A Review Of best ATTAC Consulting Group
A Review Of best ATTAC Consulting Group
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A brand new Administration = New Difficulties for Strategies & Vendors ⚡When ultimate regulatory assistance hasn't been released still, overall health options and companies needs to be able to act fast when alterations strike. An agile approach and the ability to promptly deploy professional groups is going to be critical. Medicare Edge:
This breadth of fingers-on operational and regulatory knowledge allows us to promptly evaluate the complexities that your Firm faces and to carry concrete and in-depth
By using a foundation in 6 Sigma Methodologies, our course of action functions to help you detect and define crucial troubles though driving to locate the root triggers. We associate together with your management staff to find, create, and apply modern remedies while in the operational and transactional Place.
Pooja has in excess of fifteen decades of working experience driving business enterprise and data know-how transformations to correctly progress healthcare and pharmaceutical industries. She has focused on establishing a culture of collaboration and transparency, managed implementations of complicated, heavy cross-dependency floor-up devices, upgrades and enhancements, and held large-visibility positions. Pooja presents unbiased, pro and normal method administration help to multi-disciplinary and interdepartmental teams, and guides clients by operational and know-how initiatives.
Lynn has intensive encounter working with Health care shipping and delivery units and is particularly a master’s well prepared nurse. Her Management working experience consists of inpatient, ambulatory and overall health approach environments.
Also, she has properly led statewide expansions and network adequacy service provider contracting builds across several states.
When was the last time you evaluated your HHS-RADV auditor? If it’s been a several years, you should know the landscape has developed with new applications and refined methods that will make your once-a-year audit more effective and impactful. ✅ ATTAC’s chase strategy decreases the amount of charts necessary to validate HCCs. Our shoppers usually convey to us we ask for fifty percent the charts that other auditors do—while even now offering validation final results earlier mentioned the nationwide regular. In spite of much less charts, our coding tactic has resulted in a median ten% increase in recently discovered HCCs —possibly positively impacting risk settlement.
He is a a flight surgeon while in the Michigan Air Countrywide Guard, in which he is decorated for negotiating a bilateral Intercontinental settlement on health care licensure.
Mae has comprehensive knowledge in examining and acquiring operational procedures in just intricate, delegated and/or matrixed environments. She provides wide working experience in professional, Medicare Advantage, and many point out Medicaid systems to bear on shopper engagements. She has experienced wide expertise in the key information programs made use of throughout the health and fitness coverage industry.
Laurie is part of ACG’s clinical pharmacy apply group serving all program segments. She has substantial expertise in scientific and operational management of pharmaceutical expert services in a complete scope of Health care environments, including Medicare health and fitness applications, acute treatment and LTC arenas. Her multi-market expertise has bundled built-in clinical and operational strategic setting up, pharmacy network oversight, PBM oversight, pharmaceutical deal evaluation and negotiation, and course of action reengineering to boost margin and compliance.
Jon is usually a seasoned govt guiding chance adjustment plans for Medicare Advantage, ACA /Market and Medicaid courses. He delivers knowledge in development and implementation of helpful potential and retrospective danger adjustment initiatives, correctly focused To optimize ROI. He is deeply proficient at guiding and establishing analytics to identify/suspect probable threat adjustment alternatives, and also monitoring for inappropriately coded promises and diagnoses to make certain accuracy in best ATTAC Consulting Group possibility adjustment submissions on the MA Encounter Knowledge Processing Systems and ACA Edge Servers.
Erin is a qualified and profitable Medicare Advantage compliance Experienced with ten decades of knowledge within the Health care market. Erin’s history contains Management positions in Medicare product sales compliance/agent oversight, compliance program efficiency/administration, delegated entity oversight, and health prepare operations.
Mia has more than sixteen a long time of expertise in regulatory compliance management that has a specialization in compliance in medical actions and oversight of behavioral health and compound abuse companies. She offers lawful, regulatory and compliance in medical solutions for professional and Medicaid specialty in critical mental ailment, extensive long-expression care and kids’s healthcare products and services.
Darlene is actually a member of ACG’s Govt Programs Apply Group. She delivers wide expertise in organizational advancement and compliance administration during the Medicare and Medicaid arenas. For over a dozen many years, she has held senior authorized and compliance roles in the insurance and managed care industries, exactly where she has led pursuits as assorted as well being program start off-up, administration of JCAHO and NCQA accreditation, condition and CMS regulatory oversight audits, managed line accountability for grievances and appeals, profits agent oversight and sector perform along with company processes and plan for company history retention. She has Beforehand labored for Centene Company, AmeriGroup and United Healthcare.