Insurance - Health / HMO / Disability Expert Witnesses and Consultants
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Experts in health insurance coverage disputes and auditing, evaluation of experimental and unconventional therapies, medical quality assurance, and general medical review.
The listings below are all Insurance - Health / HMO / Disability expert witnesses and consultants.
Expert ListingsInsurance Expert
Dave Mitchell, CIC, MBA, MA.HR, SPHR, SHRM-SCP
Standard of Care - Dave Mitchell has worked on over forty cases as a consultant and/or expert witness and holds all of the insurance licenses in AZ and several other states. He has two advanced degrees, is an adjunct professor (twelve years in Human Resources, and currently he is an adjunct professor in insurance). For a number of years David has taught continuing education in insurance. He has won several awards in the insurance industry. Mr. Mitchell holds two professional designations in HR and one in insurance. In addition, he is a reviewer of insurance licensure exams and he is published. His CV and a list of cases is available upon request,
San Francisco, CA
Twice retained by U.S. Attorney, Department of Justice. One case led to $155 million settlement of Qui Tam False Claim Act. Eight retentions in patent litigation / intellectual property matters. Opinions regarding HIPAA Privacy and Security, Affordable Care Act, HITECH Act, Meaningful Use of Electronic Health Records, Inpatient Prospective Payment System, 3-day payment rule, CORE Operating rules, Computer Assisted Coding, Outpatient Prospective Payment System, Physician Fee Schedule, Medicare Administrative Contractors, Usual Customary and Reasonable Cost of care (medical coding and billing value), Medicaid expansion, Qualified Health plans under Nevada Labor Law, Nevada law regard
CMC Advisors Inc.
Mr. Citron is an expert in forensic reconstruction of insurance transactions, specializing in policy interpretation of the rules, laws and regulations governing insurance and financial matters. I have been licensed for 45 years as a life insurance agent, broker, and consultant.
Natl banking, financial services, insurance & real estate consulting/expert witness group. Expertise in: Health/Disability/Workers Compensation re: Claims, Underwriting, Bad faith, Agent / Broker duties, Coverage analysis, Disclosures & compliance.
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.
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