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• ABOUT ATTAC
  • Leadership
    • Aaron Eaton Sr., Vice President, Corporate Strategy & Product Development
  • Our Approach
    • Code of Conduct
  • ATTAC Consulting Group’s Leadership and Consulting Team
    • Anne Crawford, Sr. Vice President, Compliance Solutions
    • Anne Marie Youlio, Pharm.D., R.Ph.,C.Ph, Program Lead
    • Dory Hicks, Director 
    • Jennifer Venditti Sr. Vice President Business Transformation & Technology
    • Jocelyn Bayliss, Program Lead, Provider Network Management
    • John Gottwald, Senior Vice President, Sales & Client Services
    • Kirk Martindale, Vice President, Data Audit Group
    • Mark Grossman, Sr. Advisor (Emeritus)
    • Steve Arbaugh, Managing Principal and CEO
• Amanda Brown, Vice President, Compliance Solutions Group
• Case Studies | Webinars
• CMS Releases First-Ever Home- and Community-Based Services Quality Measure Set
• CMS Seeks Input From Public About Various Aspects of Medicare Advantage
• CMS Updates: Parts C & D Enrollee Grievances, Organization/Coverage Determinations and Appeals Guidance Effective August 3, 2022
• CONTACT
• CY 2023 Medicare Advantage and Part D Marketing and Communications Final Rule and Impact to Medicare Advantage Dual Eligible Special Needs Plans
• Free Webinar | How to Optimize Telehealth & Minimize Risk: Insights on Trends, Business Processes & Controls
• Home
• HPMS Memo: Transfer of Submitted Multi-Plan Marketing Materials
• Increased Medicare Beneficiary Complaints About Third-party Marketing Leads to New Requirements For Agent/Broker Training & Testing Guidelines
• Interim Staffing and Training
• It’s Time to Review Your Risk Adjustment Vendor Contracts
• Latest News
• New CMS Bulletin Could Mean Greater Oversight of Medicaid Network Adequacy
• New rules: Medicare Advantage Plans Completing Applications For New Markets or Service Areas Must Build-out Provider Networks at the Same Time
• NEWS | PRESS | PUBLICATIONS
• News | Press | Publications
  • ATTAC Consulting Group Welcomes Aaron Eaton as Senior Vice President for Corporate Strategy and Product Development
  • CMS Announces Race and Ethnicity Data Changes Required For Medicare Advantage and Part D plans
  • Health Plan Weekly | North Carolina Sets Sights on Medicaid Expansion
  • Radar on Medicare Advantage | New Prior Authorization Rule Aims to Quicken Senior Access to Care
• Overpayment Rule Stands: Review Your Plan’s Processes and Procedures Now to Avoid False Claims Act Liability
• Pharmacy Solutions & Investigations
• Provider Contracts, Materials & Payment Rates
• Services & Solutions
  • Compliance
    • It’s Time to Start Planning for Compliance Week
    • New Medicare Advantage Prior Authorization Requirements Unanimously Passed by House 
    • Risk Adjustment Compliance and ICD-10 Diagnosis Code Accuracy: Three Areas of Concern Identified by the OIG 
    • Compliance Programs
    • Mental Health Parity Compliance
    • Mental Health Parity NQTL Analyses for Health Plans and ERISA Self-Funded Groups
    • Mental Health Parity NQTL Analysis FAQs
    • Telehealth Fraud, Waste and Abuse: How to Develop a Prevention and Detection Program
      
    • Top Ten Steps for Exclusion Monitoring Compliance
    • Warning: CMS on the Hunt for Deceptive Medicare Advantage Advertising
    • Delegated Entity and FDR Oversight
    • CMS Independent Validation Auditor (IVA)
    • Fraud, Waste & Abuse
  • Auditing
    • ACA HHS RADV Audit for Commercial Issuers
      • HHS RADV Insights: ATTAC’s Top Added & Top Failed RADV HCCs by Volume
      • HHS RADV: Did You Know? CMS selected ATTAC in 2016 as a Primary Beta Tester for Its RADV Audit Tool
      • HHS RADV: Did You Know? You Can Increase Your Newly Identified HCCs
      • HHS RADV: Did You Know? You Can Reduce the Number of Charts You Chase
    • Compliance Auditing & CMS Program Audits
      • CMS Audit Universe Testing, Timeliness and Analytics Service
      • MA and Part D CMS Program Audits
    • Compliance Program Effectiveness Review and Audit (CPE)
    • Market Conduct Examinations
    • Medicare Advantage and Part D Data Validation
    • Delegate Auditing & FDRs
    • Regulatory Reporting & Medicare Data Validation Audits
    • Operations Auditing and Process Improvement
    • Internal Monitoring & Auditing Programs
  • Provider Network Management
    • Provider Access & Availability Surveys: Is Your Plan Meeting Access to Care and Appointment Availability Requirements?
    • Provider Management & Directory Accuracy
    • Provider Network Access, Data and Operations
    • Provider Network Contracting, Strategy and Development
    • Provider Network Performance
    • Take These Four Steps For a Successful Provider Engagement Strategy That Drives Value-based Reimbursement
    • Value-Based Payment Programs
  • Systems, Operations and Business Transformation
    • Five Keys to Successful Project Management
    • Medi-Cal: The Duals Migration to D-SNP
    • Enrollment, Claims and Core Operations
    • Is Your Plan Ready for Medicaid Redetermination?
    • Project and Program Management
    • Grievances & Appeals
    • Information Systems and Technology
    • Marketing and Communications
      • RADAR on Medicare Advantage | New Third-Party Marketing Oversight Duties Have Industry Scrambling Before AEP
    • Medical and Clinical Pharmacy Support
    • Readiness Assessments
    • Interim Staffing
    • Risk Adjustment
      • Risk Adjustment: Three Steps to Review and Set Strategy for Upcoming Retrospective Interventions
      • Three Steps to Build a Strong 2023 Risk Adjustment Plan
      • Risk Adjustment Compliance: Top 4 Vendor Oversight Considerations
  • Training
    • Enrollment
    • FDR Oversight and Monitoring
    • Appeals & Grievances
  • Plan Development & Applications
    • Strategy & Assessment
    • Medicare & Part D
    • Licensure, Applications & Product Launch
  • Merger & Acquisition Support
  • Government Agencies, Departments and Partners
    • Audit & Oversight
    • ATTAC as a Teaming Partner
• Site Map
• Terms & Privacy
• Timeliness Monitoring Project – CY 2022 Part C Data for 2024 Star Ratings
• Who We Help
  • Government and Teaming Partners
  • Health Plans
    • Commercial ACA and Qualified Health Plans
    • Medicaid Health Plans and MCOs
    • Medicare Plans
  • IPAs, ACOs and Health Systems
• Careers at ATTAC