We support health care providers across the nation in upholding medical staff compliance. Our services range from establishing accurate governance structures and implementing effective quality processes to supporting fair hearing procedures and providing educational assistance. By navigating evolving laws, we ensure our clients maintain compliance while optimizing their resource utilization.


Medical Staff Documents

We collaborate closely with medical staff leadership and administration, facilitating a tailored and compliant document creation process for each hospital or health system. Our expertise extends to addressing health system-specific challenges, ensuring consistency in documents, processes, and the establishment of joint committees.

Our consultants assist clients with the following:

  • Review and modify medical staff bylaws, policies, and procedures for compliance with Medicare conditions, relevant laws, and accrediting entity standards.
  • Conduct system-wide assessments of medical staff governing documents and processes.
  • Recommend standardization across system hospitals.
  • Offer critiques for internal work plans to discuss and revise bylaws and policies.

Fair Hearing Support

Our consultants possess extensive expertise in managing medical staff affairs and conducting fair hearings. With a deep understanding of the intricacies of medical staff bylaws, fair hearing processes, procedural due process standards, and citizenship expectations, we offer comprehensive services:

  • Provide impartial guidance to physician hearing panels
  • Negotiate, mediate, and manage conflicting interests to ensure an objective and defensible process
  • Coach and educate various stakeholders, including practitioners, medical staffs, advanced practice providers, office professionals, and quality staff, on individual roles and hearing process expectations

In addition, our presiding and hearing officers assist clients with the following:

  • Manage the entire hearing process in line with medical staff bylaws and relevant laws
  • Coordinate with medical executive committee attorney representatives, medical staff, and quality offices
  • Conduct onsite hearings
  • Prepare reports, recommendations, or other required documents


Our team delivers customized education and training for governing bodies, medical staff, and quality leaders. We provide comprehensive and high-quality guidance along with best practices. Covering areas from staff management and clinical service lines to ensuring quality care and addressing current business issues, our education services are informed by and integrated with the latest industry trends.

Key topics include:

  • Quality care initiatives for ambulatory/inpatient services
  • Medical staff leadership, encompassing governing documents, credentialing, privileging, peer review, informal remediation, corrective action, fair hearings, and reporting obligations
  • Clinical integration
  • Integration of medical staff, employment, and service lines
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