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 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
