She is adept at taking care of privateness complaints, managing regulatory submissions, and driving procedure advancements that improve productiveness and mitigate risk.
️ MA bids for 2026 – thanks June 2 ⏳With a lot of transferring elements, well being plans and vendors can have a brief runway to adjust to improvements — putting a strain on resources. ⏳ ATTAC Consulting is ready to help We could fast deploy our skilled supplier community management staff to support:
Lynn has developed and supported various Group accessibility-to-treatment initiatives. She has made and carried out social determinants of overall health plans and it has worked across membership populations.
We are a Health care consulting firm specializing in functions and healthcare compliance methods for well being insurers and managed care companies
Elizabeth serves as plan director in ATTAC’s Facts Audit Group. She supports clients on consulting engagements connected to Medicare Benefit and Portion D enrollment, reconciliation and quality billing operations, the place she provides advice on small business process style and method controls and oversight and checking.
Known for her collaborative tactic, Tammy will work seamlessly with inner and external stakeholders to navigate complicated regulatory landscapes, making sure prosperous audits and investigations.
When was the final time you evaluated your HHS-RADV auditor? If it’s been a couple of years, you need to know that the landscape has progressed with new equipment and refined approaches which will make your annual audit more efficient and impactful. ✅ ATTAC’s chase strategy reduces the quantity of charts needed to validate HCCs. Our clientele normally inform us we request 50 % the charts that other auditors do—while even now offering validation results previously mentioned the countrywide typical. In spite of less charts, our coding solution has led to an average ten% increase in recently discovered HCCs —likely positively impacting danger settlement.
Darlene is a member of ACG’s Government Applications Practice Group. She brings wide skills in organizational growth and compliance management in the Medicare and Medicaid arenas. For more than a dozen many years, she has held senior lawful and compliance roles in the insurance policy and managed care industries, where by she has led pursuits as varied as wellbeing program begin-up, administration of JCAHO and NCQA accreditation, condition and CMS regulatory oversight audits, managed line responsibility for grievances and appeals, profits agent oversight and industry conduct in conjunction with business processes and plan for corporate record retention. She has Earlier labored for Centene Corporation, AmeriGroup and United Health care.
Mae has extensive expertise in examining and developing operational procedures inside intricate, delegated and/or matrixed environments. She provides wide encounter in industrial, Medicare Edge, and several point out Medicaid applications to bear on consumer engagements. She has had wide abilities in the foremost info methods employed in the health insurance policy market.
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Tina is a service provider community contracting leader with 25+ decades’ working experience making Medicare, Medicaid and Marketplace networks and applying benefit-dependent payment types.
At SXC Health and fitness Answers (now Element of UnitedHealth Group), Chhaya was the clinical operations director for prior authorization and utilization administration, overseeing a Centre with over 100 pharmacy professionals and clinical pharmacists.
Her practical experience as both a clinical pharmacist and nationwide manager delivers one of a kind qualifications and insights into the internal workings of a broad scope of healthcare environments, like acute treatment, Serious treatment, long-lasting treatment (LTC), and Medicare/Managed treatment arenas. She has over 20 years of healthcare business expertise and has worked for RX Answers and Phamerica, and also serving on the Board of Directors for healthcare consulting firm your American Society of Expert Pharmacists.
Victoria held two executive roles by having an Ohio health program serving more than one million users. As Vp of Medical Functions, she led key initiatives in appeals administration, clinical teaching, and regulatory compliance, considerably improving upon operational efficiencies and CMS audit readiness.