medical review - Qavalo https://qavalo.com Fri, 30 Sep 2016 09:49:36 +0000 en-US hourly 1 https://wordpress.org/?v=6.9.4 https://qavalo.com/wp-content/uploads/2021/08/cropped-qavalo-favicon-32x32.png medical review - Qavalo https://qavalo.com 32 32 Positioning your Workforce for Growth: 4 Ways to Prepare Your Team for Outsourcing https://qavalo.com/prepare-your-team-for-outsourcing/?utm_source=rss&utm_medium=rss&utm_campaign=prepare-your-team-for-outsourcing Fri, 30 Sep 2016 09:49:36 +0000 http://qavalo.com/?p=444 Businesses typically choose to outsource certain processes to focus on core objectives; the move offers immediate financial and operational benefits, but that doesn’t mean it won’t make your staff uneasy… Once you have finally decided to outsource, how do you get buy-in from your staff? In a study conducted by Thomas Kern and Leslie Willcocks… Read More »Positioning your Workforce for Growth: 4 Ways to Prepare Your Team for Outsourcing

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Businesses typically choose to outsource certain processes to focus on core objectives; the move offers immediate financial and operational benefits, but that doesn’t mean it won’t make your staff uneasy…

Once you have finally decided to outsource, how do you get buy-in from your staff?

In a study conducted by Thomas Kern and Leslie Willcocks of 250 companies in U.S. and Europe that were outsourcing components of their business process, an overwhelming 85% of companies reported that the cost benefits were lessened due to a disconnect between the people and the vision of the outsourcing program. Integration of an outsourcing program will naturally spark some anxiety with your team, but there are ways to address their concerns proactively. Remember–they’re just afraid of what they don’t know:

1) Explain the change / the goals / the vision – your staff needs to know your goals, and plans must be outlined in detail. However, don’t forget to let your staff see your vision– it will garner your team’s support for the big change.

2) Empathize – acknowledge their concerns; change can even send your most positive staff into frustration. Be receptive to opinions, while being honest as to why you need to outsource and how the changes will take place; you might be surprised to discover they will have useful insights to assist in your transition. Let your staff be part of the change and in addressing the problems. Don’t take negative feedback personally. Instead, strategize to address the concerns and finally ask your staff’s support as you roll out your initiative.

If layoffs are possible, be honest with your team; discuss the conditions that could make necessary restructuring possible. Being transparent could strengthen staff loyalty and motivation and ultimately keep the business more sustainable.

3) Align your workforce –  Before you move forward, align the retained functions with your team’s personal career plans. Identify each employee’s skills, knowledge and strengths, and complement them with the business goals. Repositioning may be required to cover weak points and keeping the team aligned.

4) Keep your staff motivated – Maintain worker engagement, motivation and productivity. Plot out organizational goals one step at a time and give due recognition to your people’s contributions. Let them know their work makes a difference. Celebrate accomplishments– when change creates positive results, tell your staff about the success.

Propel your workforce– experience Qavalo

Outsource your documentation and position your team for process improvement. We can scale to your company’s evolving needs so you can focus on your patient care goals. Our client-efficient feedback & reporting mechanisms enables you to monitor your clinician’s progress as well as areas of development for long term process improvement.

Find out how you can avail of our FREE TRIAL — no strings attached, no payment details required up front. Experience Qavalo quality–today!

Contact us at 916-282-9868 or email info@qavalo.com for more info.

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CMS Pre-Claim Review Demonstration for Home Health Services in Florida and Other States Delayed https://qavalo.com/cms-pre-claim-review-demonstration-for-home-health/?utm_source=rss&utm_medium=rss&utm_campaign=cms-pre-claim-review-demonstration-for-home-health Sun, 25 Sep 2016 07:59:54 +0000 http://qavalo.com/?p=416 It can be recalled that CMS has scheduled Pre-Claim Review Demonstration in five States, namely, Illinois in August, Florida in October, Texas in November...

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The Center for Medicare and Medicaid Services (CMS) has announced its decision to delay its Pre-Claim Review Demonstration in Florida. CMS came up with a decision to delay the next roll out in Florida after it received a not so favorable outcome in terms of procedural concerns during its implementation in Illinois on August 3, 2016.  

It can be recalled that CMS has scheduled Pre-Claim Review Demonstration in five States, namely, Illinois in August, Florida in October, Texas in November, Michigan and Massachusetts in January 2017, respectively.  CMS goal for the Pre-Claim Review Demonstration among this five states is to test whether pre-claim review improves methods for the identification, investigation, and prosecution of Medicare fraud occurring among Home Health Agencies (HHAs) providing services to people with Medicare benefits.  Also, CMS is also testing whether the demonstration helps reduce expenditures while maintaining or improving quality of care.   

Based on what happened in Illinois, CMS believes that an additional educational efforts is required prior to initiating the demonstration in Florida.  This educational effort will focus on how to submit pre-claim review requests, documentation requirements, and common reasons for non-affirmation. CMS views these efforts as crucial to the long-term success of the demonstration for beneficiaries, providers, and the Medicare program.

The start dates for Florida, Texas, Michigan, and Massachusetts is yet to be announced; but, CMS will provide at least 30 days’ notice on this website prior to beginning in any state.

Source: https://www.cms.gov/Research-Statistics-Data-and-Systems/Monitoring-Programs/Medicare-FFS-Compliance-Programs/Pre-Claim-Review-Initiatives/Overview.html

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