“In the middle of difficulty lies opportunity.” Albert Einstein”
James Rough is an Associate Director within the Disputes and Investigations practice. For more than fifteen years, U.S. and international clients have trusted James to perform internal investigations and compliance assessments, consult on complex contract disputes, perform data analytics, and advise white-collar defense counsel in criminal, civil and class action proceedings. James regularly advises clients on multiple topics including the False Claims Act, Affordable Care Act, Medical Loss Ratios (MLR), Foreign Corrupt Practices Act, Usual and Customary Rates, and technical accounting for revenue recognition.
James’ healthcare clients include some of the nation’s largest insurers, hospitals, global medical device/implant manufacturers and utilization managers. James’ unique combination of formal financial, fraud and forensic training is coupled with significant experience in various healthcare industry segments and familiarity with associated large transactional, financial, and regulatory data sets. This knowledge base provides clients a multi-faceted expert when they are facing internal and external investigation, litigation, and compliance challenges.
James is a regular lecturer for the Health Care Compliance Association (HCCA) on best practices for communicating with government regulators and enforcement personnel and serves as Chair of both the HCCA and SCCE’s Annual Arizona Regional Conferences.