A completely new Administration = New Troubles for Options & Suppliers ⚡Although last regulatory guidance has not been introduced however, health options and vendors needs to be ready to act speedy when adjustments strike. An agile tactic and the ability to swiftly deploy qualified teams will likely be significant. Medicare Edge:

Megan supports ACG operations, IT and facts management engagements, bringing clients thirteen many years of experience as a business analyst, configuration help analyst, and perform crew direct in documentation of small business specifications, procedure and data do the job flows to aid configuration of assorted systems.

Dr. Chapman has served as Clinical Director for a health plan with a lot more than a million users in business, Medicare Gain and Medicaid solutions. In his operate with ATTAC clientele, he concentrates on the clinical components of managed care, excellent and STAR programs, like improvement and application of utilization administration standards, quality checking and interventions, and building operational efficiencies in clinical software application to lessen administrative costs.

Jennifer Venditti has much more than 30 many years of experience supporting method/project management and organization/IT Alternative implementations. All over her career, Jennifer has focused on working with corporations To maximise the use of technology to support operational and financial plans. Just lately, she has labored with corporations to determine inhabitants well being, wellbeing equity, treatment administration, and member/supplier engagement tactics and alternatives to cross clinical, operational and technological boundaries.

She excels at the opportunity to analyze processes for improvement and execute modifications needed inside a timely and successful fashion. Ms. Regalado has broad working experience in healthcare statements features.

Before signing up for ACG, Jon served as director of possibility adjustment for your multi-point out regional overall health program that made available ACA /MA and Medicaid items, together with serving as regional manager for possibility adjustment in a national health plan.

Lori has wide abilities in Medicare Component C/D and business appeals and grievance. She has thirteen yrs of Medicare knowledge in approach enhancement, audit/monitoring and enrollment functions. Ms. Mercer’s activities consists of utilizing operational and technological best methods to be certain top quality and compliance with organizational, point out and national benchmarks.

Darlene is actually a member of ACG’s Federal government Programs Exercise Group. She provides broad knowledge in organizational advancement and compliance administration from the Medicare and Medicaid arenas. For more than a dozen yrs, she has held senior lawful and compliance roles throughout the insurance policy and managed care industries, wherever she has led pursuits as various as health prepare commence-up, management of JCAHO and NCQA accreditation, state and CMS regulatory oversight audits, health plan consulting managed line duty for grievances and appeals, revenue agent oversight and market conduct in addition to business enterprise processes and plan for company report retention. She has Formerly labored for Centene Company, AmeriGroup and United Health care.

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Her fingers-on encounter supports companies in planning for NCQA accreditation and CMS utilization administration audits, As well as in driving Expense reduction by efficient treatment administration and utilization management programs.

Carmen is a member of ACG’s Overall health System Functions and Federal government Packages Apply Groups. She provides customers assist in the development of helpful interior auditing and downstream monitoring courses, together with supplies operational skills during the areas of enrollment and high quality billing (Primarily MA and Section D), appeals and grievance management, HEDIS reporting and administration of external audits.

At ACG, we’re passionate about our industry and enthusiastic about acquiring it ideal. We’re happy with our reputation amid market leaders to perform detailed operational analyses and to design and style and supply rock-stable conclude-to-conclude alternatives.

At ACG, we’re excited about our industry and finding it appropriate. We’re happy with our status amongst sector leaders to conduct in-depth operational analyses and supply nicely-created remedies. Our consumers count on ACG to offer professional regulatory information, to put into action strong compliance methods, and to perform economical, qualified auditing. Our medical and pharmacy groups are guiding businesses in adoption of new types to manage treatment in a price-successful way. Site Exterior hyperlink for ATTAC Consulting Group (ACG)