Capabilities
Kessler Healthcare Consulting advises on Medicare and Medicaid coverage, payment, and program integrity, drawing on 36 years inside the federal government.
Practice areas
Medicare
- Assessing super intelligence (SI) solutions for conducting medical record review, for multiple clients.
- Partnering with a large, global information technology company to develop fraud, waste, and abuse solutions.
- Complying with coverage and payment requirements (§§ 1861 and 1862).
- Obtaining coding, coverage, and reimbursement for new products, including Transitional Device Pass-Through Payment and New Technology Add-on Payment (NTAP) approval.
- Advising on new regulations.
Medicaid
- Led an international company's effort to develop a Medicaid-focused fraud, waste, and abuse solution.
- Engaged with the Centers for Medicare & Medicaid Services (CMS) on re-building its Medicaid Integrity Program.
No Surprises Act, Independent Dispute Resolution
- Completed an in-depth analysis of the statutory and regulatory Independent Dispute Resolution (IDR) requirements.
- Developed the Independent Dispute Resolution Entity (IDRE) Audit Tool.
- Carried out a mock audit of a current IDRE.
North American Industry Classification System (NAICS) codes
| Code | Classification |
|---|---|
| 541611 | Administrative Management and General Management Consulting Services |
| 541519 | Other Computer Related Services |
| 541690 | Other Scientific and Technical Consulting Services |
| 541990 | All Other Professional, Scientific, and Technical Services |
Entity information
- Legal name
- Kessler Healthcare Consulting, LLC (d/b/a KHC)
- Principal
- Thomas J. Kessler, Esq., Owner
- Location
- Chester, MD 21619
- Telephone
- 443-679-7981
- TJK@kesslerhcconsulting.com