21 Healthcare Audit Expert Witnesses Found

Appraisal & Valuation, Accounting - technical accounting, fair value accounting, economic damages, financial reporting, lost profits, family law, business valuation, corporate litigation, forensic accounting

Janet has more than 30 years of experience in accounting, audit, tax, and finance, including 20 years of experience providing valuation, forensic accounting and litigation services to both private and public companies ranging in size from start-ups to over $1 billion in sales. Her experience includes leadership roles at a Big Four Accounting Firm, as well as global executive involvement for brands such as Bausch & Lomb, Ray Ban, and Birds-Eye Foods. Janet’s accounting and tax experience includes three years as Corporate Audit Manager for a technology-based healthcare company with sales of over $2 billion and 100 locations worldwide, two years as a Finance Director for the Southeast Asia Region based in Singapore for the same company, and two years as Tax Manager for a producer and marketer of processed food products with sales of $800 million and tax filings in 36 states....

HIPAA, Medical Billing - Medical billing, Patents trade secrets, electronic medical records, Medicare fraud, medical billing fraud, qui tam false claims act fraud Usual Customary Reasonable (UCR), Meaningful Use Electronic Health Records, HITECH Act, Affordable Care Act, Medicare Advantage, Medicaid,insurance, CRPS, EMTALA

Writer, speaker, published peer-reviewed works as an expert in the field recent Federal court rulings as a qualified expert published in Westlaw • US COURT OF APPEALS considered expert opinions, VACATED AND REMANDED • Two DOJ retentions, $155 million settlement • Healthcare IT patents intellectual property Technical Expert, Medicare Damages Expert • Medical coding medical billing, claims, usual customary and reasonable charges in personal injury and medical malpractice cases, Lifecare plan rebuttal under ACA on the future cost of care, trauma • Electronic medical record forensics / electronic health record forensics, E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud • genetic testing, novel genetic sequencing, esoteric testing, laboratory testing • HIPAA Privacy, Security, Blockchain special studies MIT • Affordable Care Act, HITECH Act, electronic medical records, meaningful use, patents, and intellectual property in heal Health Risk...

Pharmacist, Health Informatics - Patient Safety, Pharmacy Management, e-medication, e-prescribing, Health IT, health informatics, EHR systems, EHR audits, REMS, Drug Safety, Medication Errors, Root Cause Analysis, False Claims, HIPAA, Medical Records, Health Care Litigation, Medical Malpractice, Pharmaceutical, Pharmacovigilance

...Ajit Dhavle is the Vice President of Health IT Audits and Life Science at Quandary Peak Research, where he oversees a team of health informatics experts to provide Strategy, Management, Product Management, Software Development Life Cycle (SDLC), Patient Safety, Compliance, and Engineering Consulting and Audit services to both Government and Commercial entities. Previously, Ajit founded Adviva Health, Inc a SaaS prescription medication history reconciliation and analytics platform designed to streamline the medication experience for EHR users. Ajit joined Surescripts in its early years and helped replace the paper prescription and start the first National E-prescribing network. At Surescripts, he last served as the Vice President of Clinical Quality and was responsible for corporate clinical quality, patient safety, and quality research initiatives....

HIPAA, Medical Billing - Medical billing, Patents trade secrets, electronic medical records, Medicare fraud, medical billing fraud, qui tam false claims act fraud Usual Customary Reasonable (UCR), Meaningful Use Electronic Health Records, HITECH Act, Affordable Care Act, Medicare Advantage, Medicaid,insurance, CRPS, EMTALA

Writer, speaker, published peer-reviewed works as an expert in the field recent Federal court rulings as a qualified expert published in Westlaw • US COURT OF APPEALS considered expert opinions, VACATED AND REMANDED • Two DOJ retentions, $155 million settlement • Healthcare IT patents intellectual property Technical Expert, Medicare Damages Expert • Medical coding medical billing, claims, usual customary and reasonable charges in personal injury and medical malpractice cases, Lifecare plan rebuttal under ACA on the future cost of care, trauma • Electronic medical record forensics / electronic health record forensics, E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud • genetic testing, novel genetic sequencing, esoteric testing, laboratory testing • HIPAA Privacy, Security, Blockchain special studies MIT • Affordable Care Act, HITECH Act, electronic medical records, meaningful use, patents, and intellectual property in heal Health Risk...

