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Whether actual litigation is involved or not, when healthcare issues
arise, successful client representation and counsel often require
skills and experience outside those of even the most seasoned healthcare
attorney.
CampbellWilson can provide those skills and experience -
and help you better represent your client. Our multi-disciplined
staff brings expertise and credentials to assist you in virtually
any area requiring a thorough knowledge and understanding of healthcare
finance, operations, and regulations.
We are experienced in working under attorney-client privilege on
non-litigation related engagements, as well as providing expert
witness deposition, testimony, and reporting for litigation including
arbitration and mediation. Services include (but are not limited
to):
Managed Care
- Compute damages for alleged managed care contract breaches,
including audits of provider claims to verify "down-coding",
late payments and inappropriate denials by payors
- Perform reviews and audits of Physician withholds and
incentive payments under risk sharing arrangements with managed
care plans
- Provide experienced input to structure billing, payment,
audit, and other financial language in new contracts
- Design and implement systems to monitor payor compliance
with contract terms
Creditors and Investors
- Perform reviews and audits of financial information including
bad debt reserves, third party settlement balances, accounts payable
and collection activities
- Provide experienced input to structure and monitor financial
covenants in credit facilities
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