CMS Beneficiary Protection Case

PROJECT

The QIO complaint process has been the source of several critical reports. QIO surveys revealed dissatisfaction with the outcomes of quality reviews. The most common criticisms of the complaint process; accessibility, responsiveness, effectiveness, and accountability.

SERVICES AND PRODUCTS

Program Management,  Project Management

RESULTS

  • IRIS’ solution provided CMS / CCSQ a completely redesigned and efficient
    case review process.
  • Provided a conceptual architecture for the Case Review Management Information System (CRMIS) that leverages current CMS IT systems and future Federal electronic health record (HER) initiatives.
  • Identified innovative performance measures for quality of service delivery and created new financial reports to measure the effectiveness of beneficiary
    protection activities.
About Us

IRIS Health Solutions has been delivering excellence and value to both commercial and Federal clients since 2006. IRIS has been at the epicenter of health IT transformation in the United States since its inception helping health organizations strategize, manage and build health IT systems and adjunct programs.

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