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Medicare Expert Witnesses

Life Care Planning, Medical Cost Projection, & Medical Bill Review Headshot
E-541399

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 ...

Healthcare, Health Insurance Coverage, Medical Necessity Determinations Headshot
E-148041

Healthcare, Health Insurance Coverage, Medical Necessity Determinations Expert

This expert has over 30 years of experience with healthcare and health insurance. She gained her PhD in sociology and health policy at the University of California, Santa Cruz and directed research at the Institute of Health and Aging at UC San Francisco before leading the White House's Health Care Reform Task Force. Since, she has continued to contribute to the private and public sectors, working as a principal at William M. Mercer, Inc, the vice president of the Lewin ...

Nurse Life Care Planning Headshot
E-000266

Nurse Life Care Planning Expert

This expert has extensive credentials and training in nursing, nurse life care planning, and medicare consulting. She belongs to the American Association of Legal Nurse Consultants, the American Association of Nurse Life Care Planners, and the National Association of Medicare Set-Aside Professionals. She has held numerous nursing positions throughout the mid-west and is currently a nurse life care planner and consultant at a private firm in Indiana....

Medicare Rules and Regulations Headshot
E-050744

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 ...

Life Care Planning & Complex Medicare Set Asides Headshot
E-035253

Life Care Planning & Complex Medicare Set Asides Expert

This highly qualified expert has extensive experience with Medicare Set Asides (MSA), Complex Medical Cost Projections and Life Care Plans. She is dual-certified as a Life Care Planner and Medicare Set Aside Consultant among many more with 30+ years working alongside insurance companies. She has past legal experience, court testimony regarding Medicare Set Asides and Medical Cost Projections. This expert is the Vice President and business owner of a medical consulting ...

Life Care Planning Headshot
E-276426

Life Care Planning Expert

This qualified expert earned her BS and MA in communication disorders from Colorado State University and University of Florida, respectively. She is a certified life care planner with over 20 years of experience. Formerly, she served as the regional manager of Medbrook Rehabilitation and the owner and director of operations of Follow Along Therapy. She currently works as a life care planner and is a member of the American Speech-Language-Hearing Association as well as ...

Nurse Life Care Planner Headshot
E-083635

Nurse Life Care Planner Expert

This highly qualified expert has been a registered nurse for over 35 years. She has worked as a rehabilitation and intravenous nurse in both the hospital and home health care setting in OH. She has been a certified life care planner and case manager for 15 years and a certified nurse life care planner for over 5 years. She is also a certified brain injury specialist by the Brain Injury Association of America. She is a member of several professional organizations ...

Health Care Policy Headshot
E-037140

Health Care Policy Expert

This expert is Board of Governors Professor in the Institute for Health, Health Care Policy and Aging Research and the School of Social Work for a leading NJ University. At the Institute, he directs the Center for Health Services Research on Pharmacotherapy, Chronic Disease Management, and Outcomes, whose programs include the AHRQ-funded Center for Education and Research on Mental Health Therapeutics. He also is Chair of the Institute's Division on Aging and Associate ...

Medical Devices & Bioengineering and Regulatory Affairs Headshot
E-032781

Medical Devices & Bioengineering and Regulatory Affairs Expert

This expert received his undergraduate and doctoral degrees in Biomedical Engineering from Iowa State University. He has worked for and consulted with leading medical device, pharmaceutical & biotechnology companies ranging in size from start-ups to Fortune 100 companies. He also works on a regular basis for the FDA, Health Canada, the US & European Patent Offices, the Centers for Medicare and Medicaid Services, and other regulatory agencies around the world. As an ...

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Medicare Expert Witness Case Studies

Health Agency Allegedly Defrauds Medicare

Health Agency Allegedly Defrauds Medicare

Aug 3 2015
This case takes place in Connecticut and involves alleged fraud in Medicare. The defendants owned and operated a home health care agency that employed nurses to provide complimentary medical services at assisted living facilities, offering free blood pressure and vital…

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