HIPAA, Medical Billing - Medical billing, Patents trade secrets, electronic medical records, Medicare fraud, medical billing fraud, qui tam false claims act fraud Usual Customary Reasonable (UCR), Meaningful Use Electronic Health Records, HITECH Act, Affordable Care Act, Medicare Advantage, Medicaid,insurance, CRPS, EMTALA

Writer, speaker, published peer-reviewed works as an expert in the field recent Federal court rulings as a qualified expert published in Westlaw • US COURT OF APPEALS considered expert opinions, VACATED AND REMANDED • Two DOJ retentions, $155 million settlement • Healthcare IT patents intellectual property Technical Expert, Medicare Damages Expert • Medical coding medical billing, claims, usual customary and reasonable charges in personal injury and medical malpractice cases, Lifecare plan rebuttal under ACA on the future cost of care, trauma • Electronic medical record forensics / electronic health record forensics, E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud • genetic testing, novel genetic sequencing, esoteric testing, laboratory testing • HIPAA Privacy, Security, Blockchain special studies MIT • Affordable Care Act, HITECH Act, electronic medical records, meaningful use, patents, and intellectual property in heal Health Risk...

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...

Correctional Healthcare, Nurse Practitioner - correctional medicine, correctional nursing, nursing administration, nursing homes, rehabilitation, facilities, correctional standards of care, addiction, primary care, nursing standards of care, jails, prisons, medication adherence, nurse practitioner, registered nurse, licensed practical nurse

...Expert in medication adherence standards and audit trails. Currently practicing full-time as a primary care nurse practitioner at one of the largest jails in the country. 33 years' experience in healthcare, veteran USAF medical corps officer, leading expert consult for attorneys regarding correctional cases and standards of care for both jails and prisons, including high profile cases. Frequent national speaker at NCCHC conferences, and nurse practitioner AANP national conferences regarding current issues and standards of care for nurse practitioners and correctional staff. Published author regarding study for hypertension medication adherence. High level administration experience in both acute and post-acute settings, including wound care and nursing home standards of care.

HIPAA, Medical Billing - Medical billing, Patents trade secrets, electronic medical records, Medicare fraud, medical billing fraud, qui tam false claims act fraud Usual Customary Reasonable (UCR), Meaningful Use Electronic Health Records, HITECH Act, Affordable Care Act, Medicare Advantage, Medicaid,insurance, CRPS, EMTALA

Writer, speaker, published peer-reviewed works as an expert in the field recent Federal court rulings as a qualified expert published in Westlaw • US COURT OF APPEALS considered expert opinions, VACATED AND REMANDED • Two DOJ retentions, $155 million settlement • Healthcare IT patents intellectual property Technical Expert, Medicare Damages Expert • Medical coding medical billing, claims, usual customary and reasonable charges in personal injury and medical malpractice cases, Lifecare plan rebuttal under ACA on the future cost of care, trauma • Electronic medical record forensics / electronic health record forensics, E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud • genetic testing, novel genetic sequencing, esoteric testing, laboratory testing • HIPAA Privacy, Security, Blockchain special studies MIT • Affordable Care Act, HITECH Act, electronic medical records, meaningful use, patents, and intellectual property in heal Health Risk...

HIPAA, Medical Billing - Medical billing, Patents trade secrets, electronic medical records, Medicare fraud, medical billing fraud, qui tam false claims act fraud Usual Customary Reasonable (UCR), Meaningful Use Electronic Health Records, HITECH Act, Affordable Care Act, Medicare Advantage, Medicaid,insurance, CRPS, EMTALA

Writer, speaker, published peer-reviewed works as an expert in the field recent Federal court rulings as a qualified expert published in Westlaw • US COURT OF APPEALS considered expert opinions, VACATED AND REMANDED • Two DOJ retentions, $155 million settlement • Healthcare IT patents intellectual property Technical Expert, Medicare Damages Expert • Medical coding medical billing, claims, usual customary and reasonable charges in personal injury and medical malpractice cases, Lifecare plan rebuttal under ACA on the future cost of care, trauma • Electronic medical record forensics / electronic health record forensics, E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud • genetic testing, novel genetic sequencing, esoteric testing, laboratory testing • HIPAA Privacy, Security, Blockchain special studies MIT • Affordable Care Act, HITECH Act, electronic medical records, meaningful use, patents, and intellectual property in heal Health Risk...

