Learn more about ATTAC’s operations, engineering & compliance remedies for wellbeing insurers & managed care organizations
At ATTAC Consulting, Justin provides deep experience in auditing, wellbeing program compliance, and regulatory and delegation oversight, that has a concentrate on the nuances in the California market place.
By using a Basis in 6 Sigma Methodologies, our system operates that will help identify and define important concerns when driving to locate the root brings about. We associate together with your management group to locate, produce, and put into practice modern remedies from the operational and transactional House.
Ashleigh guides wellbeing ideas and suppliers to establish and implement processes that travel provider data uniformity, conduct provider access surveys, develop effectiveness and consistency in company relations and details administration, examine supplier network adequacy, and streamline credentialing processes.
Elizabeth serves as system director in ATTAC’s Knowledge Audit Group. She supports purchasers on consulting engagements connected to Medicare Gain and Section D enrollment, reconciliation and high quality billing functions, exactly where she offers advice on company procedure design and process controls and oversight and monitoring.
Prior to joining ACG, Jon served as director of risk adjustment for any multi-state regional wellness program that made available ACA /MA and Medicaid solutions, and serving as regional supervisor for risk adjustment in a countrywide health plan.
When was the final time you evaluated your HHS-RADV auditor? If it’s been a several years, you need to know the landscape has progressed with new equipment and refined strategies that may make your yearly audit more economical and impactful. ✅ ATTAC’s chase technique reduces the quantity of charts required to validate HCCs. Our shoppers usually notify us we request fifty percent the charts that other auditors do—though nonetheless providing validation effects over the nationwide ordinary. In spite of much less charts, our coding method has resulted in a median ten% increase in newly recognized HCCs —most likely positively impacting hazard settlement.
Linda delivers in excess of thirty several years of expertise to consumers while in the wellbeing insurance plan and managed treatment industries. She is a senior advisor with expertise in methods, functions, administration and implementations.
We're a healthcare consulting business specializing in operations and Health care compliance solutions for overall health insurers and managed treatment organizations
He is noted for his leadership in regulatory audits, compliance application enhancement, and threat mitigation for giant wellness designs.
Dory has nearly forty yrs of knowledge in guiding info technologies and health plan functions departments and assignments for insurance policy, managed treatment and state departments which includes important operations and IT centers.
Paul Lake is a Health care plan and project chief with over 25 decades of working healthcare compliance audit experience from the market. He has directed electronic transformation implementations and a number of solutions for health and fitness ideas with Medicaid, Medicare and industrial Main devices. He has also led company-targeted earnings cycle administration Remedy implementations.
Her working experience as each a medical pharmacist and nationwide supervisor provides distinctive qualifications and insights into The inner workings of the broad scope of healthcare environments, which include acute treatment, chronic care, long lasting care (LTC), and Medicare/Managed treatment arenas. She has about twenty years of Health care field encounter and has worked for RX Answers and Phamerica, along with serving about the Board of Directors to the American Culture of Guide Pharmacists.
Ms. Regalado has greater than twenty five yrs of Health care expertise with complete knowledge of compliance restrictions connected with federal and different state Medicaid and business needs. She has in depth working experience in wellbeing program operations, like promises management, promises auditing, method configuration, business enterprise approach design, and workflow progress.