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 ...
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 ...
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 ...
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 ...
A legal nurse consultant (LNC) is a licensed nurse who has experience with the legal system. LNCs can render informed opinions regarding a patient’s injuries and the nursing and healthcare services the patient was provided. Legal teams frequently consult LNCs…
In over twenty-five years of consulting as a pediatrics expert witness on issues for both plaintiff and defense attorneys, I have seen well over two hundred cases at all stages of the process. Having had the opportunity to follow many…
This case involves a male patient in his 60s who had a past medical history of respiratory issues who underwent a cervical discectomy fusion to treat spinal cord compression. Immediately following the surgery, the patient complained of difficulty breathing, throat…
This case involves a male patient who underwent an aortic valve replacement. After the operation, he reported feeling severe chest pain. Shortly thereafter, the patient was given an x-ray which showed a buildup of fluid in his lungs. The patient eventually…
This case involves a 70-year-old male with a past medical history of COPD, Hepatitis B, high blood pressure, and diabetes who underwent elective lumbar discectomy for radicular pain. The patient’s medical clearance from his primary care physician apparently did not…
This case involves a 63-year old female patient with a past medical history of high blood pressure, high cholesterol, and coronary artery disease. She presented to the emergency room around 10 am with a chief complaint of pain in her…
This case involves a female infant who suffered pneumonia at 16 months of age. She was taken to the pediatrician’s office and seen by a nurse practitioner, not the pediatrician. The infant had a chest x-ray which was read as…
This case involves an 8-year-old male patient with type 1 diabetes. He presented to the emergency room with excessive thirst, vomiting, and shortness of breath and was diagnosed with diabetic ketoacidosis (DKA). The hospital in question did not have a pediatric DKA…
This case involves an overweight diabetic female patient who presented to the emergency room with aphasia and limited range of mobility. After being admitted, she was unable to move her extremities. The emergency room physician called a stroke code and a head…
This case involves an elderly male patient who was discharged from a hospital emergency room despite having lab results consistent with sepsis. Although the patient’s lab results triggered the hospital’s “severe sepsis warning” in the electronic medical record, these notifications…
This case involves a thirty-one-year-old female patient who presented to the hospital with complaints of severe upper-right quadrant pain, vomiting, and dark blood in her stool. A week prior to her admission, the patient had an abdominal ultrasound at her…