Disputes Advisory
Expert Disputes Advisory Services
The complex financial landscape of healthcare presents unique challenges in litigation, regulatory compliance, and fraud prevention. At Quantum Health Advisors, we provide expert economic damages assessments, forensic accounting, and fraud investigations to help healthcare providers, payers, and legal teams navigate high-stakes disputes and regulatory challenges.
With deep industry expertise and a data-driven approach, we deliver comprehensive financial analysis, expert testimony, and forensic investigations that uncover financial irregularities, support legal proceedings, and safeguard financial integrity.
Our Expertise Includes
Economic Damages Assessments
Healthcare disputes require industry-specific knowledge to quantify economic harm. Our team provides:
- Lost Profits & Business Interruption Analysis – Evaluating financial damages in malpractice claims, payer-provider conflicts, and operational disruptions.
- Reimbursement Disputes – Assessing financial losses related to payer contract breaches, denied claims, and underpayments.
- Valuation Disputes in Healthcare Transactions – Analyzing shareholder disputes, partnership buyouts, and fair market value disagreements in M&A and other transactions.
Forensic Accounting
We conduct thorough forensic analyses to identify financial misconduct, regulatory violations, and fraudulent activities. Our services include:
- Financial Irregularities & Fund Misappropriation Investigations – Identifying hidden transactions, asset diversions, and financial misstatements.
- Stark Law & Anti-Kickback Statute Violations – Analyzing improper financial relationships, referral arrangements, and compliance breaches.
- Whistleblower (Qui Tam) & False Claims Act Investigations – Providing detailed financial analysis and forensic accounting support in healthcare fraud cases.
Fraud Investigations
Our team specializes in uncovering complex healthcare fraud schemes that impact providers, payers, and government programs. We investigate:
- Medicare & Medicaid Fraud – Detecting false claims, fraudulent billing schemes, and improper reimbursements.
- Upcoding, Unbundling & Phantom Billing – Identifying billing manipulations, service inflation, and fictitious claims.
- Regulatory Compliance Violations – Assessing improper documentation, coding abuses, and financial misconduct in healthcare operations.
Other Capabilities
Accounting Advisory
Streamline financial operations with expert healthcare accounting. Our outsourced solutions ensure accurate financial reporting, revenue cycle optimization, and strategic financial planning—empowering healthcare organizations to maintain compliance, maximize revenue, and focus on patient care.
Financial Advisory
Navigate complex financial decisions with confidence. Our expertise in financial due diligence, valuation, and payer strategy helps healthcare providers, payers, and investors optimize performance, mitigate risk, and achieve strategic growth.
Contact Us for Expert Consultation
Contact us today to learn how our specialized expertise in accounting, financial advisory, and disputes advisory can support your organization’s most complex challenges.