She is adept at managing privateness issues, handling regulatory submissions, and driving procedure improvements that increase productiveness and mitigate hazard.

Megan supports ACG functions, IT and data administration engagements, bringing customers 13 many years of practical experience as a company analyst, configuration assistance analyst, and operate staff guide in documentation of company necessities, system and details work flows to guidance configuration of varied units.

Lynn has created and supported numerous Neighborhood accessibility-to-treatment initiatives. She has formulated and applied social determinants of health courses and it has worked throughout membership populations.

Pooja has more than 15 years of working experience driving business enterprise and knowledge technological innovation transformations to productively progress Health care and pharmaceutical industries. She has focused on establishing a culture of collaboration and transparency, managed implementations of complex, significant cross-dependency ground-up units, upgrades and enhancements, and held substantial-visibility positions. Pooja supplies independent, specialist and common program management help to multi-disciplinary and interdepartmental groups, and guides shoppers by means of operational and engineering initiatives.

She excels at the chance to review procedures for advancement and execute changes needed in a well timed and successful method. Ms. Regalado has broad experience in Health care claims features.

Known for her collaborative approach, Tammy works seamlessly with interior and external stakeholders to navigate sophisticated regulatory landscapes, making sure effective audits and investigations.

When was the last time you evaluated your HHS-RADV auditor? If it’s been a number of years, you need to know that the landscape has advanced with new applications and refined techniques that will make your once-a-year audit much more productive and impactful. ✅ ATTAC’s chase technique cuts down the amount of charts required to validate HCCs. Our clientele frequently tell us we ask for 50 percent the charts that other auditors do—although even now delivering validation results above the national typical. Despite having less charts, our coding approach has triggered an average 10% rise in freshly identified HCCs —probably positively impacting possibility settlement.

When you skipped the presentation at the danger Adjustment Improvements Forum, arrive at out to Subbu Ramalingam to learn more about his eyesight for reversing Continual disease, integrating the payer & supplier ecosystem, and unlocking the strength of VBC versions.

Lisa has over 20 health plan consulting years of expertise in business, Medicaid, and Medicare managed treatment operations and compliance, the place she designed organizational options to ensure operational compliance even though Conference interior and exterior stakeholder requires. She has formulated and led multi-disciplinary teams spanning operations, compliance, and technological innovation across a broad spectrum of managed treatment functions.

Laurie is part of ACG’s clinical pharmacy practice group serving all program segments. She has considerable encounter in clinical and operational management of pharmaceutical providers in a whole scope of Health care environments, such as Medicare health and fitness systems, acute treatment and LTC arenas. Her multi-business expertise has involved integrated scientific and operational strategic preparing, pharmacy network oversight, PBM oversight, pharmaceutical deal evaluation and negotiation, and process reengineering to enhance margin and compliance.

She also makes a speciality of development of custom made employees-training applications and carrying out direct staff teaching with a broad variety of operational- and compliance-similar issues.

Carmen is actually a member of ACG’s Well being Approach Functions and Federal government Applications Follow Groups. She provides purchasers assistance in the event of efficient inside auditing and downstream monitoring systems, in addition to delivers operational experience from the areas of enrollment and high quality billing (especially MA and Component D), appeals and grievance administration, HEDIS reporting and administration of external audits.

She has assisted states and wellness options in procurement, Assessment, monitoring and unbiased verification and validation. Linda has skills in company course of action mapping and re-engineering and building cohesive groups via palms-on management.

✅ Onshore & offshore health care file coding & HCC validation ✅ Post-coding and guidance to the “best record” for submission We've been currently supporting numerous Medicare Gain plans with 2025 RADV chart coding & analysis – and we still have capacity to aid your strategy. ⏰ Time is functioning out! Safe your RADV audit help right now.