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HealthcareCompliance Experts

Former regulators, certified compliance officers, and clinical specialists for healthcare litigation, government investigations, and compliance program advisory.

Former CMS

& OIG experts

CHC / CHPC

Certified officers

50 states

Jurisdiction coverage

Areas of Support

Across the full regulatory landscape

HIPAA Compliance & Privacy

Certified privacy officers and HIPAA specialists for breach response, OCR investigations, and compliance program assessment.

Medicare & Medicaid Audits

Former CMS auditors and healthcare billing experts for RAC, UPIC, and MAC audit response and overpayment dispute matters.

Fraud, Waste & Abuse

Experts for False Claims Act defense, qui tam relator matters, and OIG/DOJ investigation response across all provider types.

Stark Law & Anti-Kickback

Healthcare transaction specialists reviewing physician compensation, referral arrangements, and joint venture structures for regulatory compliance.

Clinical Standards of Care

Board-certified specialists opining on whether care met applicable clinical standards for medical malpractice, credentialing, and licensing matters.

Healthcare Operations

Operational experts covering hospital administration, nursing standards, pharmacy practices, and patient safety systems.

Why ELN

Inside knowledge of how regulators think

Former regulators — not just consultants

Our compliance experts include former CMS auditors, OIG investigators, and state health department surveyors. They understand regulatory processes from the inside, which shapes how they assess exposure and advise on response strategy.

Active clinical practitioners

For clinical standards of care opinions, our physician reviewers hold active board certifications and maintain current clinical practice. Their opinions reflect today's clinical environment not decade-old textbook standards.

Full investigation lifecycle support

From the moment you receive a civil investigative demand or RAC audit notice through final resolution, we can place experts who support document review, interview preparation, and written submissions to the relevant agency.

Proactive compliance positioning

The most effective healthcare compliance support happens before a subpoena arrives. We place compliance experts who assess current program gaps and design remediation plans that reduce audit and investigation risk.

Transaction-ready due diligence

For healthcare M&A, regulatory exposure that isn't identified pre-close becomes the buyer's problem. Our compliance experts conduct pre-acquisition reviews that identify billing irregularities, coding risks, and regulatory flags before they become post-close liabilities.

Multi-disciplinary coverage

Healthcare compliance spans billing, privacy, clinical practice, employment, and corporate structure. We maintain experts across all of these domains and can assemble a coordinated team when a matter requires multi-disciplinary input.

How We're Engaged

Four engagement types

Regulatory Defense

Support for organizations under investigation by CMS, OCR, OIG, or state health departments.

Litigation Support

Expert witnesses for medical malpractice, qui tam, and healthcare commercial disputes.

Compliance Advisory

Proactive program assessment and remediation before regulatory exposure becomes litigation risk.

Transaction Due Diligence

Pre-acquisition compliance review identifying regulatory exposure in healthcare M&A transactions.

Expert Backgrounds

Practitioners who've sat on both sides of the table

Our healthcare compliance experts include former CMS employees, OIG investigators, state health department surveyors, and hospital chief compliance officers. They understand regulatory processes from the inside and that shapes how they advise on matters.

For clinical matters, our physician reviewers hold active board certifications and maintain current clinical practice so their opinions reflect today's clinical environment, not textbook standards from a decade ago.

Former CMS

Auditors & surveyors

OIG Alumni

Investigation specialists

CHC / CHPC

Certified compliance officers

50 States

Regulatory jurisdiction coverage

FAQ

Common questions about healthcare compliance experts

Have a matter-specific question? Our team is available to discuss your needs directly.

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OIG work plan updates, CMS audit program developments, False Claims Act enforcement trends, HIPAA enforcement actions, and Stark Law regulatory guidance for healthcare counsel, compliance officers, and hospital administrators.

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