Medicare Expert Witness Listings

Welcome to our Medicare experts directory. Browse the profiles below to find the right expert witness in Medicare for your case. Our SEAK Expert Witness Database is always free to search.

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Elliott M. Stein, MD

San Francisco, California
Psychiatry, Geriatric Psychiatry - Contested wills and trusts, Testamentary capacity, Undue Influence, Geriatric Psychiatry, Elders & Elderly, Dementia, Alzheimer's Disease, nursing homes, assisted living, Medicare, Geriatric decision making capacity competency, Medical Documentation and Coding, Depression, Anxiety, Stress, Psychosis
Clinical Professor, Psychiatry, University of California San Francisco; Director of Psychiatry, Jewish Home of San Francisco, 2010 – 2020. Previously in private practice of Adult and Geriatric Psychiatry, 1977 – 2010, in Miami and Miami Beach, Florida. Board Certified, Geriatric Psychiatry. Distinguished Life Fellow, American Psychiatric Association. Distinguished Fellow, American Association for Geriatric Psychiatry. Recipient of multiple awards and honors, including: 2004 Distinguished Alumnus University of Miami School of Medicine; 2003 Clinician of the Year from the American Association for Geriatric Psychiatry; 2001 Weinberg Award for Excellence in Geriatric Psychiatry from the American Psychiatric Association. President, American Association for Geriatric Psychiatry 1985-87. Treasurer (1989 - 1993) and Member of the Board of Directors (1993 - 1997) of the International PsychoGeriatric Association. Author of "Does Your Client Have Testamentary Capacity? Mental Health and Mem...
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Karl E. Steinberg, MD, CMD, HMDC Stone Mountain Medical Associates, Inc.

Oceanside, California
Geriatrics, Nursing Homes - Nursing Home - Skilled Nursing Facility, Home Health, Assisted Living, Regulatory, Decubitus, Pressure Ulcers, Falls, Dementia - Alzheimer's, Medicare, Medicaid, Managed Care - HMO, Life Care Planning, Hospice - End-of-Life Care, Palliative Care, Personal Injury, Family Medicine, Addiction Medicine
Experienced Expert, 200+ depositions, 25+ trials. Speedy and Objective Records Reviews (plaintiff/defense); Standard of Care, Causation and Damages Opinions, including Life Expectancy and Future Care Costs, Regulatory Actions; Comprehensive Report Writing. References Available on Request. In clinical practice of post-acute and long-term care medicine, Geriatrics & Hospice in San Diego area since 1992 (nice location for a deposition); Chief Medical Officer, Mariner Health Care (nursing facility management company); Clinical Faculty UCSD & Camp Pendleton Family Medicine Depts. in Geriatrics. Adjunct faculty, Case Western Reserve University; Affiliate Faculty, California State University's Institute for Palliative Care (San Marcos), Past President of CALTCM, Vice President of AMDA--The Society for Post-Acute and Long-Term Care Medicine (www.paltc.org, formerly known as American Medical Directors Association); Past Chair; Coalition for Compassionate Care of California; Editor Emeri...
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L. Neal Freeman, MD, MBA, CCS-P, CPMA Coding and Physician Reimbursement Analysts, Inc.

Viera, Florida
Medical Coding, Ophthalmology - Expert 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 ...
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Dana K. Keller, Ph.D. Halcyon Research, Inc.

Sarasota, Florida
Statistics, Fraud - Healthcare audit, sampling, samples, extrapolation, RAT-STATS, UPIC, ZPIC, MIC, Medicare, Medicaid, commercial insurance, litigation support
Chosen by Texas HHSC-OIG, CMS, and the Joint Chiefs of Staff, I bring 25 years of experience explaining healthcare statistics in plain English to a wide range of audiences, as exemplified through my first book, The Tao of Statistics: A Path to Understanding (With No Math). Further, I have provided testimony for Western Integrity Center (WIC), Zone Program Integrity Contractor (ZPIC), Medicaid Integrity Contractor (MIC), and commercial health cases, individually exceeding $100,000,000. As an accepted expert witness, I stand on the shoulders of the OIG and CMS for the techniques and approaches that I employ with healthcare claims. In so doing, I make few independent decisions and am less susceptible to Analytic Gap Test issues arising from Daubert challenges than statisticians who use less well endorsed procedures. My approaches to healthcare claims sampling, extrapolation, and defense appealed to HHSC-OIG (Texas), in particular, when their Medicaid audit department decided to over...
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Richard K Baer, MD Richard K Baer, MD & Associates, LLC

