Auditing

ATTAC Consulting Group (ACG) specializes in auditing operational performance, regulatory compliance, data validation auditing and risk adjustment auditing. Our expertise covers Medicare, Medicaid, QHP, ACA and State regulatory compliance and audit standards covering health and drug plan operations. ACG’s experienced audit managers and proven audit processes are focused, targeted and efficient.  Our insight provides Plans significant Return on Investment.

Compliance Auditing & CMS Medicare Program Audits

With ever-expanding compliance requirements, routine compliance auditing has become a best practice for successful Plans. ACG’s mock Medicare Program Audit and our universe and audit experts help you achieve a higher level of compliance through preparation and simulated CMS Program Audits. Learn More.

CMS CAPs & Medicare Independent Auditor Validation

Medicare Plans need an Independent Auditor Validation (IVA) of corrective actions following a CMS Program Audit or Intermediate Sanction.  ATTAC  Consulting Group is a national leader in performing CMS Independent Auditor Validation. Learn More.

Delegate Auditing and Audit Tools

CMS holds Medicare Advantage and Part D organizations accountable for the compliance of their First Tier, Downstream and Related entities (FDRs).   ACG can rapidly increase your oversight reach for these delegates. Learn More.

Internal Monitoring & Auditing Programs

Effective Compliance Programs require building internal monitoring and auditing across the organization. ACG’s compliance teams can guide you in building an effective program. Learn More.

Regulatory Reporting & CMS Data Validation Audits

Medicare Advantage Organizations and Part D Plan Sponsors are required to undergo annual third party Data Validation Auditing (DVA).  ACG is a cost-effective Medicare DVA auditor for MA and PDP plans. Learn More.

ACA HHS-RADV Initial Validation Auditing (IVA)

Plans operating individual and small group commercial plans covered by the Affordable Care Act (ACA) require an annual HHS Risk Adjustment Data Validation (HHS-RADV Initial Validation Audit or IVA) audit to be performed; ACG is a leader in IVA Auditing with deep expertise in enrollment and risk adjustment (RADV) auditing. Learn More.

Operations  Assessment and Performance Auditing

Operational audits increase business process efficiency, enhance accuracy, streamline processes and increase profitability. ACG’s operations experts can lead the way. Learn More.

Readiness Assessments

Plans launching new product lines, entering new states, facing state or federal readiness review or planning significant year over year changes benefit from having a third party conduct a readiness assessment before program launch.  ATTAC Consulting Group performs readiness assessments for Medicare, Medicaid and ACA commercial plans. Learn More.