We provide intense modify administration coaching to make sure Long lasting and sustainable improvements. Our proprietary course of action is your key to unlocking outstanding progress.
Megan supports ACG functions, IT and info management engagements, bringing purchasers 13 yrs of practical experience as a company analyst, configuration guidance analyst, and perform crew direct in documentation of business enterprise needs, process and knowledge perform flows to assist configuration of various systems.
He has built, deployed, analyzed, and refined potential and retrospective applications. Abundant attracts on his considerable working experience with facts for ongoing advancement and optimization of hazard adjustment efforts, aimed toward maximizing ROI and reducing charges.
Jennifer has major undertaking administration, business enterprise and IT management, 3rd-bash Alternative, products progress and vendor management working experience that may be used in almost any organizational surroundings. She has served in leadership positions at Ernst & Younger, in addition to service provider, seller and payer organizations.
Lynn has considerable expertise dealing with healthcare shipping devices and is also a master’s ready nurse. Her leadership encounter contains inpatient, ambulatory and wellbeing strategy environments.
- Rebecca Welling - You will be this kind of humble chief and terrific to attach with both you and your team. - Tom Shankle - Your example of how a Threat Adjustment coding nuance and education and learning served your member of the family reduce difficulties was amazing!
When was the last time you evaluated your HHS-RADV auditor? If it’s been a few years, you should know which the landscape has advanced with new resources and refined techniques that will make your once-a-year audit extra productive and impactful. ✅ ATTAC’s chase approach decreases the number of charts necessary to validate HCCs. Our purchasers generally notify us we request 50 percent the charts that other auditors do—whilst nevertheless offering validation effects over the nationwide typical. Even with much less charts, our coding method has triggered a median ten% increase in newly identified HCCs —probably positively impacting danger settlement.
Shared my vision for reversing Continual disease, integrating eco-program concerning Payers & Vendors and unlocking the power of Benefit-Based mostly-treatment versions for example RA, Excellent etc. in U.S healthcare in conjunction with some practical guidelines and views to my market colleagues about ways to get PROACTIVE for the third Yearly RA #Innovation Forum in Dallas. Strategic Solutions Community ✳️ It is very clear soon after the latest pent up aggravation with The existing condition of chronic ailment, Prior Auth frustrations, substantial cost of care and Using the administration transform, its a pivotal moment for all. #️⃣ It is actually even more important to glance beyond the current lens of KPIs of Risk Adjustment, STAR and price centered treatment efficiency. Let's hold ourself accountable to one another on strengthening authentic health results.
Lisa has greater than 20 years of practical experience in industrial, Medicaid, and Medicare managed treatment operations and compliance, the place she formulated organizational alternatives to make sure operational compliance although Conference internal and exterior stakeholder requirements. She has created and led multi-disciplinary groups spanning operations, compliance, and engineering throughout a broad spectrum of managed treatment operations.
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Dory has approximately 40 years of knowledge in guiding details technological innovation and wellness program operations departments and initiatives for insurance policy, managed care and point out departments which includes significant operations and IT facilities.
Carmen is really a member of ACG’s Health and fitness Prepare Functions and Authorities Plans Apply Groups. She delivers customers assistance in the event of efficient internal auditing and downstream monitoring plans, together with gives operational expertise while in the parts of enrollment and high quality billing (Specifically MA and Component D), appeals and grievance administration, healthcare consulting firm HEDIS reporting and management of external audits.
Besides coming up with and producing company networks all over the US, David has broad experience helping shoppers in acquiring provider networks and Conference regulatory demands for Medicare, Medicaid, and employer group ideas.
Ms. Regalado has over twenty five yrs of healthcare expertise with thorough familiarity with compliance restrictions related to federal and several state Medicaid and commercial prerequisites. She has intensive encounter in wellness program functions, including claims management, statements auditing, technique configuration, small business approach structure, and workflow enhancement.