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Medicare Policy & CMS Advisory Services

As former leaders of Medicare’s fee-for-service programs, we provide strategic Medicare policy and payment advisory services with an inside perspective on CMS priorities and decision-making.

Executive meeting space representing Medicare policy consulting services

Services for Post-Acute Organizations

01

Medicare Policy Interpretation & Strategic Advisory

We help providers decode Medicare policy, understand requirements, and translate complex guidance into clear operational decisions — especially when financial or compliance exposure is high.

 

Common support areas:

  • Complex Medicare benefit, payment, coverage, and operational questions

  • Policy change interpretation through the lens of former CMS policymakers

  • Aligning provider operations with CMS priorities

Consultants reviewing Medicare policy documents for strategic advisory support
Medicare payment system analysis and PPS strategy development

02

Payment System Strategy

We position Post-Acute Care Providers for success under Medicare fee-for-service programs using deep insight into CMS payment strategy and decision-making.

 

Support may include:

  • Operational planning around payment system updates

  • Strategic review of policy-driven performance risk areas

  • Guidance for leadership teams on implications and priorities

03

Audit Risk & Compliance Advisory

We help legal and compliance teams anticipate audit risk and interpret policy changes with clarity and defensibility.

 

Support may include:

  • Risk identification and mitigation planning

  • Policy interpretation for high-stakes compliance decisions

  • Guidance that supports defensible, well-reasoned internal actions

Audit risk and compliance advisory discussion in professional setting
Healthcare leadership team discussing compliance process optimization

04

Denials Reduction & Compliance Process Optimization

We help reduce Medicare denials by optimizing pre-admission and post-admission compliance processes.

 

Support may include:

  • Workflow review and process recommendations

  • Compliance checkpoints to reduce preventable denials

  • Documentation alignment support tied to Medicare expectations

05

CMS Payment Reform Initiatives-Inpatient Rehabilitation Facility (IRF)

Guidance for IRFs navigating key CMS payment reform initiatives, including:

  • IRF Review Choice Demonstration (RCD) Program

  • Transforming Episode Accountability Model (TEAM)

  • The 60% rule
     

We help your organization understand requirements, implications, and practical next steps.

Healthcare leadership team discussing compliance process optimization
CMS payment reform and policy analysis session

06

Federal Rulemaking Support 

We draft and analyze comprehensive responses to public comments during the Medicare fee-for-service federal rulemaking cycle.
 

This includes developing clear, evidence-based comments aligned with policy goals and decision-making realities.

Services for Government Contractors & Policy Organizations

07

CMS Procurement & Contract Strategy

Drawing on deep experience managing CMS contracts, we guide government contractors through the complexities of CMS procurement processes.

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Support may include:

  • Procurement strategy and positioning

  • Navigating CMS contracting structures and expectations

Federal rulemaking support and regulatory strategy meeting
Federal building representing CMS procurement and contract strategy advisory

08

RFI/RFP Development (Strategic & High-Quality)

We craft strategic, high-quality RFIs and RFPs designed to advance your objectives.

09

CMS Stakeholder Navigation & COR Engagement

We help clients connect with key CMS Contracting Officer Representatives (CORs) to advance their objectives and navigate CMS organizational structures effectively.

Professional team collaboration representing CMS stakeholder engagement

Data Analysis to Inform Policymakers

Data-driven Medicare policy analysis and strategic advisory

10

Medicare Data Analysis Design & Execution

We help clients design and execute analyses that meaningfully inform and influence policymakers — grounded in extensive training and experience in Medicare data analysis.

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Let’s Discuss Your Medicare Policy Challenge

If you need clear interpretation, strategic guidance, audit-risk support, or policy-level advisory rooted in firsthand CMS leadership, we’re here to help.

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