She provides a established background of driving compliance with NCQA criteria and optimizing healthcare delivery across diverse sectors, together with Medicare, industrial ACA, and Medicaid.
Megan supports ACG functions, IT and data management engagements, bringing consumers thirteen many years of expertise as a company analyst, configuration aid analyst, and function staff direct in documentation of enterprise necessities, process and info operate flows to aid configuration of assorted devices.
She's skilled with venture management methodologies, running project stakeholder duties and anticipations, and it has led tiny groups of immediate stories.
We are a Health care consulting agency specializing in operations and Health care compliance answers for wellness insurers and managed treatment companies
- John Barkley - Great way to guide the panels and dropping some wisdom to quite a few on bringing providers and payers collectively and seller oversight.
ATTAC Group brings with us many years of leadership experience, within the battlefields in the center east, the offices of many of the premier banks on Wall Avenue, best recruiting firms, and one of several leading suppliers on earth.
When was the final time you evaluated your HHS-RADV auditor? If it’s been a few years, you need to know that the landscape has advanced with new resources and refined strategies that could make your once-a-year audit far more efficient and impactful. ✅ ATTAC’s chase technique reduces the quantity of charts required to validate HCCs. Our customers usually convey to us we request fifty percent the charts that other auditors do—though nevertheless providing validation success over the nationwide ordinary. Even with less charts, our coding tactic has led to an average 10% rise in freshly recognized HCCs —perhaps positively impacting chance settlement.
He is a a flight surgeon within the Michigan Air National Guard, exactly where he continues to be decorated for negotiating a bilateral international agreement on medical licensure.
We’re excited about our sector and obtaining it proper. We’re pleased with our standing among business leaders to accomplish thorough operational analyses and also to style and design and produce rock-solid conclusion-to-end solutions.
Sharon can be a member of ACG’s scientific pharmacy group supporting Medicare Element D, Medicaid, and pharmacy advantage management groups. Sharon has substantial expertise in integrated scientific observe, formulary administration, operational method reengineering and PBM oversight. She has developed and executed utilization administration applications for long-term care supplier groups (Medicare Element A/ managed care) and it has arranged and participated on corporate JCAHO certification groups, for both proficient nursing services and pharmacies.
Jon can be a seasoned government guiding hazard adjustment packages for Medicare Advantage, ACA /Market and Medicaid plans. He brings abilities in enhancement and implementation of helpful prospective and retrospective hazard adjustment initiatives, appropriately targeted To optimize ROI. He is deeply skilled at guiding and producing analytics to recognize/suspect healthcare compliance audit potential chance adjustment chances, as well as checking for inappropriately coded promises and diagnoses to guarantee accuracy in chance adjustment submissions on the MA Encounter Knowledge Processing Systems and ACA Edge Servers.
Erin is an experienced and effective Medicare Advantage compliance Expert with 10 years of practical experience inside the healthcare business. Erin’s history contains Management positions in Medicare income compliance/agent oversight, compliance program usefulness/administration, delegated entity oversight, and wellness program operations.
Mia has a lot more than 16 a long time of expertise in regulatory compliance administration that has a specialization in compliance in medical routines and oversight of behavioral well being and compound abuse companies. She gives lawful, regulatory and compliance in medical services for industrial and Medicaid specialty in critical mental disease, thorough lengthy-term care and children’s professional medical services.
Ms. Regalado has over 25 decades of Health care experience with complete understanding of compliance rules linked to federal and numerous state Medicaid and business demands. She has extensive expertise in health and fitness approach operations, together with claims administration, promises auditing, program configuration, enterprise process design, and workflow progress.