5 Pip Expert Witnesses Found

Medical Coding, Ophthalmology - Surgeon, Coder,Auditor, Fair and reasonable value, Medical coding, physician coding, ophthalmology coding, optometry coding, reimbursement, eye care, coding, Medicare, healthcare fraud, audits, False Claims Act, National Correct Coding Initiative, bundling

...-State Representative, Florida Medicare Carrier Advisory Committee -Chair, Third Party Liaison Committee, Florida Society of Ophthalmology -Chair, Coding and Third Party Reimbursement Committee, American Society of Ophthalmic Plastic and Reconstructive Surgery -Representative, CPT Advisory Committee, American Medical Association -Assistant Professor, University of Central Florida College of Medicine -Chief of Ophthalmology, Holmes Regional Medical Center Areas of expertise include: Medical coding and reimbursement Coding compliance Medicare Medicaid Private insurance Fair and reasonable value Usual, customary, and reasonable (UCR) value CPT coding ICD-10 coding Auditing Fraud and abuse False Claims Act Personal injury protection (PIP) DRGs National Correct Coding Initiative Bundling Honors American Academy of Ophthalmology: Secretariat Award (two-time recipient) Achievement Award American Society of Ophthalmic Plastic and Reconstructive Surgery: Orkan Stasior Leadership Award...

Family Medicine, Disability Evaluation

Since 1992, with the establishment of THE HEALTHPLACE CENTER for Disability and Independent Evaluation those suffering from Medical/Legal confusion have been offered comprehensive medical evaluation with effective translation of medical problems for the swift resolution of legal, governmental and insurance issues dealing with long-term disability/life care planning, personal injury, medical malpractice, environmental exposure, Workers’ Compensation, PIP Social Security and Emergency Medical Condition. Masters in the Science of Public Health Fellow American Academy of Family Physicians Certified Independent Medical Examiner LlCENSE: Florida ME003624 North Carolina 58382 NPI 1821091406 DR. KALIN specializes in complex case apportionment, assists in blocking cases for anticipated litigation, evaluates for future medical expenses and is available for consultation. DR....

Insurance, Appraisal & Valuation - Insurance Claims, Insurance Process, Procedure, Standards, Practices, Protocols, Insurance Appraisal and Umpire, Property and Casualty General Adjuster masterclass, Public and Independent Adjuster, Arbitration, State and Federal Court Qualified Expert, Congressional Rule 26 Qualified, Property Claim

...Can process any claim 360°: Commercial Property, Condominium, Construction Defects, Equipment/Mechanical Breakdown, Business Interruption, Residential Dwelling, Manufactured Housing, Sinkhole, Mold, Fire Investigation and Adjustment, Environmental/Pollution, Property Liability, Catastrophe Losses: Hurricanes, Tornadoes, Total Losses, Alternative Dispute Resolution: Appraisal, Mediation; Product Liability, General Liability, Professional Liability, Harassment, Casualty Bodily Injury, Fatalities, Murder/Homicide, Attempted Murder, Weapon Assault, Auto Liability, Auto Physical Damage, Personal Injury Protection (PIP), Cargo, Workers Compensation Liability, and heavy Claim/Court Litigation since 2012. Settlements into multi-millions of dollars. Have trained / taught / advised / consulted for State Regulators, Attorneys, Judges, Claims Managers / Supervisors, Adjusters, Staff Representatives, Agents, Contractors, and others....

Insurance, Legal - Property, Casualty, Claim, Claims, Bad Faith, First, Third, Industry Standards, Common Practices, Coverage, Investigation, Insurer Defense, Personal Injury, commercial, personal, auto, homeowner, bodily injury, property damage, uninsured, underinsured, CGL, liability, unfair settlement practices

...Roles include front-line Claim Representative, Litigation Examiner, Supervisor, Trainer, Manager, and Consultant for claims involving auto damage, personal & commercial property damage (PD), bodily injury (BI), personal injury, property damage liability, premises liability, commercial general liability (CGL), uninsured/underinsured motorists (UM/UIM), medical payments (MP), personal injury protection (PIP), allegations of first and third-party bad faith and extra-contractual exposures. Graduated in 1994 from The Ohio State University. Designations: Associate in Claims-Management (AIC-M), Chartered Property Casualty Underwriter (CPCU), Senior Claims Law Associate (SCLA) , and Associate in Claims (AIC).

Life Care Planning, Medical Billing - Bill Reviews, NJ PIP Law, New Jersey Haines Decision, Life Care Planning, Medical Cost Projection Specialist

...His bill review practice has had significant focus in New Jersey matters, including pre and post Haines decision involving UCR values, as well as NJ PIP Fee Schedule. Jim has extensive clinical experience having cared for patients in various life stages from infant to geriatric, and from the emergency room setting to ICU to rehab and discharge to home. Additionally, he has served as a consultant to workers' compensation adjusters to determine if the cost of care is reasonable and customary through site surveys, record review, and meeting with providers. Jim is a serious expert who is dedicated to excellence. His methodology is consistent when developing his opinions. He is routinely retained by both defense and plaintiff attorneys. When determining future costs, his methodology is highly technical and in accordance with accepted coding and billing practices, with objective costs bases on UCR bases for specific geographic areas.