Physician Assistant, Emergency Medicine - Emergency Medicine and Urgent Care: Dr. Cannell can testify himself for PAs and NPs as well as provide malpractice case merit review, expert witness, deposition, and expert testimony.

...Completed Leadership and Management Training with a Certificate from the Center of Healthcare Leadership and Management (CHLM) through the AAPA. Advanced training from the Institute on Healthcare Improvement: Triple Aim, Quality and Safety, Healthcare Leadership, Healthcare Management, Quality Improvement, Advanced Communication, and Patient-Centered Care. FEMA advanced training for Healthcare Providers. Healthcare Law training regarding regulatory compliance and auditing including the broad application of knowledge in different therapeutic areas. ED utilization review, population management, and healthcare utilization review. Anticoagulation, Antimicrobial, and P&T committee member responsible for researching and maintaining evidence-based, up to-date-data to create safe and effective medical management in a large healthcare system. Participant in various ED and Health System committees....

Jails & Prisons, Correctional Healthcare - Prisons, Jails, Use of Force and Deadly Force, Special Housing Unit/Segregation Management, Inmate/Gang Management, Suicide Prevention and Response, Crisis Response, Escape, Staff Training, Health Care Management, Wrongful Death, Staff Misconduct, Operations Security, Policy Compliance, PREA

...➢ Three years of experience at the Federal Bureau of Prisons Headquarters, with emphasis in training, policy development, crisis evaluation, crisis intervention, and auditing ➢ Regarded as an expert in all areas of correctional management, oversight, inmate care and custody, policy, ethics, and training. Prisons, Jails, Use of Force and Deadly Force, Special Housing Unit/Segregation Management, Inmate/Gang Management, Suicide Prevention and Response, Crisis Response, Escape Response, Staff Training, Health Care Management, Wrongful Death, Staff Misconduct, Operations Security, Policy Compliance, sexual assault, rape, PREA,

HIPAA, Medical Billing - Medical billing, Patents trade secrets, electronic medical records, Medicare fraud, medical billing fraud, qui tam false claims act fraud Usual Customary Reasonable (UCR), Meaningful Use Electronic Health Records, HITECH Act, Affordable Care Act, Medicare Advantage, Medicaid,insurance, CRPS, EMTALA

Writer, speaker, published peer-reviewed works as an expert in the field recent Federal court rulings as a qualified expert published in Westlaw • US COURT OF APPEALS considered expert opinions, VACATED AND REMANDED • Two DOJ retentions, $155 million settlement • Healthcare IT patents intellectual property Technical Expert, Medicare Damages Expert • Medical coding medical billing, claims, usual customary and reasonable charges in personal injury and medical malpractice cases, Lifecare plan rebuttal under ACA on the future cost of care, trauma • Electronic medical record forensics / electronic health record forensics, E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud • genetic testing, novel genetic sequencing, esoteric testing, laboratory testing • HIPAA Privacy, Security, Blockchain special studies MIT • Affordable Care Act, HITECH Act, electronic medical records, meaningful use, patents, and intellectual property in heal Health Risk...

HIPAA, Medical Billing - Medical billing, Patents trade secrets, electronic medical records, Medicare fraud, medical billing fraud, qui tam false claims act fraud Usual Customary Reasonable (UCR), Meaningful Use Electronic Health Records, HITECH Act, Affordable Care Act, Medicare Advantage, Medicaid,insurance, CRPS, EMTALA

Writer, speaker, published peer-reviewed works as an expert in the field recent Federal court rulings as a qualified expert published in Westlaw • US COURT OF APPEALS considered expert opinions, VACATED AND REMANDED • Two DOJ retentions, $155 million settlement • Healthcare IT patents intellectual property Technical Expert, Medicare Damages Expert • Medical coding medical billing, claims, usual customary and reasonable charges in personal injury and medical malpractice cases, Lifecare plan rebuttal under ACA on the future cost of care, trauma • Electronic medical record forensics / electronic health record forensics, E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud • genetic testing, novel genetic sequencing, esoteric testing, laboratory testing • HIPAA Privacy, Security, Blockchain special studies MIT • Affordable Care Act, HITECH Act, electronic medical records, meaningful use, patents, and intellectual property in heal Health Risk...

