Matt is a director in Navigant’s Healthcare & Life Sciences Disputes, Compliance and Investigations practice and specializes in healthcare litigation support providing consulting and expert related services to a variety of clients. Matt typically works with healthcare payers, providers, and their legal counsel to assess and quantify damages associated with a variety of complex disputes related to the payment and adjudication of healthcare services and benefits.
Matt has been involved in over 50 disputes associated with a variety of reimbursement related issues such as the reasonableness of provider charges, out-of-network reimbursement, provider contract disputes, narrow networks, physician-owned facility billing, prompt payment, the impact of clinical coding/editing guidelines, and other various claims adjudication processes.
Matt’s work often leverages the complex analysis of millions of records of electronic claims/billing data, as well as other types of operational and financial data, in order to develop sophisticated analytical models to calculate financial exposure. He has analyzed many different billing and claims processing platforms associated with all types of medical care including professional, facility, pharmacy, behavioral health, and a variety of ancillary services.