garnet Care
Our health care operations practice is delivered through Garnet Care. Our focus is to ensure your organization has “Best-in-Class” regulatory industry standards in place with effective monitoring and oversight tools.
Areas of Specialization
New Program Start-Up & Expansions | Business Process Improvement & Operational Excellence | Program & Vendor Oversight | Compliance, QA/IVV | Medicaid & Medicare | Compliance Repository
Why Garnet Care for Health Care Operations
We help you work smarter, not harder. Garnet Care’s subject matter experts have over 35 years of industry experience. Our proven methodology focuses on people, process, and technology. And we leverage unmatched data analytics to optimize your operations and systems…yielding cost savings and successful audit outcomes.
We support: Health Plans, BPOs, TPAs, State Public Sector & Federal Organizations, Hospitals, Healthcare Service Providers, ACOs.
Service Offerings
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Improved:
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Product Offerings
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This Medicare Eligibility and Plan Payment Reconciliation Tool that manages, reconciles, and reports the following CMS data files:
Provides CMS with timely and accurate information regarding the beneficiaries’ enrollment, disenrollment, special membership status, and State and County Code changes. Exports Reporting and Remediation/Aging tracking that summarizes:
Retroactivity submissions (Category II and III) |
Supports CMS required data processing in an efficient automated manner:
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An Automated Regulatory Data Repository that stores, manages, and automates the upload for ongoing CMS and State Regulatory requirement updates and changes:
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A Regulatory Matrix that is a one-time Export of the current CMS and State Regulatory requirements as of a point in time.
This can be provided to Organizations as the starting point to manage all CMS and State Regulations to maintain manually ongoing. |
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A Compliance Data Repository Tool that manages, reconciles, and reports Security Breaches and Privacy Issues:
Streamlines Customized State and Federal Regulation reporting to different entities (HHS, CMS) Compliance issues identification, tracking and management of Cycle Resolutions Timing and Aging, such as:
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Capella Care is a Mobile App for Family Caregivers that reduces the stress and increases the effectiveness of family care. We’ve combined the best caregiving tools into one app, allowing family caregivers to spend more time with the people they love and less on logistics, organization, confusing search results, and issues from poor communication.
Our goal is to bring together families and friends to reduce headaches and stress of being a family caregiver. Your focus is your Loved One, the Care Receiver. Capella Care enables you to keep track of every aspect of their healthcare. Capella Care allows a Primary Caregiver to coordinate with family and friends to provide care through the following main functions:
Storing important documents, medications, lists, and test results. |
This Mobile App could be used by your patients and members as an added benefit and could be utilized to improve:
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![courtney-seypura-garnet-care - Garnet River](https://garnetriver.com/wp-content/uploads/2022/12/courtney-seypura-garnet-care.jpg)
“We started Garnet Care health care operations because of the growing need for organizations to meet regulatory standards through effective monitoring and oversight. Our approach is 360, and success for us is ensuring you have the right people, processes, and technology to maintain standards and and operate with sustainable excellence.”
– Courtney Seypura, Practice Lead
Garnet Care’s Health Care Operations Insights & Thought Leadership