Julie Nielsen is a member of BRG’s Health Analytics practice, where she specializes in providing dispute resolution, litigation support, forensic investigation, and data analysis services to healthcare entities and their legal counsel.
Her more than twenty years of consulting experience span a variety of payers, providers, and manufacturers, including hospitals, physicians, clinical laboratories, pharmacies, managed care organizations, health plans, third-party administrators, pharmacy benefit managers, and pharmaceutical and medical device manufacturers.
She primarily advises clients and their counsel with addressing liability, economic damages, and class-certification issues related to investigations, litigation, and disputes, including:
- Conducting and assisting with internal investigations as a privileged consultant
- Analyzing and assisting with responding to fraud or other allegations made during government investigations
- Assessing the economic impact of alleged noncompliance with contractual obligations and federal, state, and local regulations
- Providing damages and industry-specific litigation and dispute resolution support, including complex data analytics and financial modeling
- Performing compliance and fraud risk assessments and developing risk management programs
- Assessing current and historic billing, claims processing, and claims reporting operations
Areas of Expertise
Industries
Education
University of Wisconsin, Madison
BBA, Accounting
Selected Engagements
Provider and Payer Disputes
BRG experts have worked on engagements for hospitals or health providers involved in disputes over reimbursement rates for both contracted and non-contracted services.