Compliance
- Navigating Star Ratings in the Aftermath of CMS Plan Preview 2: Actionable Steps for Medicare Advantage Plans in 2023 and Beyond
- Compliance Isn’t Just Compliance Anymore: Three Ways Medicare Advantage Teams Can Shift From Retrospective Oversight & Deliver Strategic Value
- Charles Baker Joins ATTAC Consulting Group as Vice President of Compliance Solutions
- CMS Strengthens Its Commitment to Health Equity With Finalized Enrollment Guidance
- Changes To Level 1 Appeals for Medicare Advantage Plans: Appeal and Grievance Data Form Must Be Updated by Oct. 3, 2023
- CMS Training for Part D Formulary & Benefit Administration Validation Audits
- CMS 2022 Part C and Part D Program Audit and Enforcement Report
- Medicare-Medicaid Plans to Undergo Performance Measure Validation for 2023 Cycle
- Navigating the 2023 CMS Program Audit: Are You Ready?
- Updated Notice of Denial of Medical Coverage / Integrated Denial Notice
- Better Experiences, Better Outcomes: Understanding the Impacts of 2023 Managed Care Final Rule on Special Needs Plans & Members
- Market Conduct Examination: How to Prepare for an Unpredictable Audit That Can Result in Major Fines
- 2024 Proposed Rule Changes: Medicare Advantage Agent/Broker Compliance Oversight | Medicare Advantage and ACA Provider Directories & Contracting | ACA HHS Risk Adjustment Data Validation
- 2024 Proposed Rule Changes: Medicare Advantage Agent & Broker Compliance Oversight Under CMS Microscope
- Telehealth Fraud, Waste and Abuse: How to Develop a Prevention and Detection Program
Risk Adjustment
- Six Ways Your Plan Can Use Case Management For a Transformative Impact on Risk Score Accuracy and Overall Health of Enrollees
- Unlocking Efficiency: Five Ways Monitoring Average Retrieval and Coded Chart Rates Boosts Your Chart Review Program
- No-cost Risk Adjustment Summary Assessment For Health Plans | Reduce the Risk, Cost & Aggravation of an OIG Audit
- How to Achieve a High-Performing Risk Adjustment Member Engagement Strategy: 4 Steps to Take Now
- Maximizing Risk Adjustment Success in the Second Half of 2023
- OIG’s Expanded Oversight of Medicare Advantage Risk Adjustment: Implications for Managed Care Organizations
- 8 Best Practices for In-Home Assessments: How to Ensure Quality Patient Care & Compliance with Medicare Regulations
- Medicare Advantage RADV Final Rule Changes: With an Expected Audit Recovery of Nearly $5B in Next 10 Years, Will Your Plan Face an Audit?
- CMS Final Rule For Medicare Advantage RADV: What’s Your Exposure?
- 2024 Proposed Rule Changes That May Impact ACA HHS Risk Adjustment Data Validation
- 2023 Data Validation Audit: Don’t Just Check the Box
- HHS RADV: Did You Know? You Can Reduce the Number of Charts You Chase
- Three Areas to Consider as Your Organization Strives to Improve Risk Score Accuracy
- Risk Adjustment Compliance: Top 4 Vendor Oversight Considerations
- Three Steps to Build a Strong 2023 Risk Adjustment Plan
- Risk Adjustment Compliance and ICD-10 Diagnosis Code Accuracy: Three Areas of Concern Identified by the OIG
- Risk Adjustment: Three Steps to Review and Set Strategy for Upcoming Retrospective Interventions
- Overpayment Rule Stands: Review Your Plan’s Processes and Procedures Now to Avoid False Claims Act Liability
Provider Network Management
- Medicare Advantage Initial or Service Area Expansion Application: Finalize CY 2024 and Prepare for CY 2025
- New Proposed Medicaid Regulations Aim to Enhance Access to Care & Health Equity | Submit Comments by July 3, 2023
- How to Prepare Your Medicare Advantage Initial or Service Area Expansion Application for CY 2024 & Beyond
- 2024 Proposed Rule Changes: Medicare Advantage Agent/Broker Compliance Oversight | Medicare Advantage and ACA Provider Directories & Contracting | ACA HHS Risk Adjustment Data Validation
- 2024 Proposed Rule Changes: Impacts to Medicare Advantage & ACA Provider Directories and Contracting
- Case Study | How ATTAC Helped a Large Multi-state Health Plan Win a Medicaid Bid by Expanding the Plan’s Provider Network
- Provider Access & Availability Surveys: Is Your Plan Meeting Access to Care and Appointment Availability Requirements?
- Take These Four Steps For a Successful Provider Engagement Strategy That Drives Value-based Reimbursement
Business Transformation
- Get Ready: 2024 Low-Income “Extra Help” Subsidy Changes
- How to Prepare for Medicaid Redetermination
- New ICD-10 Code Changes Emphasize Social Determinants of Health
- Value-based Insurance Design: Is Your Plan Prepared to Implement Medicare Advantage VBID?
- HHS Introduces Standards for Healthcare Transactions and Electronic Signatures
- Is Your Plan Ready for Medicaid Redetermination?
