The Claro Group Bolsters Disputes & Investigations Practice with Team of Healthcare Experts

The Claro Group (Claro), a financial advisory and management consulting firm, has added a select team of healthcare industry experts to its growing Disputes & Investigations practice.

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Tuesday, May 24, 2022
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Legal, Insurance, Finance, Consulting, Accounting, Professional Services, Health, General Health, Other Professional Services, CHC, SIU, Registered Health Information Technician, Risk management, Claro, State bureau of investigation, Change Healthcare, Multimedia, CIA, Leadership, American Health Lawyers Association, Government, Solution, Federal Bureau of Investigation, Privacy, Defense, CISA, Controversy, Risk-adjusted return on capital, Institute of Internal Auditors, Information, RHIT, ISACA, CPC, Technology, FBI, Faculty, Special Investigations Unit, DCIS, Melissa, Defense Criminal Investigative Service, Douglas v. U.S. District Court ex rel Talk America, Audit, Health insurance
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UNITED STATES, NORTH AMERICA, ILLINOIS, CALIFORNIA, TEXAS, DISTRICT OF COLUMBIA, CHICAGO, WASHINGTON, LOS ANGELES
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CLARO
Summary
Key Points: 
  • The Claro Group (Claro), a financial advisory and management consulting firm, has added a select team of healthcare industry experts to its growing Disputes & Investigations practice.
  • Ms. Scotts specialties include: healthcare operations, forensic analytics, litigation support, provider / payer reimbursement disputes, internal audit, regulatory compliance, investigations, monitorships, and related government mandated claims and transactional reviews.
  • Certified in Healthcare Compliance (CHC), Ms. Scott is a Certified Professional Coder (CPC) and a Certified Healthcare Internal Audit Professional (CHIAP).
  • Prior to joining Claro, Ms. Scott held senior positions at, among others, B. Riley Advisory Services, Change Healthcare, and Sinaiko Healthcare Consulting.


The Claro Group (Claro), a financial advisory and management consulting firm, has added a select team of healthcare industry experts to its growing Disputes & Investigations practice.

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Melissa Scott, Managing Director (Photo: Business Wire)

Melissa Scott, Managing Director (Photo: Business Wire)

Melissa Scott joins Claro as a Managing Director, leading the Firm’s new Healthcare Consulting efforts for clients spanning provider-based organizations, payers, and law firms. Ms. Scott’s specialties include: healthcare operations, forensic analytics, litigation support, provider / payer reimbursement disputes, internal audit, regulatory compliance, investigations, monitorships, and related government mandated claims and transactional reviews. Certified in Healthcare Compliance (CHC), Ms. Scott is a Certified Professional Coder (CPC) and a Certified Healthcare Internal Audit Professional (CHIAP). She has served as faculty for the Defense Criminal Investigative Service (DCIS), the Federal Bureau of Investigation (FBI), and Special Investigation Unit (SIU) agents. She has also been published in several industry journals, in addition to authoring a chapter for the American Health Lawyers Association.

As an expert witness in the healthcare revenue cycle, Ms. Scott has testified at trial and deposition in matters pending before the U.S. District Courts in multiple states. She also participates in private arbitration and mediation matters, and assists clients with corporate decision-making.

Prior to joining Claro, Ms. Scott held senior positions at, among others, B. Riley Advisory Services, Change Healthcare, and Sinaiko Healthcare Consulting.

Joining Ms. Scott in transitioning to Claro are Directors Jeannie O’Donnell and Nicole King. Ms. O’Donnell is a Certified Internal Auditor (CIA), a Certified Information Systems Auditor (CISA), CHC, CPC, and CHIAP. Her specialties include healthcare operations, forensic accounting, forensic analytics, litigation support, provider/payer reimbursement disputes, internal audit, information systems audit, risk assessments, privacy and security, regulatory compliance, investigations, monitorships, and related government mandated claims and transactional reviews.

Ms. King, a Registered Health Information Technician (RHIT), specializes in healthcare operations, forensic analytics, litigation support, payer reimbursement disputes, medical record and claim audit, healthcare charging and reimbursement methodologies, regulatory compliance, investigations, and related government mandated claims and transactional reviews. She has served in leadership roles related to hospital revenue integrity, quality and risk management, risk adjustment and government reporting requirements.

“We’re very excited to welcome Melissa, Jeannie and Nicole to the Claro family,” adds Claro Managing Director, Matt Schwab. “Their arrival broadens our Disputes & Investigations practice in a very significant way. While many of us at Claro have been periodically involved in a variety of healthcare related matters, Melissa’s team brings a level of industry knowledge and expertise that attorneys and clients covet. Melissa, Jeannie and Nicole have a real passion for the work they do and will prove to be wonderful additions to Claro.”

About Claro: Founded by former “Big 5” accounting and consulting firm partners, Claro is a highly respected, privately owned financial and economic consulting firm. Claro provides analytics and solutions in high-stakes litigation matters, investigations, insurance claims, corporate finance and restructuring concerns, and the technology solutions that support them. Its offices are located in Chicago, Houston, Los Angeles, and Washington, D.C.

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