Medical Billing 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.

Areas of Expertise


Expert Witness

I have served as an expert witness on behalf of providers in government investigations, supplying affidavit testimony in support of professional findings consistent with providers’ interests.


Consulting Experience

I have provided professional billing, coding, documentation, and compliance-related consulting services and support to clientele in, or providing products and services to, the health care industry.


Professional Experiences

My professional experience includes conducting medical record audits and reviews of evaluation and management, surgery, laboratory, radiology, and other provider services in response to commercial and governmental investigations, compliance plan requirements, and suspected or identified improprieties.


Relevant Experiences

Professional billing for Urgent Care took place in the same office suite when I worked as the Supervisor of Coding and Charge Entry for Nationwide Children’s Hospital in Columbus, Ohio and often coders in that area also looked to me for guidance. In addition, billing for Urgent Care services is usually done using Evaluation and Management codes, as well as some procedure codes, both of which I have much experience with.


Education

Degree Subject Institution
M.D. University of Cincinnati College of Medicine
M.B.A. Ohio University
B.S. Biological Science Wright State University

Licenses Certifications

Certified Professional Coder- Instructor (CPC-I)
Certified Professional Coder (CPC)

Awards & Affiliation

American Academy of Professional Coders (AAPC)

Primary Affiliation

American Academy of Professional Coders (AAPC)



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