She's adept at handling privateness grievances, managing regulatory submissions, and driving process improvements that increase efficiency and mitigate possibility.
With Victoria’s track record in clinical excellence, she is a crucial asset for ATTAC clientele looking for to enhance operational efficiencies and audit readiness.
Lynn has designed and supported different community obtain-to-care initiatives. She has created and executed social determinants of health and fitness packages and has worked throughout membership populations.
This consists of Evaluation of supplier entry and adequacy compliance as well as the connected regulatory filings.
Lynn has comprehensive encounter dealing with healthcare supply techniques and is a grasp’s organized nurse. Her Management knowledge includes inpatient, ambulatory and overall health approach environments.
ATTAC Consulting Group is really a nationwide chief in supplying advisory, auditing, consulting and business enterprise operations remedies to health insurers, drug programs, managed treatment corporations and service provider companies.
He also guides undertaking teams supporting organization approach Examination, reengineering and style and design and enhancements of core programs supporting the industrial, Medicare and Medicaid sectors. Ilya has held consulting roles with other firms and served as Medicare functions guide for Horizon BCBS As well as in operations capacities at Aetna, Inc.
Shared my vision for reversing Serious disorder, integrating eco-program in between Payers & Vendors and unlocking the power of Benefit-Based mostly-care styles which include RA, High-quality etc. in U.S Health care along with some functional suggestions and feelings to my market colleagues about how to get PROACTIVE for the 3rd Yearly RA #Innovation Discussion board in Dallas. Strategic Remedies Community ✳️ It really is very clear following recent pent up stress with The existing state of Long-term disease, Prior Auth frustrations, large expense of treatment and Using the administration adjust, its a pivotal instant for all. #️⃣ It's all the more important to look over and above The existing lens of KPIs of Hazard Adjustment, STAR and value primarily based care effectiveness. Let us keep ourself accountable to each other on enhancing actual overall health results.
We’re excited about our sector and finding it suitable. We’re proud of our standing among the sector leaders to complete in depth operational analyses and to structure and supply rock-sound finish-to-close alternatives.
He is noted for his Management in regulatory audits, compliance method improvement, and risk mitigation for big health and fitness programs.
Jon is actually a seasoned executive guiding hazard adjustment systems for Medicare Edge, ACA /Marketplace and Medicaid courses. He delivers knowledge in improvement and implementation of helpful possible and retrospective danger adjustment initiatives, properly targeted to maximize ROI. He is deeply skilled at guiding and producing analytics to recognize/suspect potential chance adjustment prospects, along with checking for inappropriately coded claims and diagnoses to be certain accuracy in hazard adjustment submissions for the MA Come upon Info Processing Techniques and ACA Edge Servers.
Erin is a highly trained and profitable Medicare Advantage compliance Experienced with ten many years of working experience while in the healthcare marketplace. Erin’s track record involves Management positions in Medicare sales compliance/agent oversight, compliance method usefulness/administration, delegated entity oversight, and health and fitness program functions.
Together with coming up with and producing service provider networks through the US, David has broad experience helping shoppers in acquiring company healthcare compliance audit networks and Conference regulatory necessities for Medicare, Medicaid, and employer group options.
Ms. Regalado has in excess of 25 many years of healthcare working experience with detailed familiarity with compliance rules associated with federal and various point out Medicaid and industrial specifications. She has extensive practical experience in overall health strategy functions, like claims administration, claims auditing, process configuration, enterprise process style and design, and workflow advancement.