State and federal testimony on Usual Customary and Reasonable 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, meaningful use of EHR's anti–trust market analysis
Health IT Vision
We bring together perspectives on data, regulations, obligations and 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
Payors & Providers
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.