Medical Coding Expert Witnesses
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Medical Coding Experts
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Internal Medicine & Medical Coding Expert Witness
This board-certified internal medicine and medical coding expert received his BA in zoology from Miami University before earning his MD from Loyola University. He subsequently completed an internal medicine residency at the University of Illinois. He is certified as a professional coder by the American Academy of Professional Coders, and holds additional certifications in advanced cardiac life support and basic life support. As a professional coder, this expert has experience that includes auditing of ICD-10, CPT, and HCPCS level II coding. He formerly served as a locum tenens physician in hospital medicine at Monroe Clinic and a physician advisor for South Florida Utilization Review. Currently, this expert serves as a hospital medicine physician for multiple hospitals in Illinois, a physician advisor for an independent medical review organization, and the medical director of a medical review organization in Georgia.
Medical Director, A Medical Review Organization in GA
Doctor of Medicine (MD), Loyola University
Chicago,
Illinois
Medicaid Regulations Expert Witness
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 consultancy in Indiana.
Senior Advisor, A healthcare government affairs consultancy in IN
Bachelor of Arts (BA), Ohio State University
Zionsville,
Indiana
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FAQs for Medical Coding Expert Witnesses
What is the role of a medical coding expert witness in legal cases?
A medical coding expert witness provides insight into the complex world of healthcare billing, ensuring accurate interpretation of codes and compliance with regulations.
In what types of cases can a medical coding expert witness be beneficial?
Medical coding experts are crucial in healthcare fraud or malpractice cases, insurance disputes, and any case involving healthcare billing discrepancies.
How can a medical coding expert witness help in understanding the complexities of medical billing?
They can decode medical bills, explain standard practices, identify errors or fraudulent charges, and testify on the accuracy of billed services.
Are there subspecialties within the field of medical coding that an expert witness might focus on?
Yes, some experts may specialize in areas like outpatient coding, inpatient coding, or specific fields such as oncology or cardiology coding.
How does a medical coding expert witness's knowledge of ICD-10 impact their testimony?
Their expertise in ICD-10 (the international system for disease classification) ensures accurate interpretation of diagnoses and procedures, which can be pivotal in a case.
How does Expert Institute select its Medical Coding expert witnesses?
Expert Institute offers a personalized approach to help you find the highest quality experts. We source actively-practicing professionals who match all your requirements for specialty areas, work experience, litigation history, fee range, certifications, location, and more.