Former CMS Leaders.
Trusted Medicare Policy Advisors.
As former leaders of Medicare’s fee-for-service programs, with over 25 years of experience, Seagrave & Smith offers a rare inside perspective on CMS policy and payment strategy. We provide executive-level Medicare payment policy consulting for post-acute care providers and organizations to help reduce risk, enhance operational efficiency, improve compliance, and make confident, defensible decisions.
Inside perspective. Clear interpretation. Practical, defensible guidance.
Decoding Medicare Policy from the Inside Out
Strategic Guidance for Post-Acute Providers
Executive-level advisory support for IRFs, SNFs, and post-acute organizations navigating Medicare benefit, payment, coverage, and operational issues.
Medicare Post-Acute Care Policy Strategy
Position Post-Acute Care Providers for success under Medicare fee-for-service programs with insight into CMS payment strategy and decision-making.
Audit Risk & Compliance Advisory
Help legal and compliance teams anticipate audit risk and interpret policy changes with clarity and defensibility.
Denials Reduction & Process Optimization
Reduce Medicare denials by optimizing pre-admission and post-admission compliance processes.
Payment Reform & Rulemaking Support
Guidance on IRF reforms (RCD, TEAM, 60% rule) and development of comprehensive public comment responses to Medicare fee-for-service payment regulations.
When Policy Is Unclear, Risk Increases
Policy uncertainty can lead to denials, audit findings, recoupments, and operational disruption. We replace guesswork with clear interpretation and practical next steps — so your decisions are informed, consistent, and defensible.
Why Seagrave & Smith
CMS Leadership Experience
Rare inside expertise from former CMS leaders of Medicare fee-for-service programs.
Practical, Actionable Guidance
Clear recommendations that align policy interpretation with real operational workflows.
Compliance Without Guesswork
A strong focus on defensibility and risk reduction, informed by audit realities.
Trusted Strategic Perspective
Experience navigating CMS structures and building relationships with the right decision-makers.
Our Approach
01
Listen First
We start by understanding your facility, stakeholders, and the specific Medicare question or challenge.
02
Analyze Clearly
We evaluate applicable policy, operational implications, and risk exposure to clarify options.
03
Advise Strategically
We provide clear, defensible recommendations aligned with CMS priorities and payment strategy.
04
Support Confident Action
We help your team move forward with clarity—whether preparing for audit, responding to policy change, or planning next steps.
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