Experts in healthcare data, regulations and economics

Our nationally recognized experts help health plans, self-insured employers, hospital systems, physician groups, medical device, pharmaceutical, health IT companies.

Experts in Healthcare Data, Regulations and Economics.

Our nationally recognized experts help health plans, self-insured employers, hospital systems, physician groups, medical device, pharmaceutical, health IT companies.

Expert Witness

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

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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.

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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, MACRAMIPS.  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. 

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Healthcare Investors

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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boston expert witness

Boston

HIPAA Privacy and Security, HITECH Act safeguards. Anti-trust, computer assisted coding, ICD-10, clinical data economic impact

san francisco silicon valley

San Francisco / Silicon Valley

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

san diego mobile health solutions icd10 planning

San Diego

San Diego - mobile health solutions. 
Customer validation, strategic partners

salt lake city government health plan

Salt Lake City

Salt Lake City - Government health plan. ICD-10 Usual, customary and reasonable (UCR) cost of medical care

miami medicare advantage health plan

Miami

ICD-10 Usual, customary and reasonable (UCR) cost of medical care. Risk adjustment, RAF scores, HEDIS® 5-Star Ratings

st louis expert

St. Louis

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