LATEST INDUSTRY UPDATES

January, 2025

Hello Tammy,


Here's your latest news from ATTAC:


Qualified Health Plans Secret Shopper Requirements: Do You Have a Process to Survey Your Network and Capture Actionable Analytics? In the 2025 Final Rule, CMS released its expectations and reporting requirements to ensure timely access to care. Effective January 1, 2025, CMS requires issuers that offer QHPs, including stand-alone dental plans, to take specific actions.

Join ATTAC at HCCA's Managed Care Compliance Conference in Scottsdale Feb. 3-4.


Anne Crawford, SVP for Compliance Solutions, will share insights related to the latest Mental Health Parity regulations. Session highlights:


  • Key changes to MHPAEA requirements for compliance and documentation
  • How regulators are building on growing experience to refine and deepen investigation strategies
  • What health plans should do to align with best practices and prepare for compliance deadline


Anne will be joined by David Shillcutt, attorney at Epstein Becker & Green, and Lenee Linzey, Compliance Manager at Renown Health.

Transform Your HHS-RADV Outcome and Efficiency

  • >99% claims matching rate
  • Experienced in-house, on-shore ACA coding team
  • Dedicated and experienced audit managers
  • Web-based reporting and dynamic analytics


  • Optimized chart chase development analytics
  • Actionable reporting focused on closing gaps
  • No client chart pre-coding required
  • Performing HHS-RADV audits since inception


Contact ATTAC today to discuss how we can enhance your

2025 HHS-RADV audit experience

ATTAC On The Road

HCCA Managed Care Compliance Conference

February 3-4 | Scottsdale


Risk Adjustment

Innovations Forum

Feb 12-13 | Fort Worth


RISE National

March 11-14

San Antonio

Top Recent News


CMS Announces Updates to Medicare Parts C & D Appeals Guidance Effective January 1, 2025.


Important Updates for CMS Calendar Year 2025 Evidence of Coverage Models.


Justin Murakami, JD, CHC, Joins ATTAC Consulting as Sr. Consultant for Compliance Solutions.


Webinar Replay


Webinar Replay | Essential Risk Adjustment Insights for 2025-2026: How Plans and Providers Can Stay Ahead of Regulatory Changes and Compliance Challenges.

Get in touch