She provides a tested track record of driving compliance with NCQA criteria and optimizing Health care delivery throughout diverse sectors, including Medicare, professional ACA, and Medicaid.
With Victoria’s background in medical excellence, she is a essential asset for ATTAC clientele trying to get to enhance operational efficiencies and audit readiness.
To be a member of ACG’s Health and fitness System Management, M & A, and Government Courses groups, Al supplies customers abilities in finance and accounting problems in all item sectors of your coverage and managed care industries, which include finance and reconciliation for Medicare Advantage and Element D applications. Al has consulted and held interim CFO roles via various prepare reorganizations and restructurings all through M & A transactions and receiverships.
This involves analysis of company obtain and adequacy compliance as well as the linked regulatory filings.
Elizabeth serves as system director in ATTAC’s Knowledge Audit Group. She supports purchasers on consulting engagements associated with Medicare Advantage and Component D enrollment, reconciliation and premium billing functions, where by she presents steerage on business method design and style and procedure controls and oversight and checking.
- Rebecca Welling - You will be this type of humble chief and terrific to connect with both you and your crew. - Tom Shankle - Your example of how a Chance Adjustment coding nuance and training served your member of the family protect against troubles was remarkable!
Lori has broad expertise in Medicare Component C/D and commercial appeals and grievance. She has 13 several years of Medicare working experience in method improvement, audit/checking and enrollment functions. Ms. Mercer’s ordeals features implementing operational and technological best practices to make certain top quality and compliance with organizational, condition and countrywide expectations.
Specified her work in numerous Neighborhood care initiatives, she understands the struggle of varied populations and the necessity of offering top quality care even though balancing Value effectiveness.
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He is noted for his leadership in regulatory audits, compliance program enhancement, and risk mitigation for big well being options.
Dory has virtually 40 years of encounter in guiding details technological know-how and health and fitness system functions departments and assignments for insurance policies, managed care and point out departments together with big functions and IT facilities.
Our medicare consulting purchasers count on us for qualified regulatory tips, to employ strong compliance answers also to perform productive, qualified auditing. Our health-related and pharmacy groups tutorial organizations in adoption of latest products to manage treatment in a value-productive way.
She has assisted states and well being options in procurement, Investigation, checking and unbiased verification and validation. Linda has experience in organization course of action mapping and re-engineering and developing cohesive teams via fingers-on management.
Which has a demonstrated track record in leading comprehensive compliance programs, Tammy has properly guided wellbeing programs with the complexities of CMS guidelines, point out, and federal regulations.