Chicago, Illinois
Fraud, Health Informatics - Medicare, Medicaid, Medicare fraud, Medicaid fraud, Medicare audit, Medicaid audit, medical coding, medical reimbursement, Medicare coverage, third-party payer coverage, medical qui tam
Richard K. Baer, M.D., is engaged in consulting for clients requiring expertise in medical policy, claims data analysis, claims coding and claims processing edits, Medicare audits, and clinical trials compliance. Dr. Baer has served as expert witness and consultant to the US Department of Justice and private law firms for Medicare litigation cases. He has served as Medicare Contract Medical Director for the Midwest Program Integrity Contractor, the Recovery Auditor for Region A in the northeast United States, the RAC Validation Contractor and was the Lead Medical Director for National Government Services (NGS), one of the nation’s largest Medicare administrative contractors (MAC). At NGS Dr. Baer had responsibilities for oversight of all medical policy activities for Medicare Parts A and B in all states in NGS’ jurisdictions. Dr. Baer has been an AHIMA certified ICD-10 trainer since 2011. Dr. Baer attended the University of Illinois, Abraham Lincoln School of Medicine in Chicago ...
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Jared Bane True Review, LLC

Marblehead, Massachusetts
Nursing Homes, Nursing Home Administration - COVID-19, Skilled Nursing, Registered Nurse, Falls, Pressure Wounds, Neglect, Abuse, defendant, plaintiff, Infection Control, Pandemic, Clinical, Medicare, CMS, DPH, Regulations, Policy and Procedure, Chart Review, Resident Safety, Patient Safety, Therapy, Nursing Home, Assisted Living, Staffing
Nursing Home Leadership - 10+ Years in Nursing Home Leadership Roles - Executive Director – at multiple facilities - Operational excellence at multiple senior care and skilled nursing settings - 100+ bed, 300+ employee, $20M+ facilities both for-profit and non-profit COVID-19 Experience - Successfully managed and led a nursing home in Massachusetts through the COVID-19 crisis -Led facility infection control practices resulting in positive impact to COVID containment and mitigation - Additionally, resulting from Jared’s leadership, the facility scored 100% of DPH COVID-19 Infection Control Audit Regulatory Expertise - Expert at all aspects of Nursing Home Operation and Leadership - Knowledge of all Regulations - Expert in identifying Safe Provisions of Care and Appropriate Staffing Levels Expert Witness Experience - Specially trained as expert witness to provide best professional testimony available - Access to enhanced litigation prep to ensure question and case readiness
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Steven N. Wander, FSA, MAAA, FCA Deloitte Consulting LLP

Minneapolis, Minnesota
Actuarial, Health Informatics - Medicaid, Healthcare Provider Reimbursement, Managed Care, Medicare, Affordable Care Act, ACA
Fellow of the Society of Actuaries (FSA), a Member of the American Academy of Actuaries (MAAA), and a Fellow of the Conference of Consulting Actuaries (FCA)
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James E Alexander, Jr., MD Healthcare Compliance Management, LLC

Fort Worth, Texas
Medical Billing, Medical Coding - Qui Tam, Health Insurance Fraud, Health Insurance Abuse, Medicare, Medicare Fraud, Medicare Abuse, Medical Policy, Medical Necessity in Medicare, Medicare LCDs, Medicare NCDs, Medicare Coding, Medicare Billing, Health Insurance Coding, Upcoding, Medical Devices, New Medical Technology
Completed SEAK Expert Witness Training. Experience working on 3 large qui tam cases. Retired Captain (O-6) United States Navy. Board Certified General Surgeon. Partner in Healthcare Compliance Management, LLC, a consulting firm incorporated in Texas. Dr. Alexander and his partners established HCM in early 2002 and since that time he has been involved in numerous healthcare compliance consulting projects for major pharmaceutical and medical device manufacturers, large and small hospitals, cancer centers, large and small physician groups, other consulting entities as a special consultant, and legal firms (both as a consultant and as an expert witness).
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Rhonda R Guitreau Medical Reimbursement Specialists

DALLAS, Texas
Medical Billing, Medical Coding - Medical Bill Review, Controverting Billing Affidavits, Forensic Bill Review, Medical Cost Analysis, Expert Witness for Deposition/ Trial, Usual,Customary,Reasonable (UCR) fee analyses, Geographic Specific Provider market comparisons, Medicare, Medicaid, Major Insurance comps
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