21 Coding Audit 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...

OSHA, Construction - Accident Reconstruction, Personal Injury/Wrongful Death, Crane/Hoist & Rigging, Safety Training Plans, JHA/JSA, Confined Space, Fall Protection, Machinery Guarding, Ladders/Scaffolds, Forklifts/Scissor Lifts, Safety Codes/Regulatory Compliance, Audits, Mining, MSHA, HAZCOM, EM 385-1-1, ANSI

Mr. Buffington offers a unique combination of formal education, special training and project based technical experience in completing mega-projects valued at 20 billion dollars with over 12 million worker hours and safety statistics below half of the respective national averages and no fatalities. He is a CSP (US) & CRSP (Canada) by exam, licensed Private Investigator, former Federal Supervisory Special Investigator and MSHA federal Mine Inspector, Deputy Sheriff, Deputy Sheriff Criminal Investigator, approved OSHA 29 CFR Trainer Parts 1910 & 1926, approved MSHA 30 CFR trainer for surface & Underground coal and metal/non-metal mines. ASSE 2001 Safety Profession of the Year for Construction Practice Specialty & ASSE 2003 -2004 Safety Professional of the Year for Mining Practice Specialty.

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, Medical Billing - 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....

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

...Neal Freeman, MD, MBA, CCS-P, CPMA is a practicing physician and surgeon and is additionally certified as both a Coding Specialist-Physician-based and a Professional Medical Auditor. He provides expert services in medical coding, reimbursement, and compliance across all specialties. He is available for consultation, research, analysis, report generation, deposition, and trial testimony as an expert witness. He has been retained as an expert for plaintiff and defense....

Agriculture, Environmental - Tree and landscape appraisals, damages or values; forest damages; Land Economist, landscape claims

...He is the Principal of LANDSCAPE ECONOMICS, LLC, a firm providing expertise in damage