Across core operational areas – from claims to enrollment, reconciliation and billing, customer service, pharmacy and medical management, ATTAC Consulting Group (ACG) delivers expertise and guidance in developing efficient, predictable and compliant business process solutions for Medicare, Medicaid and Commercial insurance products.

ACG specializes in:

  • End-to-end business process and work-flow assessment, design, re-engineering and translation for systems configuration

  • Development of operating procedures, desk procedures and staff training programs to ensure effective and complete implementation

  • Identification of critical process controls, design of operational metrics and data sourcing for process monitoring

  • Subcontractor, delegate and FDR operations oversight

  • Government reporting and compliance testing

ACG’s team of operations professionals supports organizations in areas such as:

  • Claims Management and Auditing

  • Medicaid Encounter Data Management

  • Enrollment, Reconciliation and Premium Billing (Commercial, Medicare, Medicaid and Duals Programs)

  • Medical and Pharmacy Operations

  • Risk Adjustment Operations

  • Provider Data Accuracy and Management

  • Customer Service

  • Systems Implementation, Configuration and QA

  • Finance