She is usually a focused mentor and coach, elevating organizational compliance recognition via training initiatives.
With Victoria’s track record in medical excellence, she is a essential asset for ATTAC consumers trying to get to enhance operational efficiencies and audit readiness.
Dr. Chapman has served as Clinical Director for the overall health plan with over a million customers in commercial, Medicare Gain and Medicaid goods. In his get the job done with ATTAC customers, he concentrates on the medical facets of managed treatment, quality and STAR systems, like development and software of utilization management conditions, excellent monitoring and interventions, and creating operational efficiencies in medical program software to lower administrative charges.
This contains Examination of provider accessibility and adequacy compliance plus the related regulatory filings.
She excels at the ability to review procedures for enhancement and execute improvements wanted within a timely and productive manner. Ms. Regalado has wide working experience in Health care promises capabilities.
Jon has guided quite a few businesses to acquire efficient controls to scale back data leakage and to manage submission errors.
David has labored with industrial, Medicare, Medicaid, and dual-suitable health plans as well as their contracted vendors on the look and implementation of worth and hazard-centered reimbursement, and in establishing facts analytics To guage and monitor results.
Darlene can be a member of ACG’s Federal government Applications Practice Group. She provides broad knowledge in organizational improvement and compliance administration from the Medicare and Medicaid arenas. For over a dozen years, she has held senior lawful and compliance roles within the coverage and managed care industries, exactly where healthcare consulting firm she has led pursuits as varied as well being plan get started-up, management of JCAHO and NCQA accreditation, state and CMS regulatory oversight audits, managed line obligation for grievances and appeals, product sales agent oversight and market carry out in addition to business procedures and coverage for corporate report retention. She has Formerly labored for Centene Corporation, AmeriGroup and United Health care.
Eric is a highly trained data technician and architect of databases units to assistance analytics and output apps. He's deeply experienced in ACA risk model, CMS Medicare universes and also other information types Utilized in government healthcare applications.
ATTAC’s Management and consulting staff associates convey our clientele related market information and experience from earlier working and authorities roles, in addition to a long time of experience crafting methods and conducting audits for just a broad assortment of consumers across the country.
Her palms-on encounter supports companies in preparing for NCQA accreditation and CMS utilization management audits, and in driving Charge reduction by way of successful treatment administration and utilization administration plans.
Paul Lake is a Health care method and job chief with over 25 years of working experience within the business. He has directed digital transformation implementations and several methods for health and fitness strategies with Medicaid, Medicare and industrial Main programs. He has also led supplier-concentrated profits cycle management Alternative implementations.
Along with creating and creating provider networks all over the US, David has broad expertise assisting customers in creating provider networks and Conference regulatory necessities for Medicare, Medicaid, and employer group strategies.
In advance of transitioning to consulting, Ashleigh held Management roles at Universal American and AmeriHealth Caritas, and served as being a provider community contracting manager and credentialing manager in a nationwide company.
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