Health Care Litigation Support

When it comes to health care litigation, are you getting individuals capable of providing focused, technically accurate, and credible analysis?

Moss Adams has assisted both providers and payers engaged in disputes ranging from several million to hundreds of millions of dollars. Most important, however, is that our dedicated health care professionals are regularly involved in consulting engagements outside the context of litigation. Our staff’s specific health care knowledge and expertise enables us to be effective and credible in litigation support roles.

Our team includes CPAs, certified fraud examiners, certified medical billers and coders, health care industry consultants, business valuation analysts, technology consultants, and professionals with expertise in payer and managed care environments as well as in reimbursement and billing.

We’ve served the health care practices of major law firms and have been instrumental in a wide variety of cases involving:

  • Breach of contract
  • Medical coding and documentation compliance
  • Mismanagement allegations
  • Payment disputes, including the application of ICD-9, CPT, HCPCS, DRG, and APC coding and pricing protocols
  • Noncontracted provider disputes
  • Line item denial disputes
  • Post-acquisition disputes
  • Third-party reimbursement issues

Depending on the case, areas of support may include:

  • Assistance with discovery requests and responses
  • Damages analysis
  • Data mining and analysis (such as claims, risk pools, and eligibility)
  • Evaluation of financial exposure
  • Expert testimony
  • Preparation of exhibits, reports, and findings
  • Participation in technically complex depositions
  • Coordination of claims resolution for pre-litigation claims

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