Medical Billing, Coding and Insurance Expert Witnesses and Consultants
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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.
The listings below are all Medical Billing, Coding and Insurance expert witnesses and consultants.
Featured ListingsHealth Law Network
Lamar Blount, CPA/CFF, FHFMA
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; Medicare, Medicaid and Insurance fraud; and antitrust. MD, RN, RHIA, CPC, CFE, ChFC, MHA and CPA experts available.
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 ListingsMichael Arrigo
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
Bargar 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.
Britton & Associates LLC
Wendy Britton, Knau RN,CPC
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.
L. Neal Freeman, MD, MBA
Coding and Physician Reimbursement Analysts, Inc.
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.
Kohler Healthcare Consulting Inc.
Charlotte L Kohler
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.
Medical 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.
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