Healthcare Fraud Investigation Expert Witness Texas 535720

Expertise Description

With more than 25 years experience in healthcare fraud investigations, I have expertise in conducting comprehensive audits and investigations for fraud, waste, abuse, and error (erroneous coding) for Medicaid, Medicare Advantage, and commercial products. I have prior experience offering my services as a healthcare fraud investigation expert witness.

Health Claims Audit Expert Witness Alabama 533150

Expertise Description

I have worked in health claim audits for more than two decades. My expertise is in workers compensation bill/invoice audits, provider network discount audits, insurance policy compliance, medical billing, accidental injuries, insurance policy language litigation, medical billing processes, hospital accounts receivables processes, and estimates on future medical costs. I have spent over 15 years providing consultations and deposition for numerous clients as a health claim audits expert witness.

Medical Billing Expert Witness FL 532119

Expertise Description

My expertise is in medical billing, having spent more than two decades working with billing and collections. I have experience as a medical billing manager and orthopedic account manager. I am offering my services as a medical billing expert witness.

Healthcare Expert Witness 532318

Expertise Description

I have worked in the healthcare industry for over 35 years. My expertise is in nursing, healthcare advocacy/advisory, health insurance benefits, resolving claim disputes, obtaining approval for services, maximizing benefits, and improving quality of care. I have prior experience offering consultations and courtroom testimony as a healthcare expert witness.

Medical Billing & Coding Expert 501916 NJ

Expertise Description

With over 15 years experience in medical billing and coding, I have worked with Eclaims, Zyantus, Accuchecker, Medisoft, Billflash, Crystal Reports, Navinet and Emdeon for a variety of medical practices and specialties. I am offering my services as a medical billing and coding expert witness.

Medical Billing 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.

Medical Billing Expert 523510 CO

Expertise Description

I have more than 15 years experience in the medical billing field. I have an expertise in medical coding, auditing, HCC coding and comprehensive auditing, and medical coding compliance. I have prior experience offering my services as a medical billing expert witness.

Medical Billing Expert 523506 CO

Expertise Description

I have over 15 years experience in medical billing. I have worked with 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 experience offering consultations, courtroom testimony, and deposition as a medical billing expert witness.

Healthcare Insurance Expert 522345 CA(N)

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.

Medical Billing Expert 521470 AL

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.

Information Technology Expert 33375 NM

Expertise Description

I have more than 40 years experience in the field of Project and Portfolio Management. I have extensive experience in information technology assessment, product and services, procurement, project management and operations, contracting, health acre, product liability, consulting malpractice, business continuity and risk assessment, security and computer data gathering. I am also fluent in enterprise application integration, business intelligence, artificial intelligence, malpractice, satellite and television, artificial intelligence paradigms and data mining. I have previous experience with AEON Expert System software used to override recommendations generated by the Navy’s global retail inventory management system. I have over 30 years expert witness experience.

Insurance Brokerage Expert 371558 TX

Expertise Description

I have more than 20 years experience in the field of Insurance, including combined insurance brokerage and executive senior corporate counsel experience. I have over 10 years executive management experience with international, large regional, and financial institution-owned insurance brokerages. I also have more than 10 years senior in-house litigation case management experience handling multiple billions of dollars in case exposures in nearly every state and throughout the world for two of the largest international insurance brokers, in addition to handling regulatory compliance, contract negotiations, insurance company and broker relationships, insurance standard of care for agents and brokers, insurance industry custom and practice, non-admitted insurance, and employment matters. I have prior expert witness experience with consultations, deposition, and courtroom testimony.