
ATTAC Consulting Group is nationally recognized as an expert in regulatory interpretation, design, and operation of effective compliance programs for Medicare, Medicaid and commercial health plans, PDPs, ACA plans, ACOs, provider groups, dental and vision plans.
Compliance Programs, Risk Assessment & Monitoring
ATTAC Consulting Group’s compliance team helps organizations conduct risk assessments, develop effective compliance systems and institutionalize controls. Our solutions can help you implement programs that are essential to maintaining routine compliance.
Talk With ATTAC to Reduce The Complexity & Risks Associated With Healthcare Compliance
Compliance Auditing & CMS Program Audits
With ever-expanding compliance requirements, routine compliance auditing is an increasingly important practice for successful plans. ATTAC has conducted hundreds of audits for plans that trust our knowledge, insight into regulatory focus areas, and audit efficiency.
Independent Validation Auditor Services
ATTAC is a top Medicare Independent Validation Auditor (IVA) selected by leading Medicare Advantage and Part D plans nationwide when an IVA is required following a CMS Program Audit. We’ll develop a custom audit plan, file it with CMS, and efficiently guide you through the IVA process.
Utilization Management (UM) Focused Audits
CMS announced that utilization management (UM)-focused audits will be used to test plan and FDR compliance with new UM program guidelines. This rule defines the coverage criteria requirements for Medicare Advantage and Medicare prescription drug plans (Part D). CMS will enforce UM program changes through routine and focused audits. ATTAC’s clinical and compliance experts will help your plan prepare for a UM-focused audit.
Delegated Entity & FDR Oversight
CMS, 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.
ATTAC Assurance
Elevate your organization’s compliance and operational performance with the ATTAC Assurance Program. You’ll get dedicated access to our compliance consultants, a team with deep expertise in regulatory guidance interpretation and operationalization, health plan compliance, fraud, waste and abuse, vendor oversight and management, and risk adjustment.
Mental Health Parity & NQTL Services
Our Mental Health Parity compliance experts assist insurers, health plans, ERISA-plan sponsors and third-party administrators. We help organizations assess and remediate current NQTL analyses for deficiencies and risks, develop new NQTL analyses, and assist with responding to regulatory audits and annual reporting.
Corrective Actions & Sanction Support
ATTAC is a leader in assisting Medicare Advantage and Part D plans to develop and implement robust operational corrective action plans to address deficiencies identified in a CMS Program Audit, Intermediate Sanction or state audit. We provide expert guidance, trusted resources, and solutions designed to ensure that issues do not occur again.
Fraud, Waste & Abuse
Fraud, waste, and abuse (FWA) costs health and drug plans in the Medicare, Part D, Medicaid, and commercial spaces billions of dollars a year. Plans need to stay ahead of the curve to stem losses. ATTAC assists plans to evaluate FWA programs and guides program design and implementation.