17 Medical Qui Tam Expert Witnesses Found
Results Sorted Below by State
Joe Carnes Medsurity Experts
Birmingham, Alabama
Medical Billing, Medical Coding
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Usual customary reasonable charges, damages, fraud, Over-billing statistical analysis, Electronic health records, clinical documentation, insurance coverage determinations, provider, biller, insurance disputes
Two decades of Medical Billing expertise in multiple care settings. 24-hour turnaround on billing consultations. Thorough analysis and reporting.
Expert in analysis of contract rates compared to actual billed charges
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, HIPPA compliance
Shishir Shah, DO, CWS, ABPM
SCOTTSDALE, Arizona
Wound Care, Medical Management
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bedsores, skin injuries, surgical wounds, burns, pressure ulcers, venous ulcers, hyperbaric oxygen, infections, nursing home, medical devices, telemedicine, scar, qui tam, medical necessity, fraud, patents, medical devices, medical director, decubitus ulcers, diabetic ulcers, regenerative medicine
...Has served as the medical director of several wound programs. Over twenty years of medical necessity/utilization review and expert witness experience. Midwestern University Medical School faculty. Significant private equity, medical device, startup, and consulting experience. Undergraduate degree in aeronautical engineering, Rensselaer Polytechnic Institute.
Deposition and trial experience in multiple states. Over 85,000 wound encounters. Key roles have included medical director oversight of several level 1 hospital trauma wound programs, 5 community hospital wound programs, and over 15 SNF/LTACHs. Co-implemented one of the largest wound care/hyperbaric clinical delivery models in the U.S. and worked in several advisory roles for hospitals, startups, pharmaceutical/medical device companies, California workman’s compensation, and utilization review panels (over 6,000 chart reviews). Licensed in CA, AZ, TX, & OH. Voted Top Wound Doctor, Phoenix Magazine.
Michael F Arrigo No World Borders
Newport Beach, California
HIPAA, Medical Billing
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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...
Michael F Arrigo No World Borders
Colorado
HIPAA, Medical Billing
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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...
Michael F Arrigo No World Borders
Florida
HIPAA, Medical Billing
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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...
Marsha S Diamond, CPC, COC, CCS, CPMA
Orlando, Florida
Medical Coding, Medical Billing
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CPC, CPMA, COC, CCS, medical coding, medical billing, medical auditing, Qui tam, AAPC, CIA, IRO, Medicare, Inspector General
...Diamond is an experienced coding, billing, and auditing professional who is available for consultation in medical practice auditing, billing, coding, compliance, litigation, reimbursement, and revenue cycle issues when requested by medical providers, their management, or their legal counsel.
She is a Certified Professional Coder (CPC) and Certified Outpatient Coder (COC) by the American Association of Professional Coders (AAPC), with her initial certifications over 30 years ago. She has served as a member of the AAPC National Advisory Board, has been a Fellow of the AAPC, and has served as President of the Greater Orlando Chapter of AAPC. She is a Certified Professional Medical Auditor (CPMA) by the AAPC. For 18 years, she led billing and coding for a university multi-specialty medical practice of over 400 physicians....
Michael F Arrigo No World Borders
Illinois
HIPAA, Medical Billing
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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...
Michael F Arrigo No World Borders
Louisiana
HIPAA, Medical Billing
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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...
Richard A Parker, MD Care Dimensions hospice
Newton Highlands, Massachusetts
Medical Management, Hospice and Palliative Care
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Hospital Corporate Negligence, Hospital Liability, Hospital administration, Hospice care, Hospice fraud, healthcare fraud, Credentialing, Policies and procedures, Mental Health, Covid, sepsis, hemorrhage, medical billing, qui tam, medical necessity, DNR, end of life, hospital advertising.
...Trained at Dartmouth and Brown medical schools. Previous Assistant Professor appointment at Harvard Medical School. Practiced internal medicine for 24 years. Served as medical director and chief medical officer for Beth Israel Deaconess Physician Organization for 15 years in Boston. Former chief of medical services at Massachusetts Mental Health Center, Boston, MA and New England Deaconess Psychiatric unit. Former editor for Journal of the American Medical Association. Served as chief medical officer for Arcadia -- a data aggregation and analytics company providing population health services to large healthcare organizations. Currently practice in hospice for Care Dimensions hospice in Lincoln, Mass. Experienced speaker and presenter.
Michael F Arrigo No World Borders
Nevada
HIPAA, Medical Billing
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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...
Michael F Arrigo No World Borders
New Jersey
HIPAA, Medical Billing
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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...
Michael F Arrigo No World Borders
New York
HIPAA, Medical Billing
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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...
Michael F Arrigo No World Borders
Oregon
HIPAA, Medical Billing
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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...
Frank L Brown, Jr, MD, MBA, FACP AMERICLIN FORENSIC CONSULTING
Bluffton, South Carolina
HMO, Medical Management
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Accountable Care, HMO & Managed Care, Appeals & Grievances, Hospital & Provider Credentialing, Utilization/Medical Necessity, Healthcare Fraud/Abuse, Utilization Review, Qui Tam, Physician Quality of Care, Physician Sanctions, Defamation, Disruptive Physicians, Population Health, Sleep Medicine
...Our full suite of services includes:
• Free initial phone consultations with expert clinicians
• Flat fee initial case reviews
• Dynamic clinical case theory analysis and development
Phone: (843) 949-0927
Email: [email protected]
AREAS OF EXPERTISE:
Accountable Care Organizations
Appeals & Grievances
Case Management
Correctional Healthcare
Disease Management
Disruptive Physicians
Elder Abuse
Emergency Medicine
Geriatrics
Healthcare Fraud/Abuse
HMO & Managed Care
Hospital & Provider Credentialing
Internal Medicine
Medical Insurance
Medical Necessity
Patient Grievances and Appeals
Patient Safety
Pharmacy
Pharmacology
Physician Burnout
Physician Credentialing
Physician Defamation
Physician Grievances & Appeals
Physician Quality of Care
Physician Sanctions
Population Health Management
Public Health
Qui Tam
Sleep Medicine
Utilization Review
Value-Based Care
LEADERSHIP:
Dr. Frank L....
James E Alexander, Jr., MD Healthcare Compliance Management, LLC
Fort Worth, Texas
Medical Billing, Medical Coding
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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
...Experience working on 4 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).
Michael F Arrigo No World Borders
Texas
HIPAA, Medical Billing
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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...
Michael F Arrigo No World Borders
Washington
HIPAA, Medical Billing
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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...