Expert Solutions
In a complex and highly regulated industry fraught with challenges, our team of experts deliver value in a variety of ways. Combining a problem-solving skillset with decades of industry experience working with providers, payers, life sciences, law firms and technology companies to deliver meaningful outcomes for our clients.
SOLUTIONS WE HAVE DELIVERED
Contract Compliance and Disputes
Coding and Billing Audits and Monitoring
Coding and Billing Audits and Monitoring
Conducted contract reviews and transaction analysis to ensure all parties are abiding by the terms set forth in multi-entity healthcare contracts.
Coding and Billing Audits and Monitoring
Coding and Billing Audits and Monitoring
Coding and Billing Audits and Monitoring
Developed compliance frameworks, sampling methodologies and testing protocols to ensure clinical coding and billing is accurate and validated.
Insider Misconduct
Coding and Billing Audits and Monitoring
Medicare Cost Reporting
Assisted organizations with identifying potential fraud or misconduct resulting from unauthorized access to information, IP leakage, technical knowledge turnover or negligence.
Medicare Cost Reporting
Government Investigations
Medicare Cost Reporting
Provided expertise and assisted organizations with Medicare cost report preparation and audit capabilities.
Regulatory Compliance
Government Investigations
Government Investigations
Provided expert support related to Medicare, Medicaid and Commercial reimbursement and claims analysis matters.
Government Investigations
Government Investigations
Government Investigations
Provided forensic and data analysis expertise related to physician prescribing patterns, durable medical equipment, pharmaceutical and fraud matters.
Managed Care Litigations
Managed Care Litigations
Managed Care Litigations
Assessed key expert issues, scenario analysis and technical modeling associated with disputes between healthcare organizations.
Commercial Disputes
Managed Care Litigations
Managed Care Litigations
Assisted with accounting, transactions, and financial reporting matters with broad experience including at hospitals and health systems.