Security, Premises Liability - Security Standards, Security Operations, Security Practices, Major Crime Litigation, Assault, Homicide, Sexual Assault, Hospitality Security, Entertainment Venue Security, Casino Gaming Security, Retail Security, Nightclub Security, Contract Security, Cash-In-Transit Security, Executive Protection

...Recertification requirements including audited 60 CEU’s every three years. Thirty Years of Corporate Security Management in large Gaming Resorts in multiple jurisdictions, five years of experience overseeing Risk Management, Insurance and Claims function for 5 gaming/resort operations. 13 years’ experience as expert witness. Provided premises liability expert witness litigation support and consulting for over 190 cases. Member of International Homicide Investigator Association, Crime Prevention Through Environmental Design Association CPTED), Basic Homicide Investigator 40 Hour Training 2021 and CPTED 40 Hour Training. 2022....

HIPAA, Medical Billing - Medical billing, Patents trade secrets, electronic medical records, Medicare fraud, medical billing fraud, qui tam false claims act fraud Usual Customary Reasonable (UCR), Meaningful Use Electronic Health Records, HITECH Act, Affordable Care Act, Medicare Advantage, Medicaid,insurance, CRPS, EMTALA

Writer, speaker, published peer-reviewed works as an expert in the field recent Federal court rulings as a qualified expert published in Westlaw • US COURT OF APPEALS considered expert opinions, VACATED AND REMANDED • Two DOJ retentions, $155 million settlement • Healthcare IT patents intellectual property Technical Expert, Medicare Damages Expert • Medical coding medical billing, claims, usual customary and reasonable charges in personal injury and medical malpractice cases, Lifecare plan rebuttal under ACA on the future cost of care, trauma • Electronic medical record forensics / electronic health record forensics, E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud • genetic testing, novel genetic sequencing, esoteric testing, laboratory testing • HIPAA Privacy, Security, Blockchain special studies MIT • Affordable Care Act, HITECH Act, electronic medical records, meaningful use, patents, and intellectual property in heal Health Risk...

Nurse, Legal Nurse Consulting - Certified Medical-Surgical Registered Nurse, Pain & Suffering reports, medical chronologies, Nursing Management, organizational safety, policy writing, Oncology, Cardiology, med-surg, Nurse Informatics, Chemotherapy, Clinical Documentation, Clinical Validation, overbilling, audit trail.

...A patient-focused nursing leader with over 15 years in healthcare leadership and broad compliance expertise. Expertise in analyzing patient case histories and delivering evidence-based conclusions in concise, well-written documentation. Nationally Certified RN and nursing subject matter expert who implements and optimizes compliance programs in inpatient/outpatient settings and collaborates on EMR building and platform development. Service recovery expert who excels at distilling complex medical information into digestible reports, preparing medical chronologies/timelines, and summarizing/organizing medical records for non-clinical stakeholders. Vast experience with Clinical Documentation Integrity, Clinical Validation Audits, and writing appeal rebuttals for insurance companies to ensure payment integrity.

HIPAA, Medical Billing - Medical billing, Patents trade secrets, electronic medical records, Medicare fraud, medical billing fraud, qui tam false claims act fraud Usual Customary Reasonable (UCR), Meaningful Use Electronic Health Records, HITECH Act, Affordable Care Act, Medicare Advantage, Medicaid,insurance, CRPS, EMTALA

Writer, speaker, published peer-reviewed works as an expert in the field recent Federal court rulings as a qualified expert published in Westlaw • US COURT OF APPEALS considered expert opinions, VACATED AND REMANDED • Two DOJ retentions, $155 million settlement • Healthcare IT patents intellectual property Technical Expert, Medicare Damages Expert • Medical coding medical billing, claims, usual customary and reasonable charges in personal injury and medical malpractice cases, Lifecare plan rebuttal under ACA on the future cost of care, trauma • Electronic medical record forensics / electronic health record forensics, E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud • genetic testing, novel genetic sequencing, esoteric testing, laboratory testing • HIPAA Privacy, Security, Blockchain special studies MIT • Affordable Care Act, HITECH Act, electronic medical records, meaningful use, patents, and intellectual property in heal Health Risk...

