HLN offers Peer-reviewed methodologies and Appellate court proven testimony by experienced professionals who have provided consulting services and conducted audits and investigations for hundreds of hospitals, physicians and other healthcare providers nationwide. HLN's experts have provided expert testimony in administrative and regulatory proceedings, as well as in state and federal courts for civil and criminal cases, for plaintiffs and defendants.
HLN provides experts in: medical billing, reasonableness of charges, reasonable value of medical services, Medicare & Medicaid reimbursement and compliance, clinical documentation, medical record coding, economic damages, insurance disputes, lost profits and false claims. HLN's founder co-authored two editions of the AMA's best selling Mastering the Reimbursement Process book.
HLN's consultants' expertise includes: Reasonableness of Medical Charges, Reasonable Value of Medical Services, Quantification of Business Damages, Managed Care/Payor/Provider Contractual Disputes, Quantification of Medical Damages, UCR Fees, Compliance Assessments, Medicare & Medicaid Appeals, Statistical Sampling, Forensic Accounting, False Claims, Fraud, Self Disclosure, HIPAA, Cost Reports, DRGs, ASCs, APCs, ICD & CPT Coding, ERISA, and Insurance Disputes.