AJHC Financial Partners







HEALTHCARE ARBITRATION & APPEALS

Navigating through the complex universe of overregulated industry transactions requires knowledge and experience, especially in a healthcare and finance fields, at all stages of their life-span. Businesses trust AJHC Financial Partners to assist and guide during their defense and, oftentimes, offense legal processes efficiently and cost-effectively. 


Arbitration and mediation are considered to be the most recognized tools of alternative dispute resolution (ADR) representing powerful, proven, cost-effective methodologies which may be used to equitably solve a wide variety of conflicts. However, in some situations other approaches are more appropriate, effective and economical. These options, customized for specific organizations, industries and events, can prevent conflicts before they arise or provide more flexible, scalable and creative resolution paths when conflicts do emerge. AJHC Risk Management team’s customized solutions are built on 20+ years of healthcare, finance and policy experience and excellence. Our team has the creative insight to envision and implement unique responses to most situations.


AJHC team will work closely with your legal team and may connect with our own trusted partner firms. We simulate the role of in-house management ‘rescue’ team, working closely with your company on its corporate, contract, regulatory and compliance needs.


We are all about creating a winning Partnership.
Are you ready to connect your business with our effective ‘rescue’ counsel?

AJHC Risk Management Team delivers proven solutions at each stage of an external audit and investigation’s life cycle: from a structured data collection, production, and analysis to a powerful consulting support and a subject matter expert report services. We are comfortable working in the “gray area” of an issue, regulation or allegation, and we excel at developing thoughtful solutions to unique challenges.

We help clients respond to and resolve litigation, disputes, and investigations across the healthcare continuum. This may include getting out of an external audit by governmental agency (OIG, OMIG, RAC, state Medicaid and regulatory agencies) or moving the repetitive unresolving denial process to the arbitration or appeal and engaging the government agency.  

We have acted as a group of subject matter experts in many healthcare matters in arbitration, appeals and litigation matters, as well as getting providers out of OIG, OMIG and Medicare RAC audits smoothly with correction plan and training, if needed. Our past experience includes medical groups, ambulatory surgical centers, hospital and nursing home providers. 
internal controls Sarbanes-Oxley Act (SOX) income statement, balance sheet, and cash flow statement generally accepted auditing standards (GAAS)
Clients also engage us to help conduct internal investigations related to government healthcare programs, including Medicare and Medicaid fraud and abuse issues, as well as internal performance and compliance audits.