Expert 524692 - LA

Expertise Description

I have over 15 years experience in Medical Billing & Coding with expertise in education, healthcare compliance, government regulations, electronic health record development and implementation, and healthcare management. I have prior expert witness experience.

Expert 523510 - CO

Expertise Description

I have over 15 years experience in Medical Billing with expertise in medical coding, auditing, HCC coding and comprehensive auditing, and medical coding compliance. I have prior expert witness experience.

Expert 523506 - CO

Expertise Description

I have over 15 years experience in Medical Billing with expertise in policies and procedures for billing, collections, coding compliance, reimbursement policies, denials, refunds, collections, and accounts receivable, using MicroMD practice management software and Praxis Electronic Medical Records software; computed data for monthly reports and annual executive reports; billing, collection, scheduling, and records maintenance. I have prior expert witness experience with consultations, depositions, and courtroom testimony.

Expert 521415 - OH

Expertise Description

I have spent more than 15 years as a medical billing expert witness. I also have over 20 years experience in Medical Billing and Coding with expertise in medical record audits and reviews, compliance plan requirements, corporate integrity agreement (CIA), due diligence, independent review organization (IRO), Medicare and Medicaid fraud and abuse investigation, and physicians at teaching hospitals (PATH) initiatives.

Expert 521388 - CT

Expertise Description

I have over 25 years experience in the medical billing and coding field. My focus is in CPT codes, billing & coding, compliance, accounts receivable reduction, bill review, personal injury bill reduction, bill analysis, and UCR pricing. I have spent more than a decade as a medical billing 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 521330 - PA

Expertise Description

I have over 20 years of experience in healthcare coding and over 15 years as a compliance expert, forensic coding expert, and consultant. My expertise includes healthcare service coding, documentation and compliance, statistical error rate prediction methods and health insurance fraud involving E/M coding, diagnostic testing and physical medicine services on behalf of both healthcare providers and insurance carriers. I have more than 15 years experience working as a medical billing expert witness in Pennsylvania by providing deposition, consultations and courtroom testimony.

Expert 520337 - CA(S)

Expertise Description

I have over 35 years experience in Emergency Medical Services (EMS) Billing and have worked as an EMT with a focus on the pre-hospital care environment in a number of areas, including Neonatology, Pediatrics, Cardiology, and Emergency Response. I have also provided Fire Departments and Private Ambulance Companies with pre-hospital care billing and collections efforts as the Director of Operations for an EMS billing and collections center, directing the work of seven subordinates, and indirectly—more than fifty billing and collections clerks and customer service agents. I have additional experience as a police officer and was listed as one of the inventors of a “patient-pending” solution that covered a set of procedures and technology for a complex ems data collection and billing system.

Expert 507339 - FL

Expertise Description

I have more than 35 years experience as a Surgical Physician Assistant with expertise in Plastic and Reconstructive Surgery and General Surgery. My clinical experience includes: Orthopedics, Family Practice, general surgery, multi-organ transplantation, trauma and burn injuries, ENT, pulmonary/critical care, and acute and chronic wound care management. I also have over 25 years experience with Coding, Billing, Compliance and Reimbursement issues. My areas of coding and reimbursement expertise includes: physician CPT-4 and ICD-9 coding, compliance chart analysis and auditing, and Medicare HCC audits. I have over 15 years expert witness experience with consultation, deposition, and courtroom testimony.

Expert 508368 - AL AK AZ AR 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 RI SC SD TN TX UT VT VA WA WV WY WI

Expertise Description

I have more than 20 years experience in the Healthcare system with expertise providing opinions in civil and criminal matters of health care claims reimbursement, billing and coding, fraud, ICD-10, HIPAA Privacy and Security, Meaningful Use, the Affordable Care Act, and usual customary and reasonable medical costs. I have experience with electronic health records, medical and dental claims, and patient’s duty to mitigate costs. My work involves self-insured employers, hospital systems, health plans (insurance) and healthcare IT firms. My education includes: USC – business, UCI – computer science & economics, Stanford Medical School in bioinformatics, computational biology and biomathematics. I have prior expert witness experience with consultation, deposition, and courtroom testimony.

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 18334 - CA(S)

Expertise Description

I have over 40 years experience as a professional nurse. My areas of expertise include review and summary of medical records, assessment of damages and liability, medical bill review, and audits related to organizational compliance. I have experience in elderly care, elder abuse, personal injury, professional negligence, and product liability issues. I have more than 20 years expert witness experience with consultations, deposition, and courtroom testimony.

Expert 456766 - NY

Expertise Description

I have more than 30 years experience in the field of Health Care Management with expertise in corporate and healthcare compliance, risk assessment and management, and utilization review. I have experience in Medicare and Medicaid regulations and compliance; clinical documentation, coding, and billing auditing. I have additional experience with: Medico-Legal, medical necessity, medical records analysis, health care billing analysis, educator and staff training, ligation support, fraud & abuse, HIPAA (privacy & security), quality management, and investigations. I have prior expert witness experience.

Expert 362403 - CA(N)

Expertise Description

R.H.I.A., C.C.S., C.C.D.S. – Consulting expert with more than 15 years experience in the field of Healthcare Management. Expertise includes guidance and dissemination of educational information relating to management analysis; compliance of quality healthcare clinical data; coding; billing to health information professionals; and other related fields. Additional experience involves providers and payers in relation to comprehensive reliable coded healthcare data; clinical data based on coding principles; clinical documentation; and Case Mix Index and reimbursement. Prior expert witness experience. Consultations and deposition.