LITIGATION SUPPORT
Sagebrush provides data analysis and expert testimony to support litigation in medical billing and collections, fraud and abuse, and managed care. Our principals have years of real-world managed-care experience, as well as expertise in systems and processes.
Sagebrush provides electronic and statistical auditing of healthcare payer systems and provides analysis of our findings in straight-forward, understandable terminology.
| Expertise | Litigation Issues | |
|---|---|---|
| Abusive/Fraudulent Billing | Billing and Collection | |
| Audit | Provider Contracting | |
| Consumer Driven Health Plans (CDH ) | Class Action | |
| ERISA, COBRA, EMTALA, HIPAA | Compensation and Capitation | |
| Federal Employees Health Benefits Program | Financial Reimbursement Models | |
| Health Insurance | Industry Standards Adherence | |
| Health Insurer/Provider Relations | Insurance Company Vendor Performance | |
| Managed Healthcare (HMO, PPO) | Medicare / Medicaid | |
| Medicare and Medicaid | Provider Payment Disputes | |
| Physician / Hospital Joint Ventures | Subrogation and Third Party Recovery | |
| Provider Reimbursement | TPA Performance | |
| Third Party Administrator (TPA) | Utilization Review |