Billing Expert Witnesses

Alabama

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, Sepsis, Trauma, Envenomation, Overdose, Malpractice

Full time clinical practitioner of emergency medicine, Board Certified in Emergency Medicine by the American Board of Emergency Medicine. Has significant clinical experience at level 1 trauma centers, level 2 trauma centers, as well as associated critical access hospitals and freestanding emergency rooms. Has treated more than 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. Experience in chart review and standard of care evaluations. Undergraduate degree, Summa Cum Laude, in Health and Kinesiology. Expertise in resuscitation as well as life and limb saving emergency procedures. Serves on multiple clinical improvement committees including sepsis taskforce, national workforce committees and government relations committee. Experience in Children's Advocacy Center Medical Directorship and governor appointed Child Fatality Review Teams. Experience as c...

San Marino, California

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...

Louisiana

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. Clinical Assistant Professor of Emergency Medicine and Active 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.

Newbury, New Hampshire

Medical Billing, Medical Coding - ALL STATES, Medical Billing, Coding, Usual and customary, reasonable and customary, DRG, CPT, ICD-10, ICD-9, medical necessity, fees, fee schedule, billing

Mark L Friedman MD FACEP FACP is currently Chief Medical Officer Emeritus of First Stop Health. He is an emergency physician emeritus at St Vincent’s Hospital in Bridgeport, CT. He was formerly Associate Professor of Emergency Medicine at the Frank Netter School of Medicine, Chief of Emergency Medicine at St Elizabeth's Hospital of Boston, Assistant Professor of Medicine at Tufts University School of Medicine, Assistant Clinical Professor of Emergency Medicine at the University of Illinois, and Adjunct Professor of Public Health at Benedictine University. Dr. Friedman is an expert in DRG claims analysis and medical cost containment. He has helped design programs to prevent medical errors as well as malpractice litigation. He has served as an advisor to government on medical billing fraud and abuse and developed two companies that perform audits for the Medicare RAC. Dr. Friedman is a frequent speaker and the author of numerous articles and books on medically related topics. Dr Fr...

Wynnewood, Pennsylvania

Pain Management - Medicine, Anesthesiology - Opioid management, Billing, Medical Fraud, Complex Regional Pain Syndrome, Acute and Chronic Pain Management, Fibromyalgia, Chronic Pain syndromes, Regional Anesthesiology, Nerve Blocks, Epidurals, Spinals, Ultrasound & Fluoroscopic guided procedures, General Anesthesia, Airway, Intubation

Dr. Graff is board certified in both anesthesiology & pain medicine. She is currently an assistant professor in the department of anesthesiology & critical care and the division chief of regional anesthesiology and acute pain medicine at the Ivy League institution, the University of Pennsylvania Perelman School of Medicine. She is also the fellowship program director for regional anesthesiology and acute pain medicine. She supervises and teaches fellow physicians, resident physicians, medical students, and nurse anesthetists on a daily basis. Dr. Graff currently serves as the perioperative pain management lead for the University of Pennsylvania Health System's Opioid Task Force, for all six hospitals under the health system. This task force focuses on reducing opioid-related harm for Penn Medicine's patients, promoting evidence-based opioid prescribing habits, and overseeing quality and safety metrics with opioid prescribing in the perioperative and inpatient sectors. Dr. Graff als...

Athens, Tennessee

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

Tyler, Texas

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, Sepsis, Trauma, Envenomation, Overdose, Malpractice

Full time clinical practitioner of emergency medicine, Board Certified in Emergency Medicine by the American Board of Emergency Medicine. Has significant clinical experience at level 1 trauma centers, level 2 trauma centers, as well as associated critical access hospitals and freestanding emergency rooms. Has treated more than 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. Experience in chart review and standard of care evaluations. Undergraduate degree, Summa Cum Laude, in Health and Kinesiology. Expertise in resuscitation as well as life and limb saving emergency procedures. Serves on multiple clinical improvement committees including sepsis taskforce, national workforce committees and government relations committee. Experience in Children's Advocacy Center Medical Directorship and governor appointed Child Fatality Review Teams. Experience as c...

Tyler, Texas

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. Clinical Assistant Professor of Emergency Medicine and Active 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.

Front Royal, Virginia

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

17 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 and World Games in 2022. 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 compl...

RICHMOND, Virginia

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...

Verona, Wisconsin

Emergency Medicine - 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

Kelly Carter graduated in the top third of her class from the University of Wisconsin-Madison Medical School. She completed her Emergency Medicine Residency at the Pitt County Memorial Hospital/Brody School of Medicine and was Chief Resident for one year. She is board certified by the American Board of Emergency Medicine. Kelly has been an emergency medicine physician for 16 years. She also has experience as a telemedicine physician, and was Co-Founder and CEO of Brily Innovations, a company using technology to create products that improved patient care, reduce financial loss and improve efficiency in the emergency department. In her current role Kelly is assisting in charting efficiency through improving EPIC and Cerner templates, phrases, and lists, and gives individual coaching to improve documentation and reimbursement. She has over five years of experience in EPIC, Cerner, and Medhost, and has completed the EPIC Power User Course. She is serving her fourth year on the ...

Wisconsin

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. Clinical Assistant Professor of Emergency Medicine and Active 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.