Healthcare Litigation Support is a team of experts, doctors, nurses, scientists, administrators, forensic accountants, reimbursement specialists and health insurance experts – with broad, extensive experience and expertise in medical & administrative malpractice issues, physician practice operations, hospital management, health insurance and TPA issues, Medicare and Medicaid, medical billing and collections, fraud and abuse, managed care and other areas.

Expertise

Audit
Medical Standards of Care
Geriatrics and Nursing Home Care Standards
Health Insurance
Health Insurer-Provider Relations
Managed Healthcare (HMO, PPO)
TPA (Third Party Administrator)
National Accreditation Guidelines
Medicare / Medicaid
Federal Employees Health Benefits Program
CDH (Consumer Drive Health Plans)
ERISA, COBRA, EMTALA, HIPAA
Physician / Hospital Joint Ventures
Qui Tam and False Claims Act

Litigation Issues: Medical Malpractice, Medical Management, Physician and Hospital Billing and Collection, Industry Standards Adherence, Utilization Review, Medicare / Medicaid, Hospital and Physician Provider Credentialing and Contracting, Ostensible Agency, Provider and Member Communications, Patient Benefits Determinations and Grievance and Appeal Procedures, including External Review, Financial Reimbursement Models, Compensation and Capitation, Referral and Certification, Subrogation and Third Party Recovery, Due Process Requirements, Class Action, Case Management

Principals

Robert Chabon: MD – Georgetown University; JD – University of Maryland School of Law; MPH – University of Pittsburgh Graduate School of Public health. Extensive experience as hospital VPMA and managed care CMO. Lecturer on healthcare liability and reviewer of thousands of potential liability cases over 25 years.

Erling Hansen: JD – Syracuse University College of Law. Over 25 years of healthcare experience including contract specialist with the FEHB Program, General Counsel of national HMO trade association, Director of Legal and Regulatory Affairs for federally-qualified, NCQA accredited HMO, and private law practice with healthcare clients. Named one of “Leading Lawyers of Managed Care” by The National Law Journal.

Brian Heller: PhD – University of Chicago. Former MIH Fellow. 30 years of experience establishing, operating, and evaluating health plans, health insurance organizations, hospitals and physician organizations, Medicare, Medicaid and commercial programs. National healthcare consultant and expert witness.

Peter F. George: BA – University of Kansas. Twenty-five years of experience working with medical groups, hospitals, CPA firms, IPAs, HMOs, and other healthcare organizations. Experienced in operational and regulatory aspects of medical/hospital billing and collections, HIPAA compliance, medical practice creation and development, and human resource issues including physician and healthcare executive contracting, compensation and termination.

The principals and associates of Healthcare Litigation Support, LLC, are available individually and/or collectively to address the issues of medical and healthcare cases, both plaintiff and defense.