Medicare Expert Witnesses in Pennsylvania

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Medicare expert witnesses practice in a variety of fields, including health policy, medical billing, compliance, and reimbursement. Some of the most common specialties include Medicare fraud, coding, utilization review, and provider enrollment. They can opine on the effects of billing errors, regulatory violations, coverage decisions, and reimbursement disputes in litigation.

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Average Medicare Expert Witnesses Court Fees

Review Fee

Deposition Fee

Court Fee

Medicare Experts in Pennsylvania

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  • Review Fee $300/hr
    Deposition Fee $450/hr
    Court Fee $550/hr

    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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  • This expert is a board certified internal medicine doctor who has been working as an attending physician in a nursing home for over 30 years. He has extensive experience in dealing with patients who are at higher risk for falls.

    Attending Physician, 2 Major Geriatric Health Care Groups

    Doctor of Medicine (MD), Northwestern University Medical School

    Maryland

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  • Review Fee $150/hr
    Deposition Fee $300/hr
    Court Fee $600/hr

    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

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  • Review Fee $500/hr
    Deposition Fee $600/hr
    Court Fee $600/hr

    This highly-qualified expert has over 20 years of experience in internal medicine and nearly 15 years of experience with nursing home care. She received her BS in biology from Xavier University of New Orleans before earning her MD from the University of Maryland and completing her internal medicine residency at Temple University. This expert is board-certified in internal medicine and certified in medical direction by the American Medical Directors Association. She is active in her field as a member of the American Medical Directors Association and the American College of Physicians. Upon finishing her residency program, she was a physician and partner with Benner, Mulshine, and Seay for 9 years. She then transitioned to working in nursing home care, serving as a physician and medical director for numerous nursing and rehabilitation centers, including Brightview Assisted Living in Catonsville, FutureCare Pineview, and Frederick Villa Nursing & Rehabilitation Center. For her work, she was awarded the Medical Director of the Year award by the Maryland Medical Directors Association. Currently, this expert serves as the medical director for a home healthcare service and multiple nursing & rehabilitation centers in Maryland.

    Chief Medical Officer, A medical group in MD

    Doctor of Medicine (MD), University of Maryland

    Laurel,

    Maryland

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  • Review Fee $250/hr
    Deposition Fee $450/hr
    Court Fee $750/hr

    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

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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

In-home care for health needs.

Physical Therapy

Rehabilitation to improve mobility.

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.

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