Experts in healthcare data, regulations and economics

Selected by U.S. DOJ for expert work on healthcare regulations

Expert witness

HIPAA, HITECH Act, Affordable Care Act, medical coding and billing; industry best practices and guidelines

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

Boston expert witness, HIPAA Privacy and Security, HITECH Act safeguards

Anti-trust, computer assisted coding, ICD-10, clinical data economic impact

San Diego - mobile health solutions

Customer validation, strategic partners

Salt Lake City - Government health plan

ICD-10 Usual, customary and reasonable (UCR) cost of medical care

Miami - Medicare Advantage health plan

Risk adjustment, RAF scores, HEDIS® 5-Star Ratings

Healthcare IT investor diligence

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

Boston expert witness, HIPAA Privacy and Security, HITECH Act safeguards

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expert witness

State and federal testimony on Usual Customary and Reasonable cost of care, Affordable Care Act; value-based care / risk-adjustment in Medicare Part C; ACOs; HIPAA Privacy and Security; medical coding, billing, and auditing; qualified health plans; insurance fraud, meaningful use of EHRs; anti–trust market analysis

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Health IT vision


Selected as one of the best Legal Blogs of 2016

We bring together perspectives on data, regulations, obligations and strategic opportunities in a unique way to bring unparalleled value

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payors and providers

Value-based care, MACRA, MIPS.  Represented payors and providers in meaningful use audit defense, reasonable value for medical care (UCR cost), 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

M&A 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 M&A transactions to date.

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QUESTIONS ABOUT HEALTH CARE REGULATIONS, DATA, OR HEALTH ECONOMICS? ASK OUR EXPERTS

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CONNIE ZELLER • PROJECT MANAGER • PEHP, Public Employees Health Plan
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