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Articles by David H. Glusman
Artificial Intelligence in Litigation: A Tool, Not a Witness
David H. Glusman of CBiz. Courtesy photo Artificial intelligence is no longer a future issue in litigation. It is already embedded—sometimes quietly, sometimes explicitly—in document review, damages analysis, expert modeling and case assessment. As its use expands, courts and practitioners are increasingly focused on a practical question: how artificial intelligence fits within existing evidentiary, ethical and professional frameworks. So far, the answer has been evolutionary rather than disruptive.
Enhancing Commercial Litigation: The Crucial Role of Forensic Accountants in Pre-Complaint Consultations
Click to enter your existing username and password or create a new account. Click to purchase an individual user subscription with your credit card. Expert OpinionCommercial Litigation The most powerful approach is to identify specific financial transactions, including supporting the claim with data and documents that provide evidence of damages.
Avoiding Errors in Discovery of Electronic Data
The discovery of information in commercial litigation and forensics is being transformed. Banker’s boxes with manila folders and photocopies have given way to secure uploads of digital files from new sources such as email, text, chat apps, video, and audio files. In foregone days, the goal was sorting through paper files to glean evidence. That manual workload has been replaced by powerful analytic software that races through electronic files.
Third-Party Billers: At the Center of an Industry Littered With Fraud and Errors
Health care providers have an important responsibility when it comes to delivering proper care and treatment for their patients. In doing so, they are also responsible for ensuring that complete and accurate information is submitted to the insurance companies for reimbursement. Otherwise, they risk overcharging federal health care programs (i.e., Medicare and Medicaid) or private insurance carriers, which could ultimately lead to government enforcement actions, penalties, or other civil actions.
The Impact of Artificial Intelligence on Medical Practices in 2024: Transformations in Treatment Methods and Economic Implications
Artificial Intelligence (AI) is rapidly transforming medical practices, offering unprecedented opportunities for improving patient care and streamlining healthcare operations. In 2024, AI is expected to further permeate medical practices, influencing treatment methods, and presenting both economic challenges and opportunities. Artificial Intelligence encompasses a suite of technologies capable of performing tasks that typically require human intelligence.
AI is Coming to Healthcare Providers; Are You Ready?
Healthcare is anticipated to be one of the top industries for artificial intelligence (AI) systems.
Special Section: Labor & Employment 2023
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Data Tools in Litigation Support Miss Crucial Details
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Advisory Partner David Glusman and Manager Tom Reinke co-authored an article on the challenges dirty data presents for litigation, for the Legal Intelligencer. | Marcum LLP
Excerpt: Cloud-based information systems are becoming more complex and are often widely dispersed to end users, increasing the likelihood of both intentional and unintentional dirty data. Using contract vendors for some routine processes may also increase the likelihood of errors that lead to dirty data. Click here to read a PDF version of the article >>
Litigation’s Nemesis: Dirty Data Presents Complex Challenges
Premium Subscription With this subscription you will receive unlimited access to high quality, online, on-demand premium content from well-respected faculty in the legal industry. This is perfect for attorneys licensed in multiple jurisdictions or for attorneys that have fulfilled their CLE requirement but need to access resourceful information for their practice areas. View Now Team Accounts Our Team Account subscription service is for legal teams of four or more attorneys.
The Legal Intelligencer published an article by Advisory Partner David Glusman, about how to define fair market value rate of return in healthcare agreements. | Marcum LLP
May 10, 2022 The Legal Intelligencer published an article by Advisory Partner David Glusman, about how to define fair market value rate of return in healthcare agreements. By David H. Glusman, CPA/CFF, FABFA, CFS, Cr. FA, Partner, Advisory Services
How to Define Fair Market Value Rate of Return in Health Care Agreements
When legal counsel is looking at relationships between health care entities subject to anti-kickback or Stark law rules, fair market value will come into play. Multiple issues surround fair market value and performing the appropriate analytical steps. In addition to fair market value, most applications of the anti-kickback statute and Stark law also require commercial reasonableness.
Expanded Outpatient Services Offer New Opportunities in Healthcare Provider Contracting | Marcum LLP
March 15, 2022 By David H. Glusman, CPA/CFF, FABFA, CFS, Cr. FA, Partner, Advisory Services In healthcare, outpatient, virtual, and remote services are primed for growth. Traditional outpatient (OP) services, such as ambulatory surgery and imaging, are growing rapidly, and they are being supplemented by new, cutting-edge medical technologies.
Adding Value and Performance to Health Care Billing Contracts | The Legal Intelligencer
Billing performance continues to be one of the top management issues affecting contractual relationships in the healthcare industry. In addition to contracts between providers and their outside billing agents, billing performance is also important in management services agreements between integrated health systems and their contracted OR owned partners, such as physician practices, outpatient diagnostic centers, ancillary or therapy providers, and home care or subacute entities.
Health Care and Standards of Value in Contracts and Litigation
In the heavily regulated health care industry, attorneys are generally aware of the importance of fair market value (FMV). Our prior article addressed the impact of the anti-kickback statute (AKS) and the Stark Law (Stark) on the definition and elements of FMV. However, there are other standards of value (and valuation approaches) that are relevant for many business transactions, situations, and disputes in the health care industry, but are not governed by the AKS and Stark.
Issues in Corporate Integrity Agreements in Health Care Fraud and Abuse
David Glusman, with Marcum In the first 24 days of May, the Office of Inspector General (OIG) of the Department of Health and Human Services announced 35 criminal and civil fraud settlements with Medicare and Medicaid providers. That rate of almost 1.5 cases per day demonstrates the aggressive stand the federal government is taking against health care fraud and abuse.
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