Coding Expert Witnesses

Coding expert witnesses and consultants listed here may be able to form expert opinions, draft expert witness reports, provide expert witness testimony at deposition and/or trial as or serve as consulting (non-testifying) experts on coding. The coding expert witness listings on this page are typically from fields/areas of expertise such as: Chiropractic, Emergency Medicine, Hospitalist, Internal Medicine, Medical Coding, Ophthalmology, Plastic Surgery Within the Head and Neck, and Sports Medicine.

James Ji, MD James Ji MD, Inc

San Marino, California
Internal Medicine, Hospitalist - Medical Director, HMO, Medicare Advantage, Insurance, HCC, RAF, Coding, Billing, Contracts
Dr. Ji is a Los Angeles based board certified internal medicine physician with experience as a medical director and practicing hospitalist physician since graduating residency in New York in 2013 (Columbia University/New York Presbyterian Hospital). Since then he has had: 10+ years of experience as a hybrid hospitalist and office based internal medicine physician in active practice 7+ years of medical director experience for two large medical groups (Regal Medical Group and Caremore) Additional experience and expertise include clinical and management expertise in: -value based care and risk bearing models of care -PCP/specialist and hospital contracting -HCC/RAF coding -STARS/HEDIS -High risk population management (inpatient and outpatient) -Insurance based bed day management (inpatient/observation determination, and out-of-network and patient transfer management) -Extensive case review experience with physician quality/standards, hospital coding, appeals determination including...

L. Neal Freeman, MD, MBA, CCS-P, CPMA Coding and Physician Reimbursement Analysts, Inc.

Viera, Florida
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
Expert Surgeon + Coder + Auditor: L. Neal Freeman, MD, MBA, CCS-P, CPMA 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. -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 ...

Ernest B Foster, II, MD, PhD

Newcastle, Oklahoma
Emergency Medicine - Stroke, Sepsis, Cardiac arrest, Pulmonary embolism, fracture reduction, fracture, cardiopulmonary arrest, code, coding, neurologic deficits, CPR, ATLS, trauma, MVC, arthrocentesis, chest tube, central venous line, lumbar puncture, central line, intubation, cricothyrotomy, foreign body removal
I obtained my PhD in human physiology from Auburn University in 2008. While there I performed and published research regarding control and regulation of growth hormone and IGF-1 as well as regulation of the HPA axis. I obtained my medical degree from the University of Alabama at Birmingham in 2012 and subsequently completed Emergency Medicine residency there in 2015. I am Board Certified with the American Board of Emergency Medicine as of 2018. I have been a practicing emergency medicine attending physician since 2012. I am employed by a physician group in Norman, Oklahoma and am a member of the core faculty for the Emergency Medicine residency program affiliated with Oklahoma State University. I serve as the Research Director for the residency program. I opened a private medical spa in 2017 that I own and oversee that performs noninvasive cosmetic procedures, hormone replacement, medical weight loss, etc.

Jeremy D. Busch, DC, DACBSP, CSCS, ICSC Performance Sport and Spine

Front Royal, Virginia
Chiropractic, Sports Medicine - VBAI (Vertebrobasilar Arterial Insufficiency), Stroke, Vertebral Artery Dissection, Spinal Manipulation, Spinal Trauma Management for Sideline Physician, Sports Injury, Failure to Diagnose, Malpractice, Physical Medicine and Rehab, Scope of Practice, Standard of Care, Billing, Coding
12 years clinical experience in Chiropractic Medicine as well as sideline physician throughout amateur to professional levels of competitors. Currently assigned as Team Physician with Christendom College Athletics as well as contracted with Professional Sports Care (PSC). PSC is the Chiropractic provider for the PGA Tour. Also have 5+ years volunteering services as sideline physician for Warren County High School Athletics, Front Royal Cardinals Baseball, and the United States Olympic Committee as a Sports Medicine Volunteer. Volunteered as a Chiropractic Physician within the Polyclinic at the Rio Paralympics in 2016. Currently serves as the ACA Sports Council's Treasurer as well as the Virginia and West Virginia Chiropractic Sports Network Co-coordinator. Past Virginia Chiropractic Association (VCA) Insurance Committee Chair for 5 years. Previously a District Director for the VCA and Board member for 4 years. Taught PM&R, billing, coding, and compliance standards to the V...

AMY KOTECHA, MD CAPITAL VISION

ARLINGTON , Virginia
Ophthalmology, Plastic Surgery Within the Head and Neck - Lasik, cataract surgery, pterygium surgery, medical retina, glaucoma, corneal procedures, facial aesthetics, oculoplastics, trauma and injuries, blepharoplasty, laser treatments, optometry, malpractice cases, ophthalmology emergencies, retinal lasers, intravitreal retinal injections, IMEs, coding
I am a Board Certified Ophthalmologist who graduated with honors from a highly competitive 6 year BS-MD program. I have over 20 years of clinical experience in ophthalmology and am familiar and experienced in most clinical and surgical fields of ophthalmology including but not limited to Lasik/PRK, cataract surgery, ocular trauma, glaucoma treatment and surgery, corneal diseases and surgeries , pterygium surgeries, retinal lasers and intravitreal injections, facial aesthetics including botox and fillers, and oculoplastics. I have over 10 years experience with and enjoy doing chart reviews, serving as an expert witness, and performing independent and disability medical examinations. I have significant knowledge and experience in dealing with ocular trauma and surgical complication cases. I have served on both defense and plaintiff cases. Other lawyers have highly complimented my services, as I deliver reviews in a timely and efficient manner. I am prompt, have excellent commu...

David Boll, DC CPC PES Expert Opinions / Comprehensive Chiropractic Services

Adell, Wisconsin
Chiropractic, Medical Coding - Sports Medicine, Malpractice, motor vehicle accidents, motor vehicle collisions, independent medical examinations, legal medicine, physical therapy, coding, standard of care, scope of practice, insurance fraud, benefits
Dr. Boll has extensive medicolegal experience and has been in practice since 1992. He has been retained nationwide for various cases. Dr. Boll assists numerous entities (law enforcement, law firms, insurance carriers, TPAs) as an Expert Witness, Consulting Witness, CPT and diagnostic coding issues, File Review, and Independent Medical Examinations, along with internal educational programs. He is a Certified Professional Coder (CPC) from AAPC and a Performance Enhancement Specialist (PES) from NASM. Dr. Boll has active licenses in both Wisconsin and Michigan. He continues to practice within his athletic training and conditioning facility, serving two school districts and consulting with professional racing sanctioning bodies regarding race weekend injury concerns. Dr. Boll was a former Chiropractic Services Director for an insurance company, where he assisted in writing guidelines, sitting on appeals panels, and establishing internal review and claims processing measures. He is a cu...