OUR AREA OF EXPERTISE
Stirling Global Solutions delivers objective, evidence-based solutions in four core areas:
Expert Witness Services, Healthcare Education, Compliance Consulting, and Reimbursement Consulting.
Backed by more than 30 years of healthcare industry experience, we help attorneys, healthcare organizations, insurance carriers, government agencies, and provider groups navigate complex regulatory, reimbursement, and compliance challenges with practical expertise and defensible results.
Expert Witness
When healthcare issues become legal matters, you need an expert who can deliver objective, evidence-based opinions that stand up to scrutiny. Stirling Global Solutions provides independent litigation support, translating complex healthcare regulations, billing, coding, and reimbursement issues into clear, defensible conclusions.
Our expertise includes:
Fraud, Waste & Abuse (FWA)
False Claims Act (FCA)
Medical Billing & Coding
Documentation & Compliance
Reimbursement Disputes
Tort Reform Medical Expense Analysis
Medicare & Medicaid Regulations
Medical Record Review
Expert Reports
Deposition & Trial Testimony
Training & Education
Training and education are the foundation of our company. We offer live, in-person training on-site; we also have a proprietary web-based platform for continuing education courses. We have topics on a variety of subjects and customize in-services and training for your organization. AAPC continuing education units (CEUs) are available with prior requests for clients who staff those who are already certified coders.
Popular Education Topics:
2027 CPT® Coding Updates
2027 ICD-10-CM Coding Updates
Achieving ICD-10-CM Specificity
AMA/CMS CPT® Evaluation and Management (E/M) Code and Guideline Changes
The Anatomy of the CPT® code (RVU, Status Indicator, NCCI)
Annual Medicare Physician Fee Schedule Proposed/Final Rule Updates
Annual Wellness Visits and Preventive Services
Chronic Care Management (Transitional Care and Principal Care Management)
Healthcare Compliance (Anti-kickback, False Claims, and Stark)
How to Conduct an Internal Audit
Implementing a Strong Revenue Cycle Management (RCM) Program
“Incident-to” Billing Guidelines
Maximizing Portable Diagnostic Services
Optimizing Risk Adjustment (HCC) Coding and Compliance
Specialty Coding (e.g., OBGYN, Remote Monitoring, Behavioral Health)
Target, Probe & Educate (TPE): Avoiding Round Two
Telehealth TODAY
Understanding CPT® Evaluation and Management Coding
Subject Matter Expert
Expert assistance in these healthcare issues and more:
Coding Compliance
Compliance Planning
Due Diligence Audits for Mergers and Acquisitions
Fraud and Abuse Claims Assistance
Independent Review Organization (IRO) for Corporate Integrity Agreements (CIA)
Legal Expert Witness
Overpayment Request Assistance & Payor Audit Assistance
Pharmacy Reviews
Program Integrity Audit Assistance
Target, Probe, and Educate (Medicare Program Integrity Review) Assistance
Telehealth
Revenue Cycle Management
We provide a strategic assessment focusing strictly on the people, process, and payment systems that surround the accounts receivable and reimbursement process. The goal is to ensure your practice has the right team, the right systems, and the right accountability standards to:
Achieve Successful Reimbursement
Maximize Correct Coding Opportunities
Reduce Lost Revenue
Educate and Train Staff
Streamline Authorizations and Referrals
Strengthen Denial Management and Appeals
Submit Claims Efficiently
Claim denials continue to be one of the greatest financial challenges facing healthcare organizations. According to the Medical Group Management Association (MGMA), 60% of medical group leaders reported an increase in claim denials in 2024, highlighting the growing importance of effective denial prevention and management.
The success of your practice rests largely upon effective management of your revenue cycle. A comprehensive review of your current billing processes, policies, and procedures can help you discover where your practice is missing revenue opportunities and mitigate future lost revenue.