RELI Group provides an advanced perspective in delivering innovative technological solutions within our core specializations. In support of the Consumer Product Safety Commission (CPSC), RELI performs quality control reviews and coding of electronic records received in the National Electronic Injury Surveillance System.
Our services include but are not limited to: predictive analytics and data mining, improper payment prevention and fraud detection, performance management and dashboards, business intelligence reporting, data profiling, and integration and quality services.
RELI holds the TSA Program Management Support Services BPA. CMS has formalized and expanded the CBR program at the national level. Mike joined RELI Group after 14 years in CMS leadership. Comparative Billing Reports (CBRs) summarize Medicare claims data statistics in support of the Centers for Medicare & Medicaid Services’ (CMS) efforts to protect the Medicare Trust Fund. Address 2 . Leveraging the right testing practices enables early detection of defects prior to a production release and resulting in positive feedback and confidence in the solution. We offer cost-effective, high-quality architectural integration of new systems with existing data sources, leveraging our expert understanding of healthcare systems and administration technology. Each CBR is unique to a single provider and … A trusted partner of the Federal Government, RELI consistently meets our customers' goals by providing qualified personnel with real-world experience, resulting in excellent CPARS performance. RELI develops custom templates for required data and provides multistep quality assurance process to confirm accuracy and completeness.
We support the collection, management, and publishing of your digital content, including day-to-day website and social media updates and strategic content management projects, such as content migration and information architecture. Our consultants are trained in health economics and health service research.
RELI experts and PhD level resources perform policy and program review, identify vulnerabilities and risks, develop algorithms for possible fraud models, Data analytics and report generation using SAS, STATA and R. We help our clients gather and analyze data to improve decision-making and performance across the organization. In general, a CBR presents results of statistical analyses that compare an individual provider’s billing practices for a specific billing code or policy group with the practices of that provider’s peer groups and the national averages. Our Team is committed to ensuring and maintaining the confidentiality of each provider’s Comparative Billing Report (CBR). At CMS, Mike supervised the Information Systems Group within the Center for Clinical Standards (CCSQ/ISG) and was an advisor for the Center for Medicare & Medicaid Innovation (CMMI). Topic: This session will review the Comparative Billing Report (CBR) 202008 on Breast Re-Excision, Peripheral Vascular Intervention for Claudication, Office Visits, New and Established Patients by Nurse. September 20, 2019 . With more than 12 years of HR management experience, Mare ensures RELI successfully meets its business needs. The data also supports the CDC in their All Injury Program. Medicare Administrative Contractors (MACs) produce comparative billing reports for providers in their jurisdiction to educate their providers about vulnerable areas in the Medicare program. We use the lean tool Kaizen to convene an event with multiple stakeholders involved with clinical decision support (CDS), yielding improvements to adherence to clinical guidelines. Successful performance of collection of beneficiary healthcare data through medical record review having processed over 50,000 medical record reviews, which includes assigning ICD-9-CM codes that map to CMSHCCs medical records in accordance with risk adjustment data validation policy and ICD-9-CM Official Guidelines for Coding and Reporting. Tish brings a proven track record of successfully delivering results through strong leadership, excellent decision making, demonstrated team building, exceptional program management skills, and effective interpersonal skills. He spent the last decade focused on IT program delivery for CMS.
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