17 Medical Record Audits Expert Witnesses Found

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...

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.

...He reviews depositions and submitted medical records, reviews and prepares affidavits of merit for medical negligence claims along with assisting the attorney with suggested questions and avenues to pursue during discovery. He will prepare expert opinion at the request of counsel along with video depositions. 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....

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...

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...

Nursing Administration, Medical Management - Medication errors, patient falls, restraints, restrictive interventions, central lines, infection prevention, infection control, CLABSI, CAUTI, pressure ulcers, bedsores, informed consent, HIPAA, staffing, delegation, scope of care, sedation, endoscopy, radiology, critical care, ICU

...This includes addressing patient care issues such as patient falls, pressure ulcer prevention, physical restraints, infection prevention, and procedural sedation; regulatory issues such as HIPAA, scope of care, delegation, and informed consent; and evaluating the circumstances around adverse events such as medication errors, patient misidentification, and incorrect execution of orders. I have precepted new hires, developed onboarding programs, and been extensively involved with hiring, performance evaluations, disciplinary steps, and maintaining a just culture. I am comfortable and experienced with documentation audits and medical record chart review. I have been a Registered Nurse since 2004 and have worked in management roles since 2011, providing leadership to Critical Care, Endoscopy, and Radiology departments. I have worked as Adjunct Faculty at the University of North Carolina at Charlotte and have given numerous presentations at local and national conferences....

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.

Clinical experience includes nursing management, solid/liquid tumors, gynecologic Oncology, chemotherapy administration, bone marrow transplant, Certified Medical-Surgical Registered Nurse, cardiac, heart/lung transplant, LVAD/BiVAD, and Intermediate Care. Legal Nurse Consultant specializing in Pain and suffering reports, medical malpractice, personal injury, Independent Medical Examination observation, and clinical validation to ensure overbilling did not occur. 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....

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...

Hospitalist, Health Informatics - Internal Medicine, Hospitalist, Electronic Medical Records, Electronic Health Records, EMR, EHR, Credentialing, Clinical Informatics, Standard of Care, inpatient medicine, Epic, Cerner, clinical documentation, IT, board certified, negligence, injury, malpractice, quality of care, hospital policies

...As Chief Health Information Officer, he is in charge of clinical aspects of the Electronic Health Record which pertain to physicians including documentation, ordersets, and training. He has led hospital EHR implementation efforts of large EHRs including Cerner and Epic. Dr. Hill has an interest in reviewing EHR audit trails. He also is Charmain of the Department of Medicine where he supervises the development of policies, procedures and credentialing standards for multiple medical specialties including Family Medicine, Internal Medicine, Cardiology, Pulmonology, Critical Care, Nephrology and Neurology. He is responsible for oversight of initiatives to improve patient safety such as peer review and ongoing peer professional evaluation.

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...

Health Informatics, Software Engineering - EMR - Electronice Medical Records, EHR - Electronic Health Records, Medical Records Forensics, Medical Records, Cerner, Epic, Meditech, Health Records, HIPAA, Expert Witness, Computer Forensics, Audit Trails

As an EMR forensics expert I can help others interpret the paper records that are generated from an EMR. Understanding the entire technical architecture and the complex regulatory requirements in healthcare requires a depth of understanding of the entire technical stack along with knowing the types of technologies used in healthcare. I am able to do a front end and back analysis to ensure integrity, sequence of events and completeness of comprehensive medical records. Having spent my entire career in healthcare I provide a deep understanding of the clinical, technical and healthcare workflow to articulate clearly to a jury the sequence of events in medical legal cases. I have practiced as an RN in many settings and have been a CIO of two major academic hospitals in the Greater New York area. I have designed, built, tested and deployed EMRs across the country including Cerner and Epic EMRs....

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...