The smart Trick of best ATTAC Consulting Group That No One is Discussing
The smart Trick of best ATTAC Consulting Group That No One is Discussing
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The lack of CMS updates—which includes essential enrollment information—results in uncertainty, but companies that approach forward are going to be within the best posture As Steve notes, "It can be a fascinating the perfect time to go silent; if timelines slip, it could compress pursuits later inside the 12 months, but ideas ought to have prepared presently for the many actions." MMIT (Managed Markets Insight & Technological innovation)
Previous to Performing inside the healthcare field, he put in 15 many years applying Superior quantitative analytics to enhance customer loyalty and retention throughout banking, market place investigation and database promoting companies.
He has developed, deployed, analyzed, and refined potential and retrospective plans. Loaded attracts on his extensive encounter with data for continuous advancement and optimization of hazard adjustment initiatives, geared toward maximizing ROI and minimizing costs.
Jennifer has sizeable venture management, organization and IT administration, 3rd-celebration Remedy, product or service development and vendor management knowledge that could be utilized in almost any organizational ecosystem. She has served in leadership positions at Ernst & Younger, along with supplier, vendor and payer businesses.
She excels at the opportunity to evaluate processes for improvement and execute adjustments wanted inside of a timely and productive fashion. Ms. Regalado has broad working experience in healthcare claims features.
Jon has guided quite a few businesses to develop efficient controls to scale back info leakage and to handle submission glitches.
When was the final time you evaluated your HHS-RADV auditor? If it’s been a several years, you should know the landscape has developed with new instruments and refined approaches that may make your annual audit additional productive and impactful. ✅ ATTAC’s chase tactic lessens the quantity of charts necessary to validate HCCs. Our purchasers typically explain to us we request 50 percent the charts that other auditors do—even though even now delivering validation results over the nationwide regular. Despite having less charts, our coding strategy has led to a median ten% rise in freshly identified HCCs —possibly positively impacting danger settlement.
Linda brings over thirty years of expertise to shoppers from the wellbeing insurance coverage and managed care industries. She is a senior expert with working experience in units, functions, administration and implementations.
We are a healthcare consulting agency specializing in operations and Health care compliance options for wellbeing insurers and managed care companies
Sharon can be a member of ACG’s clinical pharmacy staff supporting Medicare Section D, Medicaid, and pharmacy profit management groups. Sharon has substantial practical experience in built-in clinical follow, formulary management, operational course of action reengineering and PBM oversight. She has intended and executed utilization management programs for extended-phrase treatment provider groups (Medicare Element A/ managed treatment) and it has structured and participated on corporate JCAHO certification groups, for both proficient nursing amenities and pharmacies.
She also focuses primarily on improvement of custom made team-instruction programs and executing immediate workers education with a broad array of operational- and compliance-linked matters.
At SXC Wellbeing Remedies (now Portion of UnitedHealth Group), Chhaya was the clinical operations director for prior authorization and utilization administration, overseeing a center with much more than one hundred pharmacy experts and clinical pharmacists.
At ACG, we’re excited about our market and excited about finding it proper. We’re happy with our reputation amid marketplace leaders to carry out detailed operational analyses and to style and design and produce rock-strong conclude-to-conclusion remedies.
Darlene is often a member of ACG’s Authorities Packages Observe Group. She brings broad expertise in organizational advancement and compliance administration during the Medicare and Medicaid arenas. For over a dozen a long time, she has held senior authorized and compliance roles inside the insurance policies and managed treatment industries, where she has led pursuits as numerous as health program begin-up, administration of JCAHO and NCQA accreditation, state and CMS regulatory oversight audits, managed medicare consulting line responsibility for grievances and appeals, revenue agent oversight and industry carry out in conjunction with company processes and policy for corporate record retention. She has previously labored for Centene Company, AmeriGroup and United Health care.