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 ...
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 ...
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....
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
Court: United States District Court for the District of Idaho Jurisdiction: Federal Case Name: United States ex rel. Suter v. Nat’l Rehab Partners, Inc. Citation: 2009 U.S. Dist. LEXIS 88630 Facts This case involves claims of inappropriate physical therapy services…
Court: United States District Court for the Eastern District of Louisiana Jurisdiction: Federal Case Name: United States v. Crinel Citation: 2018 U.S. Dist. LEXIS 144909 Facts A federal grand jury found the defendant guilty of conspiring to defraud Medicare. The…
Court: United States Court of Appeals for the Eleventh Circuit Jurisdiction: Federal Case Name: United States v. Rosin Citation: 263 Fed. Appx. 16 Facts The defendant was convicted of offenses related to health fraud upon the government for performing unnecessary…
This case involves the alleged overcharge of patients for copies of their medical records. Under state law, it is unlawful to charge patients, and other qualified persons who request copies of patient medical records, more than the costs incurred to…
This case involves an alleged breach of contract between a rehabilitation services system and a health insurance company in Arizona. The plaintiff system alleged that the health insurance company underpaid for inpatient rehabilitation services. It was also alleged that the…
This anti fraud case involves a medical device distributor and a hospital in New Mexico which allegedly violated Medicare anti-kickback statutes, as well as industry ethical standards. The distributor in question employeed a woman working at a medical center that…
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…
A nursing home expert witness advises on a case involving an eighty-year-old male patient who was admitted to a residential care home as an in-patient resident following a stroke. The medical records show that the patient was a vulnerable adult,…
A physical therapy expert witness opines on a case that involves an eighty-one-year-old male patient with a past medical history of osteoarthritis. She previously underwent radiofrequency ablation for her joint paint, but underwent bilateral total hip replacement surgery on the…