- Provide expert advice on complex health care coding, billing and reimbursement related to Part A and Part B providers.
- Perform reviews and provide legal counsel with data analysis to defend qui tam allegations.
- Carry out statistical sampling analyses for providers as part as self disclosure or in defense of government audits.
- Support counsel in Medicare Fraud and abuse litigation.
- Conduct audit of services and billings and calculate appropriate payback if needed.
efense Audit Support
- Shadow auditing of government investigation.
- Review of behavioral health services to ensure compliance with terms of CIA.