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This extremely qualified expert with licensed nursing home administrator with years of experience in the field. She received both her B.Ed. and M.Ed. degrees from the University of Toledo and completed her post-graduate training in healthcare and business administration at the University of North Carolina, the University of Toledo and Ashland University. She had fellow status at the American College of Healthcare Administrators and a member of several other professional associations. She is a former executive nurse at Mississippi State Hospital and a former long term care consultant at Omnicare Westhaven. She is also the former nursing home administrator and director of nursing a The Ohio Veterans Home and the former Director of the critical care and post anesthesia units at Firelands Community Hospital. Currently, she works as a Hospital, Nursing Home and Behavioral Health Surveyor for a major healthcare accreditation company.
Hospital Surveyor, A Major Healthcare Accreditation Company
Postgraduate (PG), Ashland University
Waterville,
Ohio
This highly-qualified expert has over 20 years of experience working in long-term care. She earned her BSN from Kent State University, is a licensed registered nurse, and holds an additional certification in wound care. She began her career as a staff nurse at Euclid Hospital before serving as a charge nurse, a nurse supervisor, and unit coordinator at Menorah Park Campus. She then served as the director of nursing at Chardon Healthcare Center, Mapleview Country Villa, and the Greens. Currently, this expert is the director of nursing at a long-term care skilled nursing and rehabilitation facility in Ohio, where her responsibilities include coordinating care and ensuring quality and safety for residents.
Registered Nurse, A medical center and a rehabilitation center in OH
Bachelor of Science (BS), Kent State University
Fairport Harbor,
Ohio
With a career in the home care industry spanning 35 years, this registered nurse has had hands on experience in both the administrative and clinical aspects of the field. She progressed to senior executive levels within a multi-million dollar national home care company with locations in 28 States. She has been instrumental in the creation and oversight of many aspects of home care businesses including policy and procedures, caregiver training and training manuals, business development, clinical services, contracting, quality improvement, compliance, reimbursement and human resources. She earned a Bachelor of Science degree in Nursing from Michigan State University and has pursued graduate course work in business administration. She currently serves as a board member of the National Association of Home Care and Hospices Private Duty Home Care Association.
Independent Consultant, Home Care Industry
Bachelor of Science in Nursing (BSN), Michigan State University
Bloomfield Hills,
Michigan
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.
Nurse Life Care Planner and Consultant, A private consultancy
Bachelor of Science in Nursing (BSN), University of Phoenix School of Nursing
Muncie,
Indiana
This qualified expert has nearly 25 years of experience in nursing. She earned her AS in applied science from Luzerne County Community College and completed a 120-hour nursing home administrator's course at Penn State University. She is licensed as a registered nurse and a nursing home administrator. She has been a registered nurse for several different units at the Veteran's Affairs Medical Center, including orthopedics, ER/ICU, and subacute and medical-surgical care. She was also a critical care nurse for Saint Catherine's Medical Center and a nurse supervisor for Genesis Healthcare. For the past 7 years, this expert has served as a nursing services director for several healthcare facilities such as Spang Crest, Golden Living Center, and Genesis Health Care. Currently, she serves as the director of nursing services and center nurse executive for a healthcare center in Pennsylvania.
Nursing Home Administrator, A University Healthcare Network in PA
Bachelor of Science in Nursing (BSN), Western Governors University
Pottsville,
Pennsylvania
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What Can a Medicare Expert Witness Opine On?
Annual Wellness Visit
Comprehensive evaluation of health risks.
Preventive Screenings
Tests for early disease detection.
Vaccinations
Immunizations to prevent illness.
Chronic Disease Management
Ongoing care for chronic conditions.
Home Health Services
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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.