Are your delegates are on the straight & narrow?

CMS, CCIIO, state Medicaid agencies and state insurance departments hold plans accountable for the performance and compliance of their first-tier, downstream and related entities (FDR) for services they are delegated. ATTAC Consulting Group provides multiple solutions to enhance delegate oversight and ensure downstream compliance.

ATTAC provides solutions to develop your organization’s auditing and oversight programs 

  • Delegate data-capture and testing
  • Delegate training and standard tool development
  • Design and implementation of critical delegate reporting and process oversight
  • Creation of dashboards and key performance metrics
  • Design of delegate audit tools and training of plan staff in auditing

ACG’s solutions cover oversight programs for delegates

  • Outsourced Enrollment Operations
  • Outsourced Claims Operations
  • Delegated Credentialing for IPAs and Medical Groups
  • Delegated Utilization Management for IPAs and Medical Groups
  • Pharmacy Benefit Managers (PBMs)
  • Field Marketing Organizations (FMOs) and Sales Agents
  • Fulfillment Operations
  • Dental and Vision Sub-Contractors
  • Hearing Sub-Contractors
  • Social Determinant Sub-Contractors
  • Routine Audits of Your Delegates