Examine This Report on best ATTAC Consulting Group
Examine This Report on best ATTAC Consulting Group
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The dearth of CMS updates—which include essential enrollment information—makes uncertainty, but businesses that strategy in advance are going to be while in the best position As Steve notes, "It can be an interesting time to go silent; if timelines slip, it could compress actions afterwards from the calendar year, but options must have prepared currently for every one of the pursuits." MMIT (Managed Marketplaces Insight & Technologies)
At ATTAC Consulting, Justin delivers deep knowledge in auditing, well being system compliance, and regulatory and delegation oversight, which has a center on the nuances on the California market.
That has a foundation in Six Sigma Methodologies, our approach will work to help you detect and determine crucial concerns whilst driving to find the root triggers. We lover with the administration staff to locate, generate, and carry out progressive solutions during the operational and transactional Room.
Ashleigh guides wellbeing plans and vendors to acquire and employ procedures that push provider knowledge uniformity, perform company accessibility surveys, create performance and regularity in service provider relations and facts administration, review company community adequacy, and streamline credentialing processes.
- John Barkley - Great way to direct the panels and dropping some knowledge to quite a few on bringing suppliers and payers alongside one another and vendor oversight.
- Rebecca Welling - You will be this type of humble chief and great to attach with you and your group. - Tom Shankle - Your illustration of how a Danger Adjustment coding nuance and training helped your member of the family protect against troubles was incredible!
Her Management has constantly enhanced operational efficiency, Price tag control, and provider satisfaction, even though sustaining the highest standards of regulatory and accreditation compliance.
Darlene is usually a member of ACG’s Federal government Programs Apply Group. She delivers broad knowledge in organizational improvement and compliance administration while in the Medicare and Medicaid arenas. For over a dozen many years, she has held senior authorized and compliance roles in the insurance and managed treatment industries, the place she has led things to do as diverse as wellbeing approach get started-up, administration of JCAHO and NCQA accreditation, state and CMS regulatory oversight audits, managed line duty for grievances and appeals, income agent oversight and marketplace perform coupled with company procedures and policy for company history retention. She has Beforehand labored for Centene Company, AmeriGroup and United Health care.
Lisa has over twenty years of experience in business, Medicaid, and Medicare managed care operations and compliance, wherever she created organizational solutions to ensure operational compliance though Conference inner and exterior stakeholder requires. She has formulated and led multi-disciplinary teams spanning functions, compliance, and technological innovation throughout a broad spectrum of managed care functions.
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Jon is really a seasoned executive guiding danger adjustment packages for Medicare Gain, ACA /Marketplace and Medicaid packages. He delivers know-how in advancement and implementation of effective prospective and retrospective threat adjustment initiatives, properly qualified To optimize ROI. He's deeply expert at guiding and producing analytics healthcare compliance audit to establish/suspect prospective possibility adjustment prospects, along with checking for inappropriately coded promises and diagnoses to be certain accuracy in risk adjustment submissions into the MA Face Facts Processing Units and ACA Edge Servers.
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At ACG, we’re obsessed with our marketplace and keen about obtaining it suitable. We’re proud of our popularity among industry leaders to carry out in depth operational analyses and to structure and provide rock-reliable finish-to-close answers.
✅ Onshore & offshore clinical record coding & HCC validation ✅ Submit-coding and steerage on the “best history” for submission We've been at this time supporting numerous Medicare Gain strategies with 2025 RADV chart coding & evaluation – and we nevertheless have ability that will help your program. ⏰ Time is jogging out! Protected your RADV audit assist right now.