Investigations & Disputes

Markets Served

When facing investigations or litigation, healthcare organizations and their legal counsel can engage us to help strengthen operations and protect assets and reputations. Our integrated team includes seasoned healthcare professionals with high-level credentials in economics, accounting, finance, valuation, complex data analysis, computer forensics and fraud investigations.

How We Help

We have played a significant role in many well-known and substantive healthcare investigations and litigation matters, including mergers and acquisitions, False Claims Act cases, Stark Law and Anti-Kickback Statute investigations, class actions, antitrust and business disputes, and other issues. Our team members testify as expert witnesses at trial and deposition in federal and state proceedings, before administrative bodies, and in bankruptcy and tax court. Clients rely on our evidence-based analyses, including benchmarking, advanced statistical sampling, development of complex industry and company-specific databases, and sophisticated risk assessment techniques.

Engage us for our advisory and support on:

Government Healthcare Program Investigations

A wide variety of healthcare clients rely on our assistance, including hospital systems, pharmaceutical companies,...

A wide variety of healthcare clients rely on our assistance, including hospital systems, pharmaceutical companies, electronic health record (EHR) software vendors, inpatient rehabilitation facilities, skilled nursing facilities, home health companies, device manufacturers, and payers. These clients engage us to help conduct internal investigations related to government healthcare programs, including Medicare and Medicaid false claims and fraud and abuse issues. As part of these investigations, we regularly assist clients and their counsel in discussions with the DOJ, OIG, state Medicaid and regulatory agencies, and the SEC.

Litigation and Commercial Disputes

Clients and their outside counsel call on us to serve as expert witnesses and privileged consultants in nationwide...

Clients and their outside counsel call on us to serve as expert witnesses and privileged consultants in nationwide class-action matters, federal and state court litigation, international arbitration, and arbitration and mediation matters.

Data Analysis and Benchmarking

We leverage your organization’s data and relevant industry data to develop analytics that drive insights in...

We leverage your organization’s data and relevant industry data to develop analytics that drive insights in investigations and litigation, proactively identify and contextualize compliance issues, and foster organizational improvement.

Clinical Insights and Analysis

Our multidisciplinary team includes nurses, clinicians, physicians, coders, and other experienced healthcare...

Our multidisciplinary team includes nurses, clinicians, physicians, coders, and other experienced healthcare professionals. Clients rely on our clinical experience in matters involving medical necessity of care; analysis of billing, coding, and reimbursement issues; and other federal and state healthcare program coverage and healthcare compliance issues.