Billing Expert Witnesses

Physical Therapy, Occupational Therapy - Nursing homes, rehab hospitals, pediatrics, geriatrics, protocols, falls, sexual assault, training, wound care, orthopedics surgical, pressure sores, transfers, restraints, fall risk assessment, supervision, functional capacity evaluation, FCE, medical necessity, billing, oncology

Licensed physical and occupational therapist. 20+ years of clinical experience including: adults, pediatrics, nursing homes, inpatient and outpatient. Several years teaching experience. 6+ years expert witness experience. Significant supervisory experience of physical therapy and occupational therapy assistants and aids. Pediatric Physical Therapy (PT) experience includes autism spectrum disorders, Angelman’s syndrome, Fragile X syndrome, and Cerebral Palsy. Adult Physical Therapy (PT) experience includes patients with physical therapy deficits after oncology diagnoses and treatments, arthroscopic/arthroplasty surgeries of the shoulder, knee, hip and ankle, rotator cuff repairs, shoulder replacements, post-operative cervical, thoracic and lumbar spine surgeries, back pain syndromes, hand injuries/tendon repairs, ankle injuries/fractures, carpal tunnel repair, Dequervains syndrome, lumbar and cervical spine injuries, neurological diagnoses, knee, hip, and ankle injuries and foot con...

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...

Emergency Medicine, Medical Management - Airway Management, Central Line Placement, Myocardial Infarction, Heart Attack, Stroke, Appendicitis, epidural abscess, aortic dissection, Pulmonary Embolism, Testicular Torsion, Ectopic Pregnancy, Medical Necessity, pediatric emergency, head trauma, billing, cost analysis, emergency trauma, trauma

Board Certified in Emergency Medicine by the American Board of Emergency Medicine. Full time practitioner of emergency medicine. Has work experience at a level 1 trauma center and its associated freestanding emergency room. Recognized by the American Academy of Emergency Medicine as having expertise in pediatric, trauma, neurological, and cardiac resuscitation. ATLS, ACLS, BLS, and PALS certified. ATLS course instructor. Completion of The Difficult Airway Course: Emergency™. Undergraduate Degree, Magna Cum Laude, in biomedical engineering. Licensed in Louisiana and Texas. Completed multiple SEAK expert witness training courses. Experienced flight physician. Skilled in utilization of video laryngoscopy for emergency airway management and in bedside ultrasound procedures.

Physical Therapy, Occupational Therapy - Nursing homes, rehab hospitals, pediatrics, geriatrics, protocols, falls, sexual assault, training, wound care, orthopedics surgical, pressure sores, transfers, restraints, fall risk assessment, supervision, functional capacity evaluation, FCE, medical necessity, billing, oncology

Licensed physical and occupational therapist. 20+ years of clinical experience including: adults, pediatrics, nursing homes, inpatient and outpatient. Several years teaching experience. 6+ years expert witness experience. Significant supervisory experience of physical therapy and occupational therapy assistants and aids. Pediatric Physical Therapy (PT) experience includes autism spectrum disorders, Angelman’s syndrome, Fragile X syndrome, and Cerebral Palsy. Adult Physical Therapy (PT) experience includes patients with physical therapy deficits after oncology diagnoses and treatments, arthroscopic/arthroplasty surgeries of the shoulder, knee, hip and ankle, rotator cuff repairs, shoulder replacements, post-operative cervical, thoracic and lumbar spine surgeries, back pain syndromes, hand injuries/tendon repairs, ankle injuries/fractures, carpal tunnel repair, Dequervains syndrome, lumbar and cervical spine injuries, neurological diagnoses, knee, hip, and ankle injuries and foot con...

Physical Therapy, Occupational Therapy - Nursing homes, rehab hospitals, pediatrics, geriatrics, protocols, falls, sexual assault, training, wound care, orthopedics surgical, pressure sores, transfers, restraints, fall risk assessment, supervision, functional capacity evaluation, FCE, medical necessity, billing, oncology

Licensed physical and occupational therapist. 20+ years of clinical experience including: adults, pediatrics, nursing homes, inpatient and outpatient. Several years teaching experience. 6+ years expert witness experience. Significant supervisory experience of physical therapy and occupational therapy assistants and aids. Pediatric Physical Therapy (PT) experience includes autism spectrum disorders, Angelman’s syndrome, Fragile X syndrome, and Cerebral Palsy. Adult Physical Therapy (PT) experience includes patients with physical therapy deficits after oncology diagnoses and treatments, arthroscopic/arthroplasty surgeries of the shoulder, knee, hip and ankle, rotator cuff repairs, shoulder replacements, post-operative cervical, thoracic and lumbar spine surgeries, back pain syndromes, hand injuries/tendon repairs, ankle injuries/fractures, carpal tunnel repair, Dequervains syndrome, lumbar and cervical spine injuries, neurological diagnoses, knee, hip, and ankle injuries and foot con...

