Experience

Strategic Reimbursement Group, LLC

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• President

  • Feb 1976 - Present

  For the last 40+ years as President of Strategic Reimbursement I have been fortunate enough to build Strategic Reimbursement into one of the largest third party and financial consulting firms with approximately 200 health care clients across the county. In addition to Medicare, Medicaid, Blue Cross and CHAMPUS reimbursement expertise, we have expanded our firm's services to include: Medicare, Medicaid and other third party Cost Report preparation/review services Prior year… Show more For the last 40+ years as President of Strategic Reimbursement I have been fortunate enough to build Strategic Reimbursement into one of the largest third party and financial consulting firms with approximately 200 health care clients across the county. In addition to Medicare, Medicaid, Blue Cross and CHAMPUS reimbursement expertise, we have expanded our firm's services to include: Medicare, Medicaid and other third party Cost Report preparation/review services Prior year Medicare Cost Report compliance and recoupment reviews Disproportionate Share Hospital (DSH) analysis and verification Intermediary negotiation and Provider Reimbursement Review Board (PRRB) appeal services Reimbursement department manager Illinois Blue Cross managed care claims review Charge Description Master review and updating Medicare inpatient and outpatient billing and chart audits Physician and support staff in-service Medicare reimbursement education programs Over the years, Strategic Reimbursement has developed a national reputation of being one of the premiere third party firms in the country. We have assisted and collaborated with numerous accounting firms, large and small, along with major law firms on a wide range of projects. In addition, we have worked closely with all the Medicare Intermediaries across the country as well as CMS and OIG. They have participated in numerous provider appeal situations locally and in national class action situations. We have deep expertise in the preparation of appeal position papers and have provided testimony on numerous occasions to the Provider Reimbursement Review Board. Show less