Services
Litigation Support
Strategic Management assists many law firms with their health care clients in addressing sensitive compliance issues, including conducting claims reviews, estimating overpayments, as well as in preparing and negotiating Department of Health and Human Services Office of Inspector General (OIG) settlements and corrective action plans. The Firm provides a heightened level of oversight, diligence, and sophistication during audits and reviews through evaluation and assessment of the accuracy of Medicare and Medicaid claims preparation and submission. In many instances these reviews are conducted under direction of legal counsel.
Many claim system reviews require the statistical rigor and methodology of the DHHS Office of Inspector General (OIG) RAT-STATS and Self Disclosure protocols. Strategic Management performs these reviews in a form and manner that is presentable to the OIG and/or Department of Justice. We are equipped with significant experience in claims development, statistics, and provider claims operations. This includes designing and implementing Discovery and Full Sample Audits using RAT-STATS and Self Disclosure Protocols, claims data analysis based on regulatory coverage rules, report preparation, and presentation to providers, counsel, and government officials. The Firm employs a number of credentialed economists, statisticians, coding experts, auditors, and other experienced personnel. Independent evaluations are performed by recognized experts who are experienced in validating their work before enforcement officials.