Expert 522345 - CA(N) CA(S)

Expertise Description

I have more than 30 years experience in the healthcare/health insurance industry. My experience includes, but is not limited to, sales, sales management, sales distribution channels (including internal sales and outside broker/agents/consultants, operations (billing, claims, customer service), underwriting, product, compensation plans, and profit and loss management. My indirect responsibilities included, but not limited to, actuarial, finance, network development and contracting, compliance, and marketing. My experience includes Individual and Group products/business in commercial and government (Medicare) lines of business. I am offering my services as a healthcare expert witness.

Expert 521470 - AL AK AZ AR BC CA(N) CA(S) CO CT DE DC FL GA HI IA ID IL IN KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA QC RI SC SD TN TX UT VT VA WA WV WY WI

Expertise Description

With over 25 years experience in Medical Billing, I am an expert on Revenue Cycle Management with an expertise in coding, auditing, practice management, risk adjustment/RADV Audits, CMS, Medicaid, Workers Comp, demographic entry, payment posting and adjustment, patient statements, paper and electronic claims, claim follow-ups, practice management system table clean-up, and ASC charge master analysis. I have additional knowledge in coding for Anesthesia, Pain Management, Neurology, OBGYN Laboratory, Ambulance, General Surgery, Physical/Occupational/Speech Therapy, Chiropractic, IDTF, Radiology, and Gastroenterology. I am offering my services as a Medical Billing expert witness.

Expert 518650 - AL AK AZ AR BC CA(N) CA(S) CO CT DE DC FL GA HI IA ID IL IN KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA QC RI SC SD TN TX UT VT VA WA WV WY WI

Expertise Description

I have more than 30 years of experience in emergency medicine in a busy, urban, community emergency department. I am residence trained in family medicine. As Medical Director for over 20 years I have considerable experience in quality assurance and case evaluations as well as pre-hospital and emergency department policies and protocols. I have worked part-time as a medico-legal consultant for malpractice and criminal cases, and have participated in depositions and courtroom trials. I have been providing consultations, courtroom testimony, and deposition for over 30 years as an emergency medicine and emergency room expert witness in Northern California.

Expert 511150 - AL AK AZ AR BC CA(N) CA(S) CO CT DE DC FL GA HI IA ID IL IN KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA QC RI SC SD TN TX UT VT VA WA WV WY WI

Expertise Description

I have more than two decades of experience in the field of Emergency Medicine and Hospital Negligence with a particular expertise in Internal Medicine. I have also spent time working to improve the distribution of medical resources, as well as advocating for better healthcare insurance policies. I have also spent time working as an emergency medicine expert witness in Indiana by providing clients with consultations, deposition, and courtroom testimony.

Expert 455599 - FL

Expertise Description

I have more than 25 years of experience in the field of Insurance with expertise as President of a brokerage firm. This experience affords me a unique ability to ascertain and explain risk in simpler terms. I consult in: fully insured, self funded/self insured medical plans consulting, self funded property and casualty programs, stop loss, reinsurance, risk contracting, provider excess loss, HMO reinsurance, provider risk contracting, PPACA and medical plan design, annuities, and indexed universal life. I’m currently an Adjunct Professor and Speaker, and have over 40 articles and letters that have appeared in various publications and several professional newsletters. I am federal court qualified. I speak, broker, and consult internationally on managed care, self-funding, risk contracting, and insurance and reinsurance issues. I have over 5 years of expert witness experience with consultation, deposition, and courtroom testimony.

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Expert 507332 - FL

Expertise Description

I have more than 25 years experience in the field of Medical Coding and Billing with expertise in ICD-9, ICD-10, and CPT coding. I have a comprehensive knowledge of the processing of medical insurance claims in a physician's office, to include the posting of payments, claims management as well as collection and tracking of revenue received from patients and third party payers including Medicare, Medicaid and various others. I am certified as a Reimbursement specialist, with training and experience in electronic billing to Medicare, Medicaid, and various insurance plans through several clearinghouses. I am also certified in Medical Chart Auditing, and as a Professional Coder and Instructor, and also as a Medical Billing Specialist.

Expert 389033 - TN

Expertise Description

I have more than 40 years experience in the field of Health Care Administration with expertise in providing legal advisory services and expert testimony in litigation. I have experience with directing day to day operations in facilities, establishing policies and procedures as well as standards and practices focused on patient safety, physician credentialing, labor relations practices, and compliance with Joint Commission Standards for Accreditation. I have over 5 years expert witness experience with consultations, deposition, and courtroom testimony.

Expert 55216 - CA(S)

Expertise Description

I have over 35 years experience in the field of Managed Care in the Healthcare industry with expertise in HMOs, PPOs, physician contracts, and other managed care arrangements. I have experience with health care delivery networks, payor and provider contract negotiation, relationships between physicians and hospitals, enrollment, health care delivery education programs, regulatory health care issues, and health care legislation. I have prior expert witness experience with consultations and deposition.

Expert 55215 - CA(S)

Expertise Description

I have over 15 years experience as healthcare administrator, CEO, and former COO of national healthcare and physician management companies. I have experience with health administration issues, including: project management, staff development, practice analysis, expansion, and operational and financial management. My expertise includes A / R and collections, revenue enhancement, claims processing, acquisitions, mergers, investments, human resources, training, staff development, contracting, marketing, and product line management. I have prior expert witness experience.

Expert 461213 - CA(S) MA NY

Expertise Description

I have more than 30 years experience in the field of Law with expertise in Employee Benefits. I have experience with benefits consulting, federal/state compliance, mergers & acquisitions, group benefits, employee communications and plan administration. I have additional experience with ERISA plans, fiduciary liability, wrongful termination, benefits loss, disability benefits, wellness programs, defined contribution plans, and benefits rights. I have prior expert witness experience with consultations and deposition.

Expert 317324 - CA(S)

Expertise Description

I have over 30 years experience in healthcare financial management. My expertise includes receivables experience in acute hospitals, HMO/PPO, law firm, medical groups; medical charges, claims; payments; collections; benefits; contractuals; medical claim valuation; Medicare; Third Party Payments; Charge/Medical Audits; analysis of charge accuracy; discounts in payer/provider agreements, etc. I have over 5 years expert witness experience with consultations, deposition, and courtroom testimony.