We offer aggressive adjust management coaching to make certain Long lasting and sustainable variations. Our proprietary course of action is your vital to unlocking outstanding progress.
Marcia has in excess of 30 yrs of encounter and Management and administration of medical and high-quality applications for Medicaid and Medicare Advantage systems and commercial items. She has deep know-how in the design, implementation and oversight of delegated professional medical management plan types, which includes improvement of provider incentive and checking programs centered on successful and compliant health care administration.
Which has a Basis in Six Sigma Methodologies, our course of action operates that will help discover and determine vital troubles though driving to locate the root results in. We lover with your management workforce to locate, produce, and carry out modern options while in the operational and transactional Room.
Notably, he reengineered clinical procedures that resulted within a lessen in Medicare appeals by 21% in just 6 months. This achievement improved client gratification, Increased claims’ processing effectiveness, and lowered administrative costs.
Our clients count on ACG to supply specialist regulatory assistance, to carry out strong compliance solutions and to complete economical, expert auditing. Our health-related and pharmacy groups are guiding organizations in adoption of recent versions to manage care in a cost-successful way.
In addition, she has effectively led statewide expansions and network adequacy supplier contracting builds throughout several states.
David has labored with industrial, Medicare, Medicaid, and twin-qualified well being designs as well as their contracted companies on the look and implementation of worth and risk-dependent reimbursement, and in setting up facts analytics to evaluate and keep an eye on achievement.
Linda provides greater than 30 several years of experience to customers within the wellness insurance policies and managed treatment industries. She is a senior expert with knowledge in programs, operations, management and implementations.
We're a Health care consulting business specializing in operations and Health care compliance solutions for wellness insurers and managed treatment companies
Sharon can be a member of ACG’s medical pharmacy workforce supporting Medicare Section D, Medicaid, and pharmacy profit administration groups. Sharon has comprehensive encounter in integrated medical exercise, formulary administration, operational system reengineering and PBM oversight. She has developed and executed utilization administration plans for prolonged-term treatment provider groups (Medicare Component A/ managed care) and it has structured and participated on corporate JCAHO certification teams, for both proficient nursing facilities and pharmacies.
She also concentrates on growth of tailor made team-schooling applications and executing direct personnel education with a wide selection of operational- and compliance-associated issues.
Our clientele depend on us for expert regulatory tips, to carry out robust compliance remedies also to perform effective, pro auditing. Our medical and pharmacy groups guidebook businesses in adoption of recent products to manage care in a cost-successful way.
At ACG, we’re obsessed with our field and keen about having it correct. We’re pleased with our reputation amongst marketplace leaders to conduct healthcare consulting firm detailed operational analyses also to design and style and supply rock-good end-to-stop remedies.
That has a established background in main detailed compliance packages, Tammy has efficiently guided well being options through the complexities of CMS pointers, condition, and federal regulations.