What we do

  1. CONSULTING
  2. NETWORK CONSTRUCTION
  3. CONTRACTS EDITING
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Expert Consulting

We provide expert consulting for health care providers, hospitals, health plans and payers, as well as investment companies and hedge funds to determine the appropriate next steps. Our services are exceptionally varied, global in nature and can be a single virtual event to on site multi day visits to prepare the entity for CMS, JCAHO or state inspections. management consulting.

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Network and Formulary Construction

We provide expert consultation on network construction and building, for health plans and provider groups of all types, including Medicare, Medicaid, Commercial, Workers Compensation and other LOB. We can create and establish a working P & T (pharmacy and therapeutics) committee, write policies and procedures for adherence to tier levels and provide boilerplate EOB, EOC and other legal documents given to patients.

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Contract Editing Review and Construction

Our contracting expert, David Blackman, has created contracts for hospitals, medical groups, solo providers, health plans, pharmacy add ons, ortho groups, specialist providers, urgent care centers, outpatient surgical centers as well as vision and dental programs. Mr Blackman can create new contracts for you or simply review contracts for a "second set of eyes" to ensure your are getting the best reimbursement possible and to make sure you are not signing onto language that is detrimental to your business.