Medicare Reimbursement Consulting
Strategic Reimbursement Group partners exclusively with hospitals and health systems to navigate Medicare cost reports, DSH, bad debts, and the full regulatory spectrum — with senior-level consultants on every engagement.
Every engagement is staffed with experienced executives — not junior staff managed remotely. You work directly with consultants who have decades of hands-on MAC experience.
Our consultants embed in your team, not ours. We measure success by your reimbursement outcomes, not billable hours or deliverable counts.
No expensive corporate offices or advertising overhead. Our efficient structure lets us offer senior-level expertise at rates that make sense for your organization.
What We Do
We cover the full spectrum of Medicare reimbursement — whether you need annual cost report support or complete day-to-day management of your reimbursement function.
Full preparation, review, and reopen services for Medicare cost reports. We identify missed opportunities and defend your positions under audit.
Verification, analysis, and maximization of DSH payments. We dig into Medicaid days, patient status, and low-income proxy calculations to capture what you're owed.
Complete compilation, review, and audit support for Medicare bad debt claims. We document and substantiate every dollar through the full appeal cycle if needed.
Experienced reimbursement leadership on demand — for transitions, vacancies, or surge capacity. Our executives integrate with your team and hit the ground running.
Our Approach
Our consultants have worked together for decades. That depth of institutional knowledge — and the relationships that come with it — is what separates Strategic from every other firm in this space.
No two organizations are the same, and the regulatory environment never stops changing. We adapt to your situation — not the other way around.
Our consultants average more than 20 years of direct experience, many having worked for Medicare Administrative Contractors before joining Strategic.
We're a close-knit group. The same people who start on your engagement see it through to resolution. You won't be re-explaining your situation to someone new each year.
Our lean operating model means our rates reflect the work, not overhead. Hospitals get access to executive-level reimbursement talent at rates that sustainable for both parties.
Client Perspective
Strategic found reimbursement opportunities in our cost reports that we had been leaving on the table for years. Their depth of MAC experience is unmatched.
VP of FinanceRegional Health System, Midwest
When our Director of Reimbursement left unexpectedly, Strategic stepped in within days. They operated as if they'd been part of our team for years.
CFOCommunity Hospital, Southeast
We've worked with larger consulting firms. None of them gave us the senior attention we get from Strategic. They know our organization and they fight for us.
Director of ReimbursementAcademic Medical Center, Northeast
No boilerplate proposals. A direct conversation with an experienced consultant.
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