Charles Baker, VP, Compliance Solutions Read in .pdf here The Centers for Medicare & Medicaid Services (CMS) ushered in a new era for the Medicare Advantage Part C and Prescription Drug Benefit programs with the unveiling of the Contract Year 2025 Final Rule. This comprehensive regulatory overhaul
Read More →
ATTAC’s Clinical and Compliance Experts Will Help Your Plan Prepare for a UM-Focused Audit We Also Provide Post-Audit Corrective Action and Remediation Support CMS UM-focused audits for Medicare Advantage are here. As part of the 2024 Medicare Advantage and Part D Final Rule, CMS announced that utilization management (UM)-focused
Read More →
Reprinted with AIS Health permission from the 4/4/24 issue of Radar on Medicare Advantage Thanks to a final rule published just one year ago, Medicare Advantage plans as of Jan. 1 were expected to meet new constraints when it comes to applying their utilization management (UM) policies, including
Read More →
Can you relate to this scenario? As a Medicare compliance officer, you’ve just updated your mandatory general compliance and fraud, waste and abuse training. You’re ready to send an email to all employees to launch the training. As your finger hovers over the send button, you wonder:
Read More →
An insightful webinar exploring the power of collaboration between providers and health plans to achieve accurate risk-adjusted compensation. While providers and health plans may have different perspectives, there are numerous synergies and opportunities to use data analytics and drive value for patients. We delve into how providers
Read More →Dr. Michael Chapman, DO, MHCM, MS, FACOEP, is a Clinical Advisor at ATTAC Consulting Group. He is board-certified in emergency medicine, with more than a decade of clinical experience. Dr. Chapman has served as Medical Director for a health plan with more than a million members in commercial,
Read More →
Charles Baker, VP, Compliance Solutions The recent cyberattack on Change Healthcare affected clinical-decision support, eligibility verifications, chart abstractions, and pharmacy operations, and has highlighted vulnerabilities within the industry’s digital infrastructure. In light of these disruptions, plans need to explore the broader implications, particularly concerning Part D, CAHPS,
Read More →
Charles Baker, VP, Compliance Solutions The transition from Medicare-Medicaid Plans (MMPs) to Dual Eligible Special Needs Plans (D-SNPs) in California, particularly under the Medi-Cal program, is a pivotal part of a broader shift toward more integrated and coordinated care. This move is a key aspect of the
Read More →
by Lynn Kryfke, MSN, RN, Sr. Consultant, Risk Adjustment | Jon Rogers, Sr. Consultant, Risk Adjustment As CMS continues to evolve its Medicare Advantage risk adjustment methodology, significant changes have been made to the behavioral health Hierarchical Condition Categories (HCCs). Starting with the 2024 payment year, the
Read More →Barbee has served as a strategic advisor and thought leader for premier national insurers, health plans and provider organizations [Ann Arbor, MI – February 12, 2024] – ATTAC Consulting Group announced today that Kevin Barbee has joined the firm as Senior Vice President for its Business Transformation
Read More →
