Compass Healthcare Consulting’s Post

A well-documented First Report of Injury (FROI) is the foundation for efficient claims management. Join our team's upcoming webinar where we'll dive deep into the importance of accurate and timely FROI reporting. We'll cover: - Why a strong FROI is crucial for efficient claims management - Essential data elements you can't miss - Best practices for clear and concise reporting Don't miss this opportunity with Amy Driscoll and Chris Puetz to streamline your claims management and ensure you have the information you need to navigate claims efficiently.

In the world of workers' compensation management, the first report of injury is often overlooked, but is critical to getting claims into your handler, and putting the work you did into play. Don't miss out on this webinar where I'll be reviewing some best practices on claim reporting to benefit your risk management.

What is Severity And Priority? Severity: • How bad is the bug? (Impact on software functionality) - High: Showstopper (critical functionality impacted) - Medium: Serious issue (moderate functionality impacted) - Low: Minor problem (cosmetic or trivial issues) Priority: • How quickly do we need to fix it? (Urgency) - High: Fix now (critical functionality or business impact) - Medium: Fix soon (moderate functionality or business impact) - Low: Fix later (low business impact or trivial issues) In short: - Severity: How bad is the bug? - Priority: How quickly do we need to fix it? Think of it like a medical emergency: - Severity: How sick is the patient? - Priority: How quickly do we need to treat them? Image credit: https://lnkd.in/dfHi_PCv

Whether your risk adjustment goals are based around improving coding accuracy, embracing a smooth V28 transition, provider education, growing your risk adjustment coding team, or all of the above, we can help! Let me know if you'd like to dig into about your goals, challenges, and potential solutions this year: slepkowsky@csicompanies.com #riskadjustment #medicalcoding #clinicalintegrity #CSIcompanies

“I discussed with the primary team.” One of the most dangerous lines I see documented. As "the primary team," did they discuss with me? No. Why did they document it? Maybe for billing. (So...that's billing fraud.) But they may not know why it's in their template...or even that it's in there at all. If that case were to go to litigation it would be consultant's word versus attending's word. Lawyers LOVE It when doctors are pitted against each other. So. Check your templates. Stop auto populating that dangerous phrase. For yourself and your colleagues.

Are we all doing CAPA wrong? I have a different take on CAPA, instead of wrapping it all up into one process, consider splitting the process. A model that works is Corrective Actions/Preventive actions (CA/PA). Unfortunately most people dread CAPA programs, but if we can spin this and allow the teams with the experience to have some level of ownership over their processes, do companies not benefit? Consider this, if individuals recognize a better way to do things and have a Preventive Action (PA) program to utilize to make these recommendations will companies not experience a drop in the more negative Corrective actions? Now consider providing a financial reward system for suggestions that save the company significant money. How jazzed do you think the team would be to find ways to make improvements? It is human nature to be more excited about their work when we feel like we are contributing more than just punching the clock.

Non-Conformance Management Dashboard! This was a very exciting project with lots of background calculations, I made this beautiful dark theme dashboard to track, monitor, and manage non-conformances across processes. key features include: Total NCs recorded, Financial Impact: NC's Found At: In-house, customer, external. NC's by Customer/Personas NC Closeout Deadline: Action timeline provided Avg NC Closure Days NC Table: Detailed info on each non-conformance Most Common Defect Causes NC Found in (what process) This dashboard aids data-driven decisions, root cause analysis tracking, NC resolution progress tracking, and continuous improvement efforts. #NonConformance #DataDrivenDecisions #DashboardCreation

CAPAs are often poorly executed. It is very common for people to rush through CAPAs because they want to move onto the next problem that demands there attention. While this seems like a good option, in the long run it only leads to more work and more time spent on the CAPA. Here are some tips on how to effectively form and complete a CAPA.

Do you understand the difference between Dignity of Risk vs Duty of Care/ Duty to Act? We have created this resource because we are committed to assisting Support Coordinators to build their knowledge and skills to deliver a quality service based on best practice principles and support. If you would like a copy of this document in a PDF please reach out via private message. #supportcoordinationsoftware #bestpracticesupportcoordinationsoftware #ndissoftware #ndissoftwaresolution #bestpracticesupportcoordination #dignityofrisk #dutyofcare #dutytoact #supportcoordinatorresponsibilities #freeresource

🚀 𝗘𝘅𝗰𝗶𝘁𝗶𝗻𝗴 𝗡𝗲𝘄 𝗙𝗲𝗮𝘁𝘂𝗿𝗲𝘀 𝗶𝗻 𝗖𝗼𝗿𝗲𝗦𝘁𝗿𝗲𝗮𝗺 𝟮.𝟴 𝗥𝗲𝗹𝗲𝗮𝘀𝗲! 🚀 We're thrilled to introduce our latest flagship feature: inbound email capability! 📧 Now, clients can ‘copy CoreStream’ on email exchanges, automatically filing them against the relevant items. CoreStream’s intuitive interface also just got better! Our 2.8 release reduces clicks and data input time, ensuring accurate and up-to-date information. Key highlights include: 📂 𝗖𝗼𝗻𝘀𝗼𝗹𝗶𝗱𝗮𝘁𝗲𝗱 𝗵𝗶𝗲𝗿𝗮𝗿𝗰𝗵𝘆 𝗳𝗶𝗲𝗹𝗱𝘀: Represent multiple levels in a single, searchable field. 📑 𝗗𝘂𝗮𝗹 𝗰𝗼𝗹𝘂𝗺𝗻 𝗺𝗼𝗱𝗲: Enhanced forms for better data entry. 📊 𝗔𝗰𝘁𝗶𝗼𝗻𝗮𝗯𝗹𝗲 𝗶𝗰𝗼𝗻𝘀 𝗶𝗻 𝗴𝗿𝗶𝗱 𝘃𝗶𝗲𝘄𝘀: Trigger actions directly from icons. 📈 𝗗𝗿𝗶𝗹𝗹-𝗱𝗼𝘄𝗻 𝗰𝗵𝗮𝗿𝘁𝘀: Explore data in greater detail. 🔔 𝗜𝗺𝗽𝗿𝗼𝘃𝗲𝗱 𝗻𝗼𝘁𝗶𝗳𝗶𝗰𝗮𝘁𝗶𝗼𝗻𝘀: Clearer alerts for background workflows. These enhancements are driven by invaluable feedback from our clients & partners. Thank you for helping us prioritize features that matter most! 🌟 🔗 Release Notes can be found here: https://lnkd.in/eR_-mtjj Interested in seeing these features in action? Email us at demo@corestreamgrc.com 💻 #conflictofinterest #conflictmanagement #policymanagement #thirdpartyrisk #grc #ethicsandcompliance #risk #ehs #software #compliancesoftware #ThirdPartyRiskManagement #HCCA #SCCE #SCCEcei #compliance #corestreamgrc