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This highly experienced actuary specializes in long term care insurance. He began his actuarial career at the Fireman's Fund Life Insurance Company in San Francisco and later transferred to Genworth Financial. For more than a decade, he served as an actuary with LifeCare Assurance Company in Los Angeles, focusing on the long term care field. He now is an actuarial consultant with a specialty in long term care and product pricing.
Consultant in the Field of Long Term Care
Bachelor of Science (BS), SUNY Stony Brook
Bellows Fall,
Vermont
This expert served for many years as the Chief Research and Development Officer, President and Founder of a long-term care research and risk management company. He has conducted extensive research and analysis on a variety of public policy issues affecting the financing and delivery of long-term care services. He has published widely in scientific journals and his work has been quoted extensively. He has been interviewed by The New York Times, Wall Street Journal, and Time Magazine as a thought leader on issues affecting elder care financing. He earned his PhD from Brandeis University and is a full professor at a respected university in New England.
Director - Center for Long Term Services, A New England University
Doctor of Philosophy (PhD), Brandeis University
Boston,
Massachusetts
This well-qualified expert has been in the field of geriatric medicine for over 25 years. After earning his BA from Pitzer College, he went on to earn an MPH from the Harvard School of Public Health. He earned his MD from The University of Rochester School of Medicine and Dentistry and went on to complete an Internal Medicine residency at Harbor UCLA Medical Center. He then completed a fellowship in geriatric medicine at Harvard Medical School and a postdoctoral fellowship at Brown University. He has over 150 peer reviewed publications and is recognized as a leader in the field of exceptional longevity. He is founder and director of the New England Centenarian Study and a principal investigator of the Long Life Family Study and the Longevity Consortium, funded by the National Institute on Aging. Currently, he serves as a professor of medicine at Boston University and a Senior Attending for the geriatrics section at Boston Medical Center. This expert is also a telemedicine physician for ~8 nursing homes in Massachusetts and Maine, covering weeknights and weekends for acutely ill SNF patients.
Attending Physician, A medical center and three nursing homes in MA
Doctor of Medicine (MD), University of Rochester School of Medicine & Dentistry
Beverly,
Massachusetts
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What Can a Medicare Expert Witness Opine On?
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FAQs for Medicare Expert Witnesses
What is a medicare expert witness?
A Medicare expert witness is a healthcare or billing professional who explains Medicare rules and standards in legal cases. They assist by reviewing records, analyzing billing, and testifying to clarify Medicare compliance issues.
What types of cases may benefit from the insights of a Medicare expert witness?
A Medicare expert witness supports fraud, billing, reimbursement, coverage denial, medical necessity, compliance, overpayment, and False Claims Act litigation cases.
How can a Medicare expert witness assist with interpreting CMS regulatory guidance?
A Medicare expert witness can clarify complex CMS regulatory guidance, explain how rules apply to specific cases, and support compliance or dispute resolution in court.
What qualifications should attorneys require from a Medicare expert witness?
Attorneys should require a Medicare expert witness to have clinical or billing experience, CMS regulatory expertise, relevant certifications, and prior credible testimony in Medicare cases.
How does a Medicare expert witness evaluate billing and reimbursement disputes?
A Medicare expert witness evaluates billing and reimbursement disputes by reviewing medical records, coding, claims data, and Medicare regulations to assess compliance and payment accuracy.
What is Expert Institute’s process for selecting medicare 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.