Melissa Hulke is an Associate Director in the Healthcare Compliance & Investigations practice segment. Melissa is a healthcare expert and Certified Public Accountant who applies her finance and accounting expertise in all three healthcare market segments: Payer, Provider and Life Sciences. She is highly experienced in litigation, investigations and compliance matters. She specializes in the synthesis of complex financial and transactional data.
Melissa’s healthcare experience includes investigating False Claims Act and Qui Tam allegations; Medicare, Medicaid, and other government payer billing and coding reviews; reimbursement between managed care companies and provider networks; pharmacy benefits management; Medicare Part D legislation; and property tax exemption of not-for-profit hospitals. Melissa has authored and presented on the impact of the Affordable Care Act’s medical loss ratio (MLR) regulations.
Melissa has a decade of experience in litigation support in addition to experience as a senior manager at a publisher of medical news and information to pharmaceutical executives and physicians. Melissa has led many engagements in state and federal proceedings involving hundreds of millions to billions of dollars in at risk activity as well as very large data and discovery repositories.