Find a Medical Billing, Coding and Insurance Expert
Experts in all aspects of billing and coding as it relates to medical records and insurance claims. Medical classification, or medical coding, is the process of transforming descriptions of medical diagnoses and procedures into universal medical code numbers. Diagnosis codes and procedure codes are used by government health programs, private health insurance companies, workers' compensation carriers and others. Medical Billing, Coding and Insurance experts serve as expert witnesses and forensic consultants in Texas legal matters, and provide expert reports and testimony for judges, attorneys, lawyers, law firms, insurance companies and government agencies in Federal and state court trials and arbitrations in Texas.
The listings below are of Medical Billing, Coding and Insurance experts serving Texas.
Featured ListingsMedBooks, Inc.
Patrice Morin-Resch, CPMA, CPC, CMSCS, CHCI
Patrice Morin-Resch (formerly Patrice Morin-Spatz) is a medical coding and reimbursement subject matter expert supporting clientele throughout the United States with more than 30 years in her field. She is a former editor of the American Medical Association's (AMA) Current Procedural Terminology (CPT®) book, and holds over 50 copyrights on coding titles. Her legal and coding expertise has been utilized by the DOJ, DoD, attorneys, insurance companies, clinics, medical association's and organizations. Her main title, cp"Teach" Expert Coding Made Easy! has been awarded both the Texty (a peer review award) and the McGuffey Award through the Textbook and Academic Authors Association. Patrice's practice includes assisting clients coding rules and regulations, usual, customary and reasonable values for services rendered, copyright infringement (regarding CPT misuse), wrongful terminations of employees in which the termination is associated with medical coding.
Coding Continuum, Inc.
Christina Melnykovych, BS, RHIA, CFE, AHFI
Coding Continuum, Inc. provides litigation support and expert testimony regarding Coding and Billing of Medical Claims. Areas of expertise include Civil and Criminal Fraud, Forensic Audits, Document Analysis, Medical Coding (ICD-9-CM, CPT, E/M, HCPCS coding), RAC audits and analysis, operational assessments, and patient account analysis.
Expert ListingsMedical Reimbursement Specialists
Rhonda R Guitreau
Expertise in Medical Bill Review, Controverting Billing Affidavits, Forensic Bill Review, Medical Cost Analysis, Expert Witness Services for Deposition/ Trial, Usual,Customary,Reasonable (UCR) fee analyses, Geographic Specific Provider market comparisons, Medicare, Medicaid, Major Insurance comps.
Phil Resch, MA, JD, CMRS
Phil Resch is a Retired Navy Captain, recovering “lawyer”, experienced expert witness, mediator and executive with domestic and international assignments in multiple industries. As CEO of Medical Fee Analytics LLC and MDtranscript he brings unique understanding of benefit plan structure and operations, gained from being a member of the executive committee and trustee on the Health and Welfare plans of one of the most comprehensive joint management and labor benefit plans in the US. His experience in executive search and management consulting allow for him to comprehend the operations of a firm or company from a unique position. Through extensive negotiation experience in labor contracts, business dealings and mergers/acquisitions, Mr. Resch possesses an ability to negotiate contracts. He has worked for Ford Motor Company, Ryder Systems, Fujitsu, Pacific Maritime, Greenwich Air, Partner Sandhurst Group and Co-Founder Veterans Employment Connection.
Health Law Network
HLN consults in civil and criminal cases involving: UCR, reasonable charges & reimbursement; forensic audits; provider & payor disputes; medical record & billing documentation; ICD & CPT coding; compliance programs; business damages; and Medicare, Medicaid and Insurance fraud. MD, RN, RHIA, CPC, CFE, ChFC, MHA and CPA experts available.
Kohler Healthcare Consulting Inc.
Charlotte L Kohler, [RN], CPA, CVA, CRCE-I, CPC, ACS, CHBC, CPCO
Results driven consultant and expert witness in cases involving all facets of medical and healthcare relating to business, financial, operational, coding, billing and regulations. Recent work in radiology billing companies, anesthesia, physical therapy, behavioral health, hospital inpatient and outpatient contracting damages and disputes etc.
San Francisco, CA
Expert in matter before Federal Trade Commission, ICD-10 and CPT medical coding, computer assisted coding, E.H.R., subrogation and claims processing. Testimony in State, Federal court regarding Affordable Care Act, HITECH Act (meaningful use), California CMIA, HIPAA Privacy Rule, HIPAA Security Rule, Evaluation, report on usual, customary and reasonable (UCR) medical, prescription charges for personal injury plaintiffs. Healthcare Practices and Records, NCCI, liens, balance billing
Coding And Physician Reimbursement Analysts Inc.
L. Neal Freeman
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.
Britton & Associates LLC
Wendy Britton Knau
I am a Registered Nurse, certified coder and former Medicare Fraud Manager. Experiences include expert witness consulting for Medicare/Medicaid criminal/civil cases, for the Dept. of Justice, and plaintiffs & defense attorneys.
I also can determine Usual Customary & Reasonable (UCR) fees for medical services.