Find out more about ATTAC’s functions, know-how & compliance alternatives for health insurers & managed care companies
This breadth of arms-on operational and regulatory encounter lets us to immediately evaluate the complexities that the Corporation faces and also to bring concrete and comprehensive
As passionate as we've been about our answers, we’re also enthusiastic about our group. ACG’s crew is selected and created all-around Each individual crew member’s shown results in past functioning positions inside the marketplace or with regulatory companies.
We are a Health care consulting firm specializing in operations and healthcare compliance answers for wellbeing insurers and managed treatment corporations
Elizabeth serves as system director in ATTAC’s Data Audit Group. She supports shoppers on consulting engagements linked to Medicare Benefit and Aspect D enrollment, reconciliation and premium billing operations, where by she presents assistance on small business process layout and course of action controls and oversight and checking.
Recognized for her collaborative solution, Tammy will work seamlessly with internal and exterior stakeholders to navigate elaborate regulatory landscapes, ensuring profitable audits and investigations.
When was the last time you evaluated your HHS-RADV auditor? If it’s been a few years, you should know that the landscape has advanced with new resources and refined strategies that may make your yearly audit far more effective and impactful. ✅ ATTAC’s chase technique minimizes the volume of charts necessary to validate HCCs. Our consumers often notify us we ask for half the charts that other auditors do—although still offering validation success above the nationwide ordinary. Even with less charts, our coding method has triggered a median ten% boost in freshly identified HCCs —perhaps positively impacting risk settlement.
In the event you skipped the presentation at the Risk Adjustment Innovations Forum, get to out to Subbu Ramalingam To find out more about his vision for reversing Serious condition, integrating the payer & service provider ecosystem, and unlocking the power of VBC products.
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Sharon is actually a member of ACG’s medical pharmacy group supporting Medicare Element D, Medicaid, and pharmacy profit administration groups. Sharon has considerable experience in built-in medical exercise, formulary management, operational approach reengineering and PBM oversight. She has developed and implemented utilization management healthcare consulting firm systems for very long-expression care supplier groups (Medicare Component A/ managed treatment) and it has arranged and participated on company JCAHO certification teams, for both of those proficient nursing amenities and pharmacies.
Her hands-on expertise supports companies in getting ready for NCQA accreditation and CMS utilization management audits, and in driving Price reduction by means of powerful care management and utilization management programs.
Our shoppers count on us for pro regulatory information, to put into action strong compliance options and also to accomplish effective, skilled auditing. Our medical and pharmacy groups guidebook companies in adoption of new versions to control treatment in a price-efficient way.
Her knowledge as both of those a clinical pharmacist and national manager supplies unique qualifications and insights into The interior workings of a wide scope of healthcare environments, together with acute treatment, chronic care, long lasting care (LTC), and Medicare/Managed care arenas. She has about twenty years of Health care field experience and has worked for RX Answers and Phamerica, in addition to serving within the Board of Directors for your American Society of Expert Pharmacists.
Darlene is really a member of ACG’s Governing administration Courses Observe Group. She brings broad abilities in organizational progress and compliance administration inside the Medicare and Medicaid arenas. For more than a dozen yrs, she has held senior lawful and compliance roles within the insurance coverage and managed care industries, wherever she has led routines as diverse as wellbeing program get started-up, management of JCAHO and NCQA accreditation, condition and CMS regulatory oversight audits, managed line obligation for grievances and appeals, revenue agent oversight and current market carry out along with business procedures and policy for company record retention. She has Earlier labored for Centene Corporation, AmeriGroup and United Healthcare.