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