Independent Auditor (IA) Validation

Independent Auditor (IA) Validation

ATTAC Consulting Group (ACG) is a top Medicare Independent Validation Auditor chosen by leading Medicare Advantage and Part D Plans across the nation when CMS requires an Independent Auditor Validation following a Program Audit.   ACG will develop your custom audit plan, file it with CMS and efficiently guide you through the Validation Audit process.

Corrective Action Implementation

ATTAC Consulting Group is also a leading solution provider assisting Medicare Advantage and Part D Plans with development and implementation of robust Corrective Action Plans to address the operational deficiencies identified in a CMS Program Audit, Intermediate Sanction, or State audit.  ACG provides expert guidance, trusted resources, with solutions designed assure that the issues will not occur again.

Leading Team of Auditors and Operations Experts

ACG’s team of seasoned health plan and Part D pharmacy operations experts have assisted many Medicare,  Medicaid and Commercial plans to rapidly address compliance deficiencies  identified by CMS and State agencies developing effective Corrective Actions Plans (CAPS) combined with effective implementation of revised business process, controls and oversight monitoring.

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Implementation

Corrective Action and Sanction Support:

ATTAC Consulting Group’s (ACG) team has deep experience guiding plans in build robust solutions to issues requiring corrective action (ICARs and CARS). We have guided numerous plans in building solutions and in reengineering to successfully resolve CMS CAP requirements and resolve Intermediate Sanctions. ACG’s support and solution model incorporates:

• Focused and immediate response to Immediate Corrective Action requirements

• Thorough end-to-end root-cause analysis to build effective, lasting solutions

• Drafting robust Corrective Action Plans (CAPs) that address agency concerns

• Data Sourcing and systems updates to support business owners and revised processes

• Effective business process reengineering and control design

• Policy and procedure development

• Training program development

• Delegate, training, reporting and oversight enhancement

• Design and implementation of effective monitoring reports and processes and auditing programs

• Independent Validation testing

• Support for development of effective documentation of outcomes to submit to CMS and state agencies

Independent Auditor Validation:

ATTAC Consulting Group (ACG) provides Independent Auditor Validation services to Medicare Advantage (MA) and Prescription Drug Plans (PDP) required by CMS to hire an third-party auditor to test the outcomes of their corrective actions following a CMS Program Audit or if placed in Intermediate Sanction.

ACG is a recognized national leader in performing Medicare compliance and CMS Program Audits.  ACG’s Independent Auditor Validation (IA) teams include Medicare Part C and Part D subject matter experts who have audited Medicare compliance for years.   Our audit systems and tools will specifically address testing of correction of deficiencies identified by CMS.

We work closely with the Plan to develop our audit work plan.  The work plan will cover required universes, sample sizes, audit period, and sample selection methods that target testing the corrective action outcomes required to be audited and be reviewed with CMS prior to the audit.

ACG will thoroughly test the Plan’s required universes, using our sophisticated CMS universe analytics engine

ACG will conduct the audit after the Plan’s revised operations are in place and it is operationally “clean”, focusing on audit completion on a timely basis to meet the CMS’ required deadline to have Independent Auditor Validation completed with findings submitted to the Agency.

Look to an experienced validation audit leader to conduct your Independent Auditor Validation.