Provider 360 Program
Overview
Continuous Improvement is best thought of as a business culture or approach which involves everyone – leadership, management and employees – in finding and eliminating waste on an ongoing basis. CGS's Provider 360 (P360) program assists providers and suppliers in reducing/eliminating claim denials and errors by way of Lean education. Lean is a systematic approach to reduce or eliminate activities that do not add value to the process. There is no cost to participate in the program which has two pathway options; Lean Education and Personalized Lean Education.
Please review the following program details to determine which Lean Education Option is right for your organization.
Option 1: Provider 360 (P360) Lean Education
This option includes one informative webinar. The webinar will cover Lean Process Improvement Tools (i.e., Root Cause Analysis, Quality Assurance Standards) that will help your organization identify issues that may cause claim denials and errors.
One Webinar (1.5 Hours) |
During this informative webinar your organization will learn the basics of Lean, including valuable Lean Process Improvement Tools. After viewing the webinar, your organization will be equipped with the knowledge necessary to build a Value Stream Process Map and identify Opportunities for Improvement (OFIs) through Root Cause Analysis (RCA).
Review the CGS P360 Information Guide for more information about Lean. If you would like to view the informative P360 Lean Education webinar, click here.
Option 2: Provider 360 (P360) Personalized Lean Education
This option includes three informative sessions. Session 1 covers Lean Process Improvement tools (i.e., Root Cause Analysis, Quality Assurance Standards) that will help your organization identify issues that may cause claim denials and errors. After attending the session, your organization will be equipped with the knowledge necessary to build a Value Stream Process Map and identify Opportunities for Improvement (OFIs) through Root Cause Analysis (RCA). The difference in Session 1 and the webinar in Option 1 is that this session is personalized and is led by a CGS Continuous Improvement Coach.
During Session 2 we will review your specific claim errors and/or denials and Session 3 is the final Follow Up Session where we will review together your Opportunities for Improvement (OFIs) from your Value Stream Process Map.
Three Sessions (4.5 Hours) |
To view the details for each session, click on the title hyperlink below. If you are interested in the Personalized Education option, please first review the CGS P360 Personalized Lean Education FAQ, and watch the CGS P360 Introduction Video. Once you have reviewed the FAQ and watched the video and understand the commitment, please click here if you would like to submit a request to participate.
Lean Education: Session 1 (1.5 hrs.)
Personalized Education: Session 2 (1.5 hrs.)
Follow Up: Session 3 (1.5 hrs.)
Supplier Comments |
"We gained valuable knowledge! The whole program was great!"
"The Provider 360 program is dedicated in helping providers improve their services"
"Truly encourage all providers even those that have not had any reviews or audits to use this resource"
P360 Resources |
CGS P360 Personalized Lean Education FAQ
CGS P360 Standard Documentation Requirements Checklist
General Education |
CMS Comprehensive Error Rate Testing (CERT) CMS Medicare Coverage Determination Process |