Chiropractic, Medical Coding - Insurance, Fraud, Billing, Documentation, Malpractice

Diplomate of the American Board of Quality Assurance and Utilization Review Physicians, Certified Healthcare Quality Manager, Certified Professional Coder, Former in-house claims and policy consultant for a nationwide health insurance payer, Current subject matter expert for two managed care entities, Extensive experience in review of personal injury, workers compensation, and maplractice cases, Experienced expert witness for malpractice, insurance and fraud cases

Emergency Medicine - Intubation, Airway Management, Myocardial Infarction, Heart Attack, Stroke, Appendicitis, Epidural Abscess, Aortic Dissection, Pulmonary Embolism, Testicular Torsion, Ectopic Pregnancy, Medical Necessity, Pediatric Emergency, Head Trauma, Billing, Emergency Trauma, Trauma, Envenomations, Overdose

Full time practitioner of emergency medicine, Board Certified in Emergency Medicine by the American Board of Emergency Medicine. Has work experience at a level 1 trauma center, level 2 trauma center as well as associated critical access hospital and freestanding emergency rooms. Has treated over 30,000 patients in the emergency department. Recognized by the American Academy of Emergency Medicine as having expertise in pediatric, trauma, neurological, and cardiac resuscitation.

Internal Medicine, Hospitalist - Independent medical exam, HIPAA, medical fraud, billing, Geriatrics

Dr Ugorji is board certified in internal medicine. She is actively practice clinical medicine and has over 10 years experience in acute care including critical care access, level 2 trauma centers and telemedicine. She wants to work with attorneys on cases where her expertise in medical fraud, medical necessities and billing/coding is needed.

Emergency Medicine, Medical Management - Airway Management, Central Line Placement, Myocardial Infarction, Heart Attack, Stroke, Appendicitis, epidural abscess, aortic dissection, Pulmonary Embolism, Testicular Torsion, Ectopic Pregnancy, Medical Necessity, pediatric emergency, head trauma, billing, cost analysis, emergency trauma, trauma

Board Certified in Emergency Medicine by the American Board of Emergency Medicine. Full time practitioner of emergency medicine. Has work experience at a level 1 trauma center and its associated freestanding emergency room. Recognized by the American Academy of Emergency Medicine as having expertise in pediatric, trauma, neurological, and cardiac resuscitation. ATLS, ACLS, BLS, and PALS certified. ATLS course instructor. Completion of The Difficult Airway Course: Emergency™. Undergraduate Degree, Magna Cum Laude, in biomedical engineering. Licensed in Louisiana and Texas. Completed multiple SEAK expert witness training courses. Experienced flight physician. Skilled in utilization of video laryngoscopy for emergency airway management and in bedside ultrasound procedures.

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...

Anesthesiology, Cardiothoracic Surgery - Cardiac Anesthesiology, Thoracic Anesthesiology, Vascular Anesthesiology, Difficult Airway, TEE, Billing, General Anesthesiology.

Dr. Ianchulev has graduated medical school from Germany and residency in the US. He completed Fellowship in Cardiovascular and Thoracic anesthesiology at Washington University Barnes-Jewish Hospital and has been since practicing with focus on cardiovascular and thoracic anesthesia. He dedicated his career on quality improvement and led many initiatives while at Tufts Medical Center. His recent appointment to Chief of Anesthesia department at the Veterans Administration hospital and Professor of Anesthesiology at VCU have paved the way for innovation and leadership toward safer and patient centered practice. Dr. Ianchulev has always put safety, knowledge and self-development for the benefit of the patient and healthcare first. He has shown excellent patient management skills and has fostered the bedside manners in the following generations. Actively involved in resident education, Dr. Ianchulev has leveraged innovation and technology to the betterment of skills and knowledge amon...

Emergency Medicine, Medical Management - Airway Management, Central Line Placement, Myocardial Infarction, Heart Attack, Stroke, Appendicitis, epidural abscess, aortic dissection, Pulmonary Embolism, Testicular Torsion, Ectopic Pregnancy, Medical Necessity, pediatric emergency, head trauma, billing, cost analysis, emergency trauma, trauma

Board Certified in Emergency Medicine by the American Board of Emergency Medicine. Full time practitioner of emergency medicine. Has work experience at a level 1 trauma center and its associated freestanding emergency room. Recognized by the American Academy of Emergency Medicine as having expertise in pediatric, trauma, neurological, and cardiac resuscitation. ATLS, ACLS, BLS, and PALS certified. ATLS course instructor. Completion of The Difficult Airway Course: Emergency™. Undergraduate Degree, Magna Cum Laude, in biomedical engineering. Licensed in Louisiana and Texas. Completed multiple SEAK expert witness training courses. Experienced flight physician. Skilled in utilization of video laryngoscopy for emergency airway management and in bedside ultrasound procedures.