Managed Care / HMO Expert Witnesses and Consultants
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Experts in hospital and health maintenance organizations, managed care contracting, business procedures, facility and program planning, physician practice management, record review and case analysis.
The listings below are all Managed Care / HMO expert witnesses and consultants.
Expert ListingsBargar and Associates
Robert J. Bargar, MD, SM
Board-certified in Quality Assurance/Utilization Review, Public Health, General Preventive Medicine, and Medical Management. Expertise in Insurance Companies, HMOs, Case Review, Medical Coding, and Billing.
Practical Healthcare Solutions, LLC
Bruce Podrat, MBA, MHA
Breech in Hospital Administrative Standards of Care, Physician Credentialing, Hospital Policies/Procedures, Interpetation of JACHO Standards, Medicare Billing and Other 3rd Party Billing Disputes, Physician-Hospital Contracts, and Valuations of Healthcare Enterprises.
San Francisco, CA
Capitated payments of risk adjusted plans such as Medicare Advantage (Part C), Accoutable Care Organizations, fraud waste and abuse. 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, Medical / Medicare / Medicaid Fraud,
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