Medicare Expert Witnesses in Wisconsin

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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

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

    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 clients with all areas of Medicare coverage and billing.

    Consultant, A private medical billing consulting business

    Doctor of Medicine (MD), University of Illinois Abraham Lincoln School of Medicine

    Chicago,

    Illinois

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  • Review Fee $200/hr
    Deposition Fee $300/hr
    Court Fee $300/hr

    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

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  • Review Fee $350/hr
    Deposition Fee $350/hr

    This highly qualified expert has 36 years of experience as a skilled care nursing facility director and attending physician. After earning his BS from Illinois State University and his MD from the University of Illinois, he completed a residency in family medicine at the University of Illinois. He also went on to earn his MBA from the Isenberg School of Management at the University of Massachusetts. This expert is board certified in family medicine with a specialization in geriatrics. He is also a fellow with the American Academy of Family Physicians and on the board of directors for the American Association for Physician Leadership. Among his former roles, he served as the medical director at four nursing homes in Illinois: Prairie View Nursing Home, Basswood Nursing Home, Colonial Hall, and Greenfield Retirement Home. Currently, this expert is the chief medical officer for a rural community care organization in Illinois as well as the medical director for a community care alliance in Colorado.

    Chief Medical Officer, A rural community care organization in IL

    Master of Business Administration (MBA), University of Massachusetts

    Illinois

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  • Review Fee $300/hr
    Deposition Fee $350/hr
    Court Fee $350/hr

    This highly qualified expert has 40 years of experience in nursing, and she specializes in wound care and geriatrics. She obtained her BSN from Temple University, before beginning her career in the field. Today, she is a licensed registered nurse in the state of Illinois and a certified wound care nurse. This expert previously served as a registered nurse at Summit Home Health Inc., Applied Home Telemedicine, ENH Home Services, and Amita Health Saint Joseph Hospital, as well as a wound care nurse at the Bethany Terrace Nursing Centre. She is currently a registered nurse at a geriatrics health care company in Illinois, where she provides comprehensive healthcare and wound care assessments to senior patients.

    Registered Nurse, A Geriatrics Health Care Company in IL

    Bachelor of Science in Nursing (BSN), Temple University

    Chicago,

    Illinois

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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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