Long Term Care, Nurse - Medical Records Review, Standards of Care, Nursing Home, Assisted Living, Elder Abuse and Neglect, Patient Transfers, Pressure Injuries, Patient Falls, Short-Term Rehabilitation, Personal Care, Merit Screening/Review, Patient Specific Medical Conditions/Diagnoses, Merit Consultation, Adverse Events

...Donnelly has acquired extensive experience in developing policies and procedures, investigating incidents and unusual occurrences, auditing patient care, monitoring adherence to policies and procedures, providing education/training to staff, and ensuring regulatory compliance. Ms. Donnelly actively practices as a nurse within long-term care, short-term rehabilitation, and school settings. She continues to assist long-term care and short-term rehabilitation facilities with auditing and ensuing compliance with Federal, State, and Local Regulations, along with standards of care. Ms. Donnelly also applies her experience with hands-on care and nursing management through the continuing education and training programs she provides to various members of the health care teams. Ms....

HIPAA, Medical Billing - Medical billing, Patents trade secrets, electronic medical records, Medicare fraud, medical billing fraud, qui tam false claims act fraud Usual Customary Reasonable (UCR), Meaningful Use Electronic Health Records, HITECH Act, Affordable Care Act, Medicare Advantage, Medicaid,insurance, CRPS, EMTALA

Writer, speaker, published peer-reviewed works as an expert in the field recent Federal court rulings as a qualified expert published in Westlaw • US COURT OF APPEALS considered expert opinions, VACATED AND REMANDED • Two DOJ retentions, $155 million settlement • Healthcare IT patents intellectual property Technical Expert, Medicare Damages Expert • Medical coding medical billing, claims, usual customary and reasonable charges in personal injury and medical malpractice cases, Lifecare plan rebuttal under ACA on the future cost of care, trauma • Electronic medical record forensics / electronic health record forensics, E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud • genetic testing, novel genetic sequencing, esoteric testing, laboratory testing • HIPAA Privacy, Security, Blockchain special studies MIT • Affordable Care Act, HITECH Act, electronic medical records, meaningful use, patents, and intellectual property in heal Health Risk...

Business Damages, Accounting - Damages Lost Profits, Forensic Accounting, Construction Claims, Business Interruption , Insurance Claims, Product liability claims , Theft of Trade Secrets , Whistle blower cases, Antitrust/Pricing issues, Business valuations, Contract disputes, Dispute Resolution, Energy, Oli & Gas , M & A

EXPERIENCE • Over 60 trial/hearing testimonies in 8 states: 11 Federal, 23 State, 25 Arbitration • Over 90 total expert testimony matters • Over 790 business dispute and consulting matters • 150 financial audits (Public Accounting – 7 years) • Significant engineering & construction experience EJ JANIK, CPA, CFF, CFE, CFLC, MS CPA = Certified Public Accountant CFF = Certified in Financial Forensics CFE = Certified Fraud Examiner CFLC = Certified Forensic Litigation Consultant FIRM SERVICES Business and Dispute Consulting Construction and Contract Claims Damage Analysis / Critiques Fact Finding / Graphic Analytics Opinions / Reports Accounting / Financial / Economic Modeling Contract Accounting Projections and Trend Analysis Color Graphic Damage Modeling Trial Exhibits and Expert Testimony OVERALL EXPERIENCE Antitrust/Pricing Issues Audits Bankruptcy Analyses Business Interruption Business Valuations Construction Claims Contract Disputes Cost Determinations Criminal...

HIPAA, Medical Billing - Medical billing, Patents trade secrets, electronic medical records, Medicare fraud, medical billing fraud, qui tam false claims act fraud Usual Customary Reasonable (UCR), Meaningful Use Electronic Health Records, HITECH Act, Affordable Care Act, Medicare Advantage, Medicaid,insurance, CRPS, EMTALA

Writer, speaker, published peer-reviewed works as an expert in the field recent Federal court rulings as a qualified expert published in Westlaw • US COURT OF APPEALS considered expert opinions, VACATED AND REMANDED • Two DOJ retentions, $155 million settlement • Healthcare IT patents intellectual property Technical Expert, Medicare Damages Expert • Medical coding medical billing, claims, usual customary and reasonable charges in personal injury and medical malpractice cases, Lifecare plan rebuttal under ACA on the future cost of care, trauma • Electronic medical record forensics / electronic health record forensics, E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud • genetic testing, novel genetic sequencing, esoteric testing, laboratory testing • HIPAA Privacy, Security, Blockchain special studies MIT • Affordable Care Act, HITECH Act, electronic medical records, meaningful use, patents, and intellectual property in heal Health Risk...