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Compliance and Litigation Support Services

 

Compliance and Litigation Support Services

 

In an environment with increased Government scrutiny and changing regulatory landscape, healthcare institutions and their Counsel are faced with the challenge of operating an efficient and successful organization, while maintaining an effective compliance program. Complex, onerous and costly investigations, and increased whistleblower actions have led to a significant increase in the number of allegations, litigation and dispute resolution actions. These allegations trigger regulatory scrutiny with substantial monetary settlements and negative publicity all requiring external assistance of experts that have a thorough understanding of healthcare and strong functional expertise in regulatory compliance and litigation matters.

 

Compliance and Litigation support areas include:

  • Compliance Program Development and Implementation
  • Compliance Program Assessments
  • False Claims/Qui Tam Investigations
  • Anti-Kickback Statute (AKS) Investigations
  • Fraudulent Billing Investigations
  • Complex healthcare claims review (underpayments/ overpayments)
  • Billing and Coding Audits (State/Federal level)
  • Clinical Documentation Reviews and Financial Impact Analysis
  • Medical Necessity Reviews
  • Corporate Integrity Agreements (Negotiations and Independent Review Organization Services)
  • Payer/Provider Litigation: Damage Estimates/Calculations
  • Out-of-Network Billing Reviews
  • Staffing and Training Needs: Compliance, Coding and Billing
  • Voluntary Self Disclosure Analysis
  • Internal Investigation Support
  • Deposition and Trial Strategy Assistance (case analyses and attorney work product development)
  • Expert Testimony

When efforts to fix compliance are failing, KHC can help mitigate your risk and resolve operational issues.

 

KHC works closely with providers and their internal / external Counsel on various discovery, case preparation, data and document analysis with the necessary tools to assist in preparing and managing cases, including Expert Testimony. In cases with critical deadlines, voluminous records, and complicated issues, we provide you with support and solutions.

KOHLER HealthCare Consulting, Inc. (KHC) has provided litigation support and expert witness services for over 30 years.

 

Our team is comprised of healthcare professionals with extensive experience in all sectors of the healthcare industry. KHC's unique blend of former healthcare executives, compliance officers, and clinicians integrated with experts in coding and billing, technology, Physicians, RNs, CPAs, Certified coders, and Reimbursement Specialists provides our clients with the needed expertise to meet your needs.

 

KHC assists clients (attorneys, hospitals and other providers) by identifying issues and providing solutions. We have expertise from early identification of potential problems and mitigating risk to full litigation, trial preparation, and expert testimony.

 

The KHC team has an extraordinary depth of knowledge and experience in fact-finding, auditing, data analysis, and risk. KHC is able to provide answers to support your dispute strategy and proactive implementation of practical solutions. KHC support is relevant and sustainable because we draw upon the wealth of experience and knowledge of our team. Our functional and subject matter expertise helps providers and their Counsel successfully meet clinical, operational, investigative, legal and regulatory challenges.

 

Contact us to help
put the pieces together
KHC Offices (410) 461 – 5116

Collaboration + Knowledge = Sustainable Results

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