HLNoffers 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.
Areas of Expertise:
- Accounting
- Antitrust
- APCs
- Billing
- Clinical Documentation
- Compliance Programs
- Contractual Disputes
- Cost Reports
- Damages Quantification
- Debt Restructuring
- DRGs
- Electronic Health Records
- ERISA
- False Claims
- Forensic Accounting
- Fraud
- HIPAA
| - ICD & CPT Coding
- Investigations
- Insurance Claims
- Managed Care Contracting
- Medical Necessity
- Medical Records
- Medicare & Medicaid
- Physician & Clinic Services
- Practice Assessments
- Professional Standards
- Rate Setting
- Reasonable Values
- RAC & ZPIC Audits
- Self Disclosure
- Statistical Sampling
- UCR Charges
- Valuations
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HLN's Consultants include:
- Certified Public Accountants (CPA)
- Advanced Coding Specialists – Anesthesia (ACS-AN)
- Certified Coding Specialists (CCS and CCS-P)
- Certified in Financial Forensics (CFF)
- Certified in Healthcare Compliance (CHC)
- Certified Evaluation and Management Coder (CEMC)
- Certified Forensic Interviewer (CFI)
- Certified Fraud Examiner (CFE)
- Certified Healthcare Chart Auditor (CHCA)
- Certified Healthcare Risk Auditor (CHCRA)
- Certified Healthcare Chart Auditor - Facility (CHCAF)
- Certified Healthcare Chart Auditor - Surgical (CHCAS)
- Certified Insolvency and Restructuring Advisor (CIRA)
- Certified Legal Nurse Consultant (CLNC)
- Certified Manager of Patient Accounts (CMPA)
- Certified Managed Care Professional (CMCP)
- Certified Medical Practice Analyst (CMPA)
- Certified Patient Accounts Representative (CPAR)
- Certified Professional Coder (CPC and CPC-H)
| - Certified Professional Medical Auditor (CPMA)
- Certified Valuation Analyst (CVA)
- Credentialed Coding Experts (CCS, CPC-H and CPC-P)
- Dental Practice Management Consultants
- Emergency Medical Technician (EMT
- Facility Coding Specialist (FCS)
- Forensic Accountants
- Home Health and Hospice Management Consultants
- Hospital, SNF & Clinic CEO, CFO and PFS Managers
- Licensed Insurance Agents and Counselors
- Masters in Health Administration (MHA)
- Medical Professionals (MD, DO and DC)
- Medical Technologist (MT - ACSP)
- Physician Practice Management Consultants
- Registered Health Information Administrator (RHIA)
- Registered Nurses (RN)
- Professional Coding Specialist (PCS)
- Radiology Certified Coder (RCC)
- Statisticians
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View Healthcare Law Network's Expert Witness Profile.
L. Lamar Blount, et al
Revised and updated with more than 200 pages of new information, this outstanding book guides users through the reimbursement process from start to finish. Perfect for trainers, students, and veteran reimbursement professionals alike, this Third Edition offers concise, informative, and easy-to-understand overviews of insurance basics, types of insurance and payers, coding systems, insurance processing, and review and appeals.
