Medical / Medicare / Medicaid Fraud Expert Witnesses and Consultants
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Experts in all aspects of Medical Fraud, including cases relevant to Medicare and Medicaid plans.
The listings below are all Medical / Medicare / Medicaid Fraud expert witnesses and consultants.
Featured ListingsCoding 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 ListingsCoding 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.
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.
Elite Medical Experts, LLC
Elite Medical Experts specializes solely in medical litigation. From Stanford to Yale, and from all medical and surgical fields, Elite secures top university Professors as expert witnesses. Our experts understand issues of billing, compliance, and federal regulation. Please call today for a case analysis by an in-house physician or nurse. Elite Medical Experts works directly with legal teams and does not accept inquiries from private parties.
Analysis & Inference, Inc.
William B. Fairley, PhD
Founded in 1979, Analysis & Inference, Inc. provides statistical consulting services for law firms, corporations and government agencies. Dr. William Fairley has frequently been retained as an expert consultant and witness. Expertise in Statistics, Discrimination, Economic Consulting, Medical / Medicare / Medicaid Fraud.
Britton & Associates LLC
Wendy Britton Knau
I am a Registered Nurse, Certified Professional Coder(CPC) 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 have testified regarding Usual, Customary & Reasonable fees for medical services provided.
Specific Experiences 1/1/12 thru 1/14/20: Testified at trial 11 times. Deposed 31 times. Provided expert opinion on 192 cases(75% Defense/25% Plaintiff).
Provided expert consulting for 2 criminal cases. Assisted fraud audit & voluntary disclosure to the OIG resulting in $1,250,00 OIG settlement.
San Francisco, CA
Medicare eligiblity and Medicaid eligibility and maximum out of pocket costs for past, present and future medical care in life care plans. Expert in matter before FTC, ICD-10 and CPT coding, computer assisted coding, E.H.R., subrogation and claims processing. Evaluation, report on usual, customary and reasonable (UCR) medical, prescription charges for personal injury plaintiffs. Healthcare Practices and Records, Medical / Medicare / Medicaid Fraud,Medical Billing, Coding and Insurance, HIPAA Privacy and Security, Meaningful Use of Electronic Health Records and False Claims Act.
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