Expert 528377 - TX

Expertise Description

I have over 20 years of consulting experience in insurance, with an emphasis in health insurance. Expertise includes: small group rate filings, critical illness, LTC, term life, dental and vision, financial reporting and projections, statutory, tax and management information, GAAP and competitive rate and benefit studies. I have over 20 years of expert witness experience with consultations and depositions.

Expert 523239 - TX

Expertise Description

I have over 25 years' experience in employment law. My areas of focus include Employee Retirement Income Security Act (ERISA) design, administration, and compliance; health, life, 401(k) and pension plans; human resources; mergers and acquisitions; union negotiations; and fiduciary liability. I have prior experience providing consultations and deposition as an employment law expert witness.

Expert 523597 - UT

Expertise Description

I have over 20 years experience working with medical billing. My expertise is in claims, billing, data analysis, operations, review of claim submission, processing and supporting documentation. I have spent more than 15 years as a medical billing expert witness by offering deposition, consultations, and courtroom testimony.

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 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.

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Expert 521252 - TX

Expertise Description

With over 35 years experience in Financial Planning, my expertise is in estate planning for estate tax purposes and wealth transfer for multi generational business. I have additional knowledge in retirement planning, college planning, life insurance for individuals, group health insurance, disability insurance, 401k, and long-term care. I also have prior experience as a financial planning expert witness in Texas.

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 518633 - CA(S)

Expertise Description

I have more than 30 years of experience in life insurance, health insurance, property and casualty insurance, workers’ compensation, professional liability, general business insurance, risk management, financial planning, employee benefits, compliance, and insurance agents and brokers duty to perform. I have focused on the areas of complex insurance portfolio plan design and implementation, coverage, consulting and compliance, executive compensation, business perpetuation planning, deferred compensation and estate planning. I have been a Chief Risk Officer for an international resort, hospitality, and property management operation. I have over 15 years of expert witness experience with consultation, deposition, and courtroom testimony.

Expert 509375 - NJ NY

Expertise Description

I have more than 25 years in the medical industry with extensive experience as a Physician. I have experience with hospital operations, physician relations, clinical integration, and healthcare finance. I also have strong clinical knowledge backed by years as Chief Medical Officer at high acuity facilities. I have a proven success in the evaluation and implementation of physician practices and clinical programs; as well as operational efficiency, customer service, patient care, and financial stewardship. I have over 5 years of expert witness experience.

Expert 455037 - CA(S)

Expertise Description

I have more than 30 years experience in the field of Insurance with expertise in negotiating the sale and purchase of insurance agencies and the terms and development of specialized insurance products in partnership with major insurance companies. I have additional experience with formation and management of group captives. I have over 10 years expert witness experience.

Expert 371485 - NJ

Expertise Description

I have practiced in the physical therapy industry for over 25 years specializing in outpatient orthopedic settings. I also have expertise in the areas of athletic training, sports medicine, personal training and fitness. I have owned a PT consulting company for therapists in the field looking to open or expand their own physical therapy private practice. I opened my own practice in 2002. Services offered include: litigation consulting, expert witness testimony, research and investigative activities, and consulting in standards of care. My casework and testimonial experience involving standards of care are according to state practice acts and to the national guide to physical therapy practice. I have over 10 years of expert witness experience with consultations, deposition, and courtroom testimony.

Expert 513062 - 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 30 years of experience in Hospital and Health System Senior Management, including the last 15 years as CEO and Regional CEO of various hospitals in Southern California. I have extensive experience and expertise in the areas of hospital operations and finance, business contractual matters, physician and medical group operations, managed care and medical insurance issues, health care regulatory matters, and employment and union issues.

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.

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 322405 - CA(S)

Expertise Description

I have more than 15 years in Corporate Finance, and I am Co-Founder and Managing Director of a strategic advisory firm focused on small and medium enterprises. My firm has represented clients from various industries, and I have successfully implemented multiple aspects of financial management efforts, including: financing, financial reporting, benchmarking, treasury functions, risk management, internal controls, and accounting and tax planning. My core competencies include: business valuation, financial reporting and planning, mergers and acquisitions, as well as divestitures, debt and equity financing and capital raising, board and investor relations, corporate finance, securities valuation, financial modeling and analysis, and risk management. I have prior expert witness experience with consultations and deposition.

Expert 169875 - CA(S)

Expertise Description

I have more than 25 year of experience in Forensic Accounting. I have reviewed financial records, pleadings, deposition testimony, discovery responses, and other evidence to estimate economic damages, lost profits, and lost earnings. I have also assisted in preparing discovery demands. My civil case exposure includes fraud, breach of contract, negligence, intellectual property, wrongful termination or death, and personal injury and accidents. Cases have involved different industries including: government agencies, manufacturing/distribution/retail, banking, insurance, and real estate. I have prior expert witness experience.

Expert 135059 - TX

Expertise Description

I have over 25 years experience in Human Resources Management. My expertise includes: defined benefit plans, early retirement programs, voluntary severance programs, severance plans, pension plan conversions, consolidations, life plans, health plans, Pension Benefit Guaranty Corporation (PBGC), pensions, 401(k) plans, medical plans, Employee Retirement Income Security Act (E.R.I.S.A.) claims and appeals process, benefit claims and appeals, cash balance plans, and labor arbitration. I have more than 10 years expert witness experience.

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 455037 - CA(S)

Expertise Description

I have more than 30 years experience in the field of Insurance with expertise in negotiating the sale and purchase of insurance agencies, insurance company and broker relationships, and the terms and development of specialized insurance products in partnership with major insurance companies. I have additional experience with formation and management of group captives.

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.

Expert 321751 - CA(N) CA(S) CO CT DE FL MI NJ NY PA TX WV

Expertise Description

I have more than 35 years experience in Healthcare Management Consulting, Litigation Support, & Hospital Operations. I have extensive experience with complex healthcare-related litigation pertaining to third party billing disputes, identification of breach of standards of care in the operation of hospitals, nursing homes and ambulatory care environments, physician credentialing in both hospital and managed care organizations, hospital and medical staff bylaws, interpretation of JCAHO standards, JCAHO credentialing, negligent hiring, managed care contracting, administrative and billing compliance, economic analysis related to enterprise value, and fair market value compensation. My regional and national consultations include market planning, product line initiatives, operations improvement, business valuations, medical staff development, hospital-physical joint ventures, healthcare system reorganization, group practice formation, third party contract review and negotiation, and physician and hospital business office issues. I have over 10 years expert witness experience with consultations, deposition, and courtroom testimony.

Expert 345655 - CA(S)

Expertise Description

I have over 30 years experience in the healthcare industry. I have experience as a hospital administrator, medical group administrator, and health plan CEO. I am an expert in the negotiation and administration of contracts between physicians, hospitals, and health plans; HMO contracting and operations; the healthcare industry; Medicare Advantage programs; physician practice acquisition; medical group partnerships; and payer / provider ventures (ACOs). I am also experienced in operations, finance, and marketing for hospitals, physician groups, and health plans. I have more than 10 years expert witness experience.