Retained by counsel for the defendants in a False Claims Act matter which required an analysis of disputed claims, cost report data, peer group performance, business performance and owner compensation levels as key factors in the assessment of liability and damages. This case ultimately settled.
Engaged through counsel to provide litigation support related to Stark and Anti-Kickback allegations.
Engaged by federal and state agencies to calculate the plaintiffs ability to pay overpayments, fines and penalties.
Engaged by council of various healthcare companies to provide litigation support involving Qui Tam allegations of billing and/or coding fraud.
Engaged to wind down a hospital, organize the transfer of patients, and prepare reports for bankruptcy filing.
Engaged and approved by federal government to act as an Independent Review Organization (IRO) as part of a Corporate Integrity Agreement involving the False Claims Act.
Worked with providers auditing documentation and coding of medical records and work with council to appeal recoupments.