Experts certified by Federal Judges. State and federal testimony on Usual Customary and Reasonable charges for cost of care, Affordable Care Act; value-based care / risk-adjustment in Medicare Part C, ACO, HIPAA, Privacy and Security, medical coding, billing, and auditing, qualified health plans, insurance fraud, electronic health record forensic audits in malpractice, billing, and HITECH Act meaningful use of EHRs, anti–trust market analysis, ERISA plans, insurance fraud and more
Health IT Vision
We bring together perspectives on health and medical data, regulations, and economics. We see strategic opportunities in a unique way to bring unparalleled value. Whether building new solutions, determine the validity of trade secrets or patent and intellectual property, our team brings the experience. Our clients include national providers, healthplans, Private Equity Groups, law firms in Merger and Acquisition advisories and more.
Payors & Providers
Regulatory Standards consultancy in medical coding and medical billing, contextual meaning of cybersecurity in healthcare such as the intersection with HIPAA Privacy and HIPAA Security, Value-based care, MACRA, MIPS. Represented payors and providers in meaningful use audit defense, usual, customary and reasonable charges (
UCR), billing disputes, damages phase of professional liability using Affordable Care Act or fee–for–service cost, Clinical Documentation Improvement and analytics.
MA diligence in Health IT including: cloud computing, HIPAA disclosures, EHR, electronic claims processing, mobile health, Software as a Service (SaaS), single sign on, claims systems, EDI support for Medicare administrative contractors, and more. Visibility into $4 billion in MA transactions to date.
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