FTI | Healthcare : Experience

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Operations

Turnaround

Regulatory & Dispute

Experience

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Restructuring

Experience

Our team includes former provider executives, clinicians, accountants, former external financial statement auditors, former fiscal intermediary personnel, former government investigative personnel, and other experienced healthcare professionals.

Participated in the negotiation process with the office of the United States Attorney and the United States Department of Justice, on behalf of various providers, to assist with the settlement of numerous government-sponsored billings and claims matters.
Assisted clients in their negotiations with the Department of Health and Human Services OIG in crafting Corporate Integrity Agreements.
Serve as the Independent Review Organization (IRO) for those under Corporate Integrity Agreements.
Conducted detailed analysis of revenue cycle processes to improve efficiency and compliance.
Developed statistically-based monitoring tools that not only allow for on-going monitoring of risk areas and “outlier” recognition, but also assist in identification of the underlying drivers of performance.
Assisted in the development of Ethics and Compliance Programs.
Provided expert testimony in numerous disputes involving health care providers and managed care companies.
Assisted in the resolution of post-acquisition dispute issues – assisted numerous healthcare entities, including large for-profit companies, in various post-acquisition related matters.
Negotiated with numerous private payors to resolve payment and contractual disputes.
Assisted in responding to class actions on behalf of “self-pay” patient groups.
Assessment of fair market value in the areas of hospitals and health systems, Joint-Ventures, physician practices, physician compensation, specialty hospitals; and building and equipment leases.
Developed prudent plans for assessing and quantifying potential overpayments for self-disclosure to Fiscal Intermediaries and/or HHS OIG, based on statistical sampling techniques – this work has typically been done in collaboration with external and/or internal counsel under the Self-Disclosure Protocol.
Provided strategic assistance and performed detailed analysis in conjunction with class action litigation, whistle-blower suits and government investigations alleging fraudulent and inaccurate financial reporting regarding the recognition of cost report reserves and related revenue recognition- this assistance included extensive statistical sampling and benchmarking analysis of costs included in thousands of previously filed cost reports, and resulted in settlement amounts that was substantially less than originally estimated by government investigators and plaintiff representatives and attorneys.

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Operations Clinical Operations Performance Benchmarking Productivity Revenue Cycle Strategy Supply Chain
Turnaround The Complete Turnaround Creditor Relations and Negotiations Strategic Advisory Services Interim Executives
Regulatory & Dispute Experience Services
Restructuring

Operations

Clinical Operations

Performance Benchmarking

Productivity

Revenue Cycle

Strategy

Supply Chain

Turnaround

The Complete Turnaround

Creditor Relations and Negotiations

Strategic Advisory Services

Interim Executives