Healthcare Consulting Services (HCS)
SITC Subject Matter Experts provide access to functional expertise and consultant-level third-party payer talent for special projects and short-term and long-term needs. Leveraging our extensive industry experience, we provide subject matter experts in Medicare, Medicaid, TRICARE and Workers’ Compensation.
Our experts possess decades of experience, exceptional skills and in-depth knowledge in government healthcare contracting, complemented by extensive knowledge and experience of the provider communities.
Our consultants are physicians, registered nurses, attorneys, Ph.D.s and hold other advanced degrees
Our experts are proficient in coverage and payment issues, claims processing, data privacy and confidentiality, legislative and regulatory issues, as well as quality of care improvement initiatives
SITC Consultants have achieved distinction in the healthcare field and have served in leadership positions at healthcare contractors and have participated in CMS, Blue Cross and Blue Shield Association and government contractor committees and work groups.
They bring comprehensive knowledge of government third-party payer programs with extensive experience in healthcare law, regulations, policies, and contractor operations including claims processing, customer service centers, training, financial reporting requirements, cost proposal requirements and audit closure policies, quality of care, subrogation, fraud and abuse, as well as appeals and hearings.
SITC Consultants have experience developing and implementing third-party payer educational programs and conferences aimed at reducing payment errors, assuring compliance with program information management guidelines and appropriateness of admissions.
For additional information, please contact us.