ATTAC Consulting Group is a national leader in providing advisory, auditing, consulting, technology and business operations solutions to Medicare Advantage and Part D plans, and their delegates including PBMs, IPAs, dental and vision providers.
Ever-changing CMS guidelines bring uncertainty and risk. With years of CMS experience, our team understands nuanced regulatory guidelines, and we’re experts in implementing strategies that turn ambiguous CMS guidelines into compliant real-world results.
ATTAC’s team has worked in Medicare Advantage and Part D program operations, and this hands-on experience provides our clients with critical operational solutions, proven strategies and efficient, compliant, process implementation.
Medicare Advantage Compliance
Maintaining regulatory compliance for Medicare Advantage, Medicaid, ACA, FEHBP, commercial, TPA, and self-funded groups requires constant attention, adequate controls, and monitoring tools and programs. ATTAC is nationally recognized in regulatory interpretation, design, and operation of effective compliance programs
Medicare Advantage Risk Adjustment
We guide and drive risk adjustment program optimization and accuracy for health plans, provider organizations, and vendors for Medicare Advantage, commercial ACA, ACOs, and Medicaid. Our team provides a comprehensive range of risk adjustment, operational excellence, consulting, advisory, and auditing services.
Medicare Advantage Auditing
ATTAC specializes in operations performance auditing, Medicare, Medicaid and ACA compliance audits, data validation, HHS RADV, and state market conduct audits. Our experienced audit managers and proven processes are focused, targeted and efficient.
Provider Network Management
We support all provider-related activities for plans and providers (health systems, CINs, ACOs, IPAs) with expertise in network strategy and development, and network operational effectiveness and compliance. Our flexible approach meets the specific needs of clients in commercial, Medicaid, Medicare and worker’s compensation programs.
Business Transformation & Technology
We offer program and project management expertise for various initiatives, including launching new business lines, insourcing or outsourcing functions, and selecting and implementing new solutions. With years of experience in end-to-end technology implementation, we deliver business transformation and technology projects that are on-time, on-budget, compliant, and effective.
Operations Excellence
We take a tactical approach to ensure accuracy, efficiency, and optimized workflow, which involves identifying and implementing solutions that drive operating excellence and cost efficiency. What sets us apart from the competition is our team’s extensive experience in assisting a diverse range of clients in evaluating and designing solutions for their operational challenges.
Pharmacy
ATTAC’s team includes clinical pharmacists and researchers with extensive experience providing support to the pharmaceutical industry, health plans, legal firms and their clients.
Training & Interim Staffing
ATTAC has developed a series of programs to support plans’ training needs, relieve internal teams’ pressure, and ensure staff is educated on all facets of regulatory requirements. We also provide interim staffing for most operational roles.
