Medical Billing Expert Witnesses

Life Care Planning, Medical Cost Projection, & Medical Bill Review Headshot

Life Care Planning, Medical Cost Projection, & Medical Bill Review Expert

This highly qualified expert has been in the field of nursing for over four decades, with demonstrated experience in the areas of life care planning, medical cost projection, Medicare set asides, medical damage reports, and medical bill reviews. She received her BSN from Saint Olaf College and then her MS in nursing from Ohio State University. She is a registered nurse, as well as a certified legal nurse consultant, lifetime nurse care planner, medicare set aside ...

Medicaid Regulations Headshot

Medicaid Regulations Expert

This highly qualified expert earned his BA in political science from Ohio State University. He then went on to serve as a mediator for consumer protection at the Office of the Indiana Attorney General. He also served as the Director of Medicaid contract management, the director of Provider Relations for Indiana Medicaid and as the Medicaid Program Integrity Director at Indiana Family and Social Services Administration. Currently, he is a senior advisor at a healthcare ...

Medical Records Headshot

Medical Records Expert

This expert in EMR and Hospital Billing systems has worked as a certified Epic consultant with various healthcare providers for the past 7 years. He is currently certified in 10 Epic applications ranging from hospital billing to CDM and ASAP. He has previously held positions as a Senior Epic Consultant at multiple hospitals, as an Epic Instructional Designer, and as an Epic Revenue Cycle Report Writer. He is currently a Senior Epic Hospital Billing Consultant at a large ...

Medical Billing Headshot

Medical Billing Expert

This highly qualified expert has 35+ years of experience in the healthcare arena ranging from hands-on clinical to the executive level of operations. He specializes in medical billing, collections, and in the financial performance of businesses, along with business practices. He received his BSN degree from Arizona State University and his MBA degree in finance from the University of Southern California. He is a member of the advisory board at Hearing Healthcare ...

Medicare Rules and Regulations Headshot

Medicare Rules and Regulations Expert

This board certified physician is currently an active consultant in medical billing compliance, device and drug marketing, and claims data analysis. He has recently been involved as consultant and expert witness in Medicare criminal and civil litigation, Qui Tam cases and administrative hearings. The expert recently served as a Medical Consultant for ICD-10 transition, coding, and policy at PricewaterhouseCoopers; he now runs his own consulting business and assists ...

Medical Billing and Consulting Headshot

Medical Billing and Consulting Expert

This qualified expert has over 17 years in healthcare administration, medical accounts, and medical billing matters. She received both an A.A. and B.S. in Health Care Administration from the University of Phoenix. Her previous positions include managerial positions in medical billing departments at various companies including Johns Hopkins, GE Healthcare and LifeBridge Health. She currently works as an Office Manager at a major university hospital. She is responsible to ...

Hospital Billing Headshot

Hospital Billing Expert

This expert is an emergency physician in practice for 30 years, 18 of which he reviewed claims for all classes of medical payers including Blue Cross plans, major indemnity insurers, and Medicaid. One of his specialties is cost containment and recovery of overpayments, and he has designed and implemented major claims audits systems. He earned his MD at the University of Chicago and has held emergency medicine and medical directorship positions for many years. He ...

Hospital Mgmt., Joint Commission Standards Headshot

Hospital Mgmt., Joint Commission Standards Expert

Healthcare consulting and management executive with thirty-six years of progressively responsible experience in assisting community hospitals, multi-hospital systems, academic medical and research centers, nursing homes and assisted living facilities, managed care organizations and large physician entities achieve strategic business objectives. Extensive involvement in complex healthcare-related litigation pertaining to identification of breach of standards of care ...

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