Coding And Physician Reimbursement Analysts Inc.

Coding And Physician Reimbursement Analysts Inc.

L. Neal Freeman

5510 Murrell Road Viera, FL 32940

About the Expert

Expert: Physician + Coder + Medical Auditor -- Dr. L. Neal Freeman is a practicing physician and surgeon and is additionally certified as both a Coding Specialist-Physician-based and a Professional Medical Auditor. He provides expert services in medical coding, reimbursement, and compliance across all specialties. He is available for consultation, research, analysis, report generation, deposition, and trial testimony as an expert witness. He has been retained as an expert for plaintiff and defense. Excellent communication skills and responsiveness. Expertise: Medical coding and reimbursement, Coding compliance, Coding guidelines, Medicare, Medicaid, Private insurance, CPT coding, ICD-10 and ICD-9 coding, National Correct Coding Initiative, Bundling Modifiers, Fraud and abuse, False Claims Act, Personal Injury Protection (PIP), DRGs, Fair and reasonable value, Usual, customary, and reasonable (UCR) value.

Areas of Expertise

  • Healthcare Practices and Records
  • Insurance - Health / HMO / Disability
  • Medical / Medicare / Medicaid Fraud
  • Medical Billing, Coding and Insurance
  • Ophthalmology

Expert's Profile


Expert: Physician + Coder + Medical Auditor

L. Neal Freeman, MD, MBA is a practicing physician and surgeon and is additionally certified as both a Coding Specialist-Physician-based and a Professional Medical Auditor. He provides expert services in medical coding, reimbursement, and compliance across all specialties. Dr. Freeman is available for consultation, research, analysis, report generation, deposition, and trial testimony as an expert witness. He has been retained as an expert for plaintiff and defense.

Dr. Freeman is involved at the highest levels nationally in the area of coding and reimbursement. His medical and surgical practice in conjunction with credentialing in coding and auditing is a powerful combination for reviews and expert witness work in these areas. He is an active writer, instructor, and speaker in this area at national, regional, and local levels.

Medical and billing records from caregivers and facilities are compared to assess accuracy of documentation. Consistency of reporting within accepted guidelines is also reviewed. Fair and reasonable value of services is determined.

Areas of Specialization include:

Medical coding and reimbursement
Coding compliance
Coding guidelines
Medicare
Medicaid
Private insurance
Fair and reasonable value
Usual, customary, and reasonable (UCR) value
CPT coding
ICD-10 coding
Auditing
Fraud and abuse
False Claims Act
Personal Injury Protection (PIP)
DRGs
National Correct Coding Initiative
Bundling
Modifiers


Contact
www.nealfreemanmd.com
www.CPRanalysts.com

Email
nfreeman@CPRanalysts.com

Phone
(321) 253-2166

LinkedIn Profile
https://www.linkedin.com/in/drnealfreeman/



Personal Achievements

Education

  • Bachelor of Science (With Distinction), Cornell University College of Engineering, 1981
  • Doctor of Medicine (With Distinction), University of Michigan Medical School, 1984
  • Master of Business Administration, University of Central Florida College of Business, 1999
  • Residency: Wilmer Ophthalmological Institute, Johns Hopkins Hospital, Ophthalmology
  • Fellowship: University of California, San Francisco, Ophthalmic Plastic and Reconstructive Surgery

Licenses

  • Florida Department of Health Medical Doctor License ME 55705
  • Board Certifiied, American Board of Ophthalmology, 1990

Special Training

  • Residency: Wilmer Ophthalmological Institute, Johns Hopkins Hospital, Ophthalmology
  • Fellowship: University of California, San Francisco, Ophthalmic Plastic and Reconstructive Surgery
  • Certified Coding Specialist-Physician-based (CCS-P), American Health Information Management Association, 2003
  • Certified Professional Medical Auditor (CPMA), AAPC American Academy of Professional Coders, 2017

Organizations

  • President, Coding and Physician Reimbursement Analysts, Inc.
  • Certified Coding Specialist-Physician-based, American Health Information Management Association
  • Chair, Coding and Third Party Reimbursement Committee, American Society of Ophthalmic Plastic and Reconstructive Surgery
  • Chair, Managed Care/Third Party Liaison Committee, Florida Society of Ophthalmology
  • Board of Directors, Florida Society of Ophthalmology
  • Representative, CPT Advisory Committee, American Medical Association
  • State Representative, Florida Medicare Carrier Advisory Committee, Ophthalmology
  • Assistant Professor, University of Central Florida College of Medicine
  • Author and Editor, "coding.doc" feature, Ophthalmology Times
  • Chief of Ophthalmology, Holmes Regional Medical Center
  • Operating Room Committee, Holmes Regional Medical Center
  • Full-time continuous medical practice (since 1989), Florida Eye Associates, Melbourne, Florida
  • American College of Surgeons
  • Surgical Eye Expeditions, International (over twenty volunteer surgical missions)

Honors

  • Orkan Stasior Leadership Award, American Society of Ophthalmic Plastic and Reconstructive Surgery
  • Outstanding Contribution Award, American Society of Ophthalmic Plastic and Reconstructive Surgery
  • Secretariat Award, American Academy of Ophthalmology (two-time award winner)
  • Achievement Award (Instructional), American Academy of Ophthalmology
  • Alpha Omega Alpha National Honor Medical Society

Publications

  • Coding Publications (representative)
  • I author and edit the coding.doc column in Ophthalmology Times magazine. Articles have included:
  • Advance Beneficiary Notice shifts responsibility for payment
    December 15, 2007
  • Coding for pterygium: diagnostics and therapeutics
    February 15, 2008
  • New vitreoretinal codes represent major change for 2008
    June 15, 2008
  • Know the guidelines for coding glaucoma tests
    October 15, 2008
  • Category III codes provide key to new technologies
    February 15, 2009
  • National Correct Coding Initiative enables better reporting of multiple services
    September 1, 2009
  • Physician fee schedules, coding are closely related
    October 1, 2009
  • Glaucoma surgical coding remains a challenge
  • Consultations are again the focus of changes
  • Understanding coding errors helps physicians avoid pitfalls
    September 15, 2010
  • Switch to ICD-10 must be managed effectively
  • MUE program sets payment limits
    October 15, 2013
  • CPT coding for glaucoma surgery reporting undergoes changes
    June 15, 2015
  • How contractor advisory committees impact coverage decisions
    June 15, 2014
  • Modifier -59 modifications carry big reimbursement impact
    January 1, 2015
  • How payer perspective guides reimbursement
    June 15, 2016
  • Coding Presentations (representative)
  • Advanced Surgical Coding and Reimbursement
  • Making the Most with Modifiers
  • Oculoplastic Coding
  • Case Studies in Complex Surgical Coding
  • Challenging Coding Cases in Ophthalmic Plastic Surgery
    (Breakfast with the Experts)
  • Coding Controversies in Oculoplastic Surgery
  • With a Little (Coding Advocacy) Help from My Friends
  • CPT—Revealed!
  • Bundles of Joy?!? Nuances, Insights and Applications of Modifiers and the Correct Coding Initiative
  • Coding and Reimbursement Change You Can (Possibly) Believe In
  • Coding Workshop
  • “Relatively Speaking” about Oculoplastic RVUs
  • CODEquest
  • ASC Reimbursement Update
  • Consultation Perseverations
  • The New ASC Rules
  • Medicare Audit Activity, or Should I Answer That Knock On The Door?
  • The Mother of all Bundles? Ptosis, Blepharoplasty and the New Rules of Engagement
  • Ready or Not…ICD-10-CM

Listed in the Following States

Coding And Physician Reimbursement Analysts Inc. is listed with ExpertPages in the following jurisdictions: All US Regions and States, Canada (all Provinces).