Risk Adjustment
- Maximizing Risk Adjustment Success in the Second Half of 2023: Four Steps for Health Plans to Take Now
- Free Webinar | Ongoing OIG Risk Adjustment Scrutiny: Top 3 Key Insights for ACOs, Payers, CINs & Providers
- 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?
- RADAR on Medicare Advantage | With Final RADV Rule Out, MAOs Are Advised to Clean Up Risk Adjustment Practices
- CMS Final Rule For Medicare Advantage RADV: What’s Your Exposure?
- EDGE Server Refresher: A Quick Overview of the ACA Data Submission Process As You Prepare to Submit 2022 Dates of Service Data by May 1
- 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
- It’s Time to Review Your Risk Adjustment Vendor Contracts
- Overpayment Rule Stands: Review Your Plan’s Processes and Procedures Now to Avoid False Claims Act Liability
Compliance
- Navigating the 2023 CMS Program Audit: Are You Ready?
- Updated Notice of Denial of Medical Coverage / Integrated Denial Notice
- COVID-19 Public Health Emergency Ends May 11, 2023 | Providers May Apply for a Waiver / Flexibility Request
- Reminder from CMS: Annual Verification of Parent Organization & Legal Entity Name | Corrections Due by March 22, 2023
- Better Experiences, Better Outcomes: Understanding the Impacts of 2023 Managed Care Final Rule on Special Needs Plans & Members
- Mental Health Parity Update | Increased Enforcement and Emerging Regulatory Guidance
- 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
- ATTAC Consultants to Speak at HCCA’s 2023 Virtual Managed Care Compliance Conference (February 1 & 2) & 27th Annual Compliance Institute (April 23)
- CMS Seeks Public Comment Re: ACA Essential Health Benefits by Jan. 31, 2023
- Case Study | How ATTAC Helped a Large Health Plan Meet Mental Health Parity Compliance Requirements & Respond To a DOL Audit
- Webinar Replay | Mental Health Parity NQTL Assessment: How to Strengthen Your NQTL Analyses
- Warning: CMS on the Hunt for Deceptive Medicare Advantage Advertising
- New Medicare Advantage Prior Authorization Requirements Unanimously Passed by House
- Telehealth Fraud, Waste and Abuse: How to Develop a Prevention and Detection Program
- CMS Updates to Part D Member Materials for CY 2023
- HPMS Memo: Transfer of Submitted Multi-Plan Marketing Materials
- CMS Releases First-Ever Home- and Community-Based Services Quality Measure Set
- Increased Medicare Beneficiary Complaints About Third-party Marketing Leads to New Requirements For Agent/Broker Training & Testing Guidelines
- CY 2023 Medicare Advantage and Part D Marketing and Communications Final Rule and Impact to Medicare Advantage Dual Eligible Special Needs Plans
- Timeliness Monitoring Project – CY 2022 Part C Data for 2024 Star Ratings
- Top Ten Steps for Exclusion Monitoring Compliance
Media Coverage
- RADAR on Medicare Advantage | 2023 Outlook: MAOs Mull How to Compete While They Brace for Change, Uncertainty
- RADAR on Medicare Advantage | Sweeping MA, Part D Proposed Rule Touches on Everything From Stars to SNPs
- Radar on Medicare Advantage | New Prior Authorization Rule Aims to Quicken Senior Access to Care
- Fierce Healthcare | Medicare Advantage at Tipping Point: A Preview of 2023 Open Enrollment
- RADAR on Medicare Advantage | New Third-Party Marketing Oversight Duties Have Industry Scrambling Before AEP
- RADAR on Medicare Advantage | New CMS Bulletin Could Mean Greater Oversight of Medicaid Network Adequacy
Provider Network Management
- 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
- RADAR on Medicare Advantage | New CMS Bulletin Could Mean Greater Oversight of Medicaid Network Adequacy
- Provider Access & Availability Surveys: Is Your Plan Meeting Access to Care and Appointment Availability Requirements?
- Medicare Advantage Plans Completing Applications For New Markets or Service Areas Must Build-out Provider Networks at the Same Time
- Take These Four Steps For a Successful Provider Engagement Strategy That Drives Value-based Reimbursement
Business Transformation
- 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?
- ATTAC Consultants to Speak at HCCA’s 2023 Virtual Managed Care Compliance Conference (February 1 & 2) & 27th Annual Compliance Institute (April 23)
- HHS Introduces Standards for Healthcare Transactions and Electronic Signatures
- Five Keys to Successful Project Management
- Is Your Plan Ready for Medicaid Redetermination?
- CMS Announces Race and Ethnicity Data Changes Required For Medicare Advantage and Part D plans
