Experts in healthcare data, regulations and economics

Selected by U.S. DOJ for expert work on healthcare regulations

Expert witness

HIPAA, HITECH Act, Affordable Care Act, medical coding and billing; industry best practices and guidelines

San Francisco / Silicon Valley engagement with VC and private equity

Health IT investor diligence, venture capital, private equity firms, health plans and providers, regulatory impacts

Boston expert witness, HIPAA Privacy and Security, HITECH Act safeguards

Anti-trust, computer assisted coding, ICD-10, clinical data economic impact

San Diego - mobile health solutions

Customer validation, strategic partners

Salt Lake City - Government health plan

ICD-10 Usual, customary and reasonable (UCR) cost of medical care

Miami - Medicare Advantage health plan

Risk adjustment, RAF scores, HEDIS® 5-Star Ratings

Healthcare IT investor diligence

St. Louis health plan, physician group, healthcare IT portfolio investor diligence in accountable care

Boston expert witness, HIPAA Privacy and Security, HITECH Act safeguards

What We Do

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We help health plans, self-insured employers, hospital systems, physician groups, medical device, pharmaceutical, health IT companies. Our Value based care (including Medicare Part C and Accountable Care) Consulting team has broad expertise to help you. We have expertise in out of network claims, clinical documentation auditing and improvement, coding and billing, medical loss ratio, HIPAA Privacy and Security consulting, ICD-10, as well as Meaningful Use of Electronic Medical Records, Health Care Payment Reform, Quality Measures and usual, customary and reasonable cost of care consulting. Our firm works with health care providers and health plans throughout the U.S. as well as investors and law firms as litigation consultants.

Biomedical Informatics Perspective

    • Informatics is the logic of healthcare. Digital information has made knowledge infinitely larger and more available for clinicians, but contextual knowledge is often unavailable

    • Clinicians now are in a knowledge management crisis – getting the right information to health care administrators, clinicians, IT personnel and others at the right time is the challenge.

    • Biomedical Informatics seeks to discern the difference between data, information, knowledge and wisdom by increasing sharing and comprehension.

    • The world is aging and there are increasing numbers of people with chronic disease; it is recognized that a key sustainable strategy is planning and delivery of healthcare through technology innovation.

See our solutions page.