Health Care Disputes

As much as health care is the lifeblood of thriving populations, investigations and disputes are inevitable. Weaver is frequently engaged on behalf of health care stakeholders throughout the industry, including comprehensive hospital systems, specialized service providers and individual health care providers to help navigate the financial, economic and damages-related complexities of health care disputes. Weaver’s Forensics and Litigation Services team professionals play an important role in health care disputes by providing financial expertise and analysis throughout the legal process and valuable insights that enable our clients to manage financial risks.

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We speak the language of health care.

Health care companies of all sizes, individual physicians and other medical professionals trust Weaver’s deeply experienced team. The law firms representing these health care participants, too, look to our team for fraud and forensic accounting investigations or to provide litigation support in health care disputes.

Most of our professionals have advanced degrees and certifications in areas such as accounting (CPA), valuation (ASA, CVA), financial forensics (CFF, MAFF) and fraud investigation (CFE). As professionals who routinely serve as expert testifiers and consulting experts in health care litigation and arbitration matters, we have in-depth, hands-on experience leveraging the latest advancements in data analytics and forensic accounting techniques to evaluate large volumes of data, address privacy concerns and incorporate the unique and evolving legal and regulatory landscape within the health care industry. Because we’ve worked with so many players in this highly specialized industry, we speak the language of health care, creating the types of efficiencies that lead to better outcomes for all parties.

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Our Health Care Disputes Services Include:

Investigating financial improprieties: Weaver’s team reviews financial records, such as billing and payment records, to identify irregularities and presents our findings in a clear and succinct manner. This work can involve identifying overbilling or underbilling and evaluating the propriety of expenses.

Fraud investigations: We investigate allegations of fraud, such as embezzlement, kickbacks and false billing, using our accounting and financial expertise to identify discrepancies in voluminous financial records and transactions.

Damage calculations: We assess the financial impact of wrongful acts or omissions, such as medical malpractice, breach of contract or breach of duty and quantify financial losses suffered by the affected parties including lost profits and other damages.

Expert witness testimony: We provide expert witness testimony on accounting and financial issues in depositions, arbitrations and trial, usually explaining complex financial matters in a way that is easy for judges and juries to comprehend.

Settlement negotiations: We help parties understand the financial implications of various settlement options and identify creative solutions that can help resolve disputes.

Statistical sampling: We prepare statistical sampling proposals and confer with opposing parties during the discovery process to streamline discovery and adjudication of claims in billing disputes.

Performance audits: We conduct performance audits of Medicaid claims billed by providers and paid by state Medicaid programs to determine whether services billed and paid under the state Medicaid programs were provided in accordance with applicable state and federal Medicaid laws, regulations, rules, policies and contractual requirements.

Advisory and Consulting Services: We have worked as consultants for bank examiners, law firms, commercial banks and other companies in the financial services industry to design and implement applications to identify risk factors in financial data. Other services include assisting with document discovery, preparing financial exhibits, e-mail review, forensic data analytics, identifying the movement of funds and providing evidence to support claims of fraud or other illegal activities, evaluating portfolios of commercial loans and providing analysis of evidence to support your case.

Meet the team