ACS Consulting

About ACS Consulting

ACS Consulting, LLC is a nationally recognized healthcare consulting and auditing company that is diversified, both in terms of the client types served, and the projects undertaken. ACS's primary services include:

* Consulting and Auditing Services
* CMS Part C and D Data Validation (DV)
* Data Validation Pre-Assessment
* HHS Risk Adjustment Data Validation (RADV)
* RADV Pre-Assessment
* Professional Services
* Predictive Analytics

Experience: ACS brings to your projects the manpower, expertise, financial knowledge, and technical resources required for the completion of successful audits. We at ACS understand the requisite commitment in terms of performance, consistency, continuity, and compliance with governing agencies and industry standards. Our experience eliminates learning curves and creates readily discernable efficiencies. Centralized processes, proprietary tools, and a permanent headquarters allow us to conduct consulting and audit services with increased accuracy and security, and respond accordingly to complex ad hoc requests.

Our Values

MISSION: At ACS, our commitment to bettering the healthcare industry is surpassed only by our intense passion for improving the processes and fulfilling the needs of our customers.

As a nationally recognized healthcare consulting and auditing company with a large footprint in the healthcare auditing industry, our team consists of individuals that have decades of combined experience working within the healthcare sector.

It is our hope that we may be able to assist your organization in the process of producing demonstrative results, as well as offering suggestions and implementation strategies for improving your own centralized processes. As such, we are excited to work with you in this endeavor, and begin a life-long partnership with the ultimate goal of assisting in the creation and shaping of the ideal healthcare system of the future.

SERVICES

What we offer

CMS Part C and D Data Validation (DV):

Medicare Advantage organizations are required to contract with an independent entity to validate Part C and Part D reported metrics. ACS has been a Data Validation Contractor (DVC) since the inception of this CMS requirement. Now entering its seventh year, ACS is a leading provider of this service and has earned client loyalty due to our highly organized approach, as well as fine-tuned interview and feedback tools, to reduce the burden on the sponsoring organization.

Data Validation Pre-Assessment

This audit can be a targeted or global assessment of DV preparedness. Pre-Assessment is performed in the months preceding the actual Data Validation season to test for preparedness and to help educate staff

Risk Adjustment Data Validation (RADV)

Risk Adjustment Data Validation is required of all Market Place Health Plans by The Department of Health and Human Services (HHS) as part of the Accountable Care Act (ACA). ACS analyzes demographic and enrollment information and correlates it to the source system. Medical records are reviewed to substantiate Hierarchical Condition Categories (HCCs), and a risk adjustment calculation is performed to identify any changes.

Consulting

ACS provides a full range of research services for studying issues involving health care needs and outcomes. ACS has been involved with numerous long-term, government-funded projects, as well as a variety of short-term projects for groups such as professional associations, health care providers, patient advocacy groups, and managed care organizations.

RADV Pre-Assessment

This audit can be a targeted or global assessment of RADV preparedness. This audit is performed in the months preceding the actual RADV season to test for preparedness and to help educate staff on the latest developments of this new audit line.

ACS Consulting, LLC

A National Management Consulting and Professional Services Company