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Average Medical Billing Expert Witnesses Court Fees
Review Fee
Deposition Fee
Court Fee
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 Providers of California and his previous responsibilities included senior level positions at Kaiser, Paracelsus and Adventist Health Medical Groups, as administrator, regional business development director, and COO. This expert is currently the founder of a major medical revenue management firm, where he currently works.
Founder, A Major Medical Revenue Management Firm
Master of Business Administration (MBA), University of Southern California
Orange,
California
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 professional, and nurse life care planner. She is a member of numerous professional societies, including the American Association of Legal Nurse Consultants and the American Association of Nurse Life Care Planners and has presented on topics in nursing multiple times. She has held a wide variety of roles during her career including as the owner and manager of Home Health Care Consultants. She has also worked as an office nurse for a primary care physician and as a home care liaison at St. Mary’s Regional Medical Center. Currently, she is the owner and CEO of a legal nurse consultancy in Nevada.
Owner & CEO, A legal nurse consultancy in NV
Master of Science (MS), Ohio State University
Nevada
Find Medical Billing Expert Witnesses In:
What Can a Medical Billing Expert Witness Opine On?
Claim Submission
Submitting medical claims to insurers.
Payment Posting
Recording payments received from insurers.
Denial Management
Addressing and appealing denied claims.
Coding Services
Assigning codes for diagnoses and procedures.
Patient Billing
Generating bills for patients after services.
Account Reconciliation
Ensuring accuracy of billing accounts.
FAQs for Medical Billing Expert Witnesses
What is a medical billing expert witness?
A medical billing expert witness is a specialist who explains billing practices, coding, and reimbursement in legal cases. They assist by reviewing records, identifying errors, and testifying to clarify complex billing issues.
In what case types might a medical billing expert witness be beneficial?
A medical billing expert witness is beneficial in personal injury, medical malpractice, workers’ comp, insurance disputes, fraud investigations, coding audits, and reimbursement litigation.
How can a medical billing expert witness assess the reasonableness of billed charges?
A medical billing expert witness assesses the reasonableness of billed charges by comparing them to usual, customary, and reasonable (UCR) rates, payer contracts, and industry billing standards.
How does a medical billing expert witness evaluate usual and customary reimbursement rates?
A medical billing expert witness evaluates usual and customary reimbursement rates by comparing billed charges to regional fee schedules, payer contracts, and industry benchmark databases.
What qualifications should a medical billing expert witness possess for complex litigation?
A medical billing expert witness for complex litigation should have advanced billing certifications, extensive clinical and coding experience, and a proven history of testifying in similar cases.
What is Expert Institute’s process for selecting medical billing expert witnesses?
Expert Institute delivers a tailored approach to connect you with top-tier experts. We identify actively practicing professionals who meet your exact criteria for specialty, experience, litigation background, fee structure, credentials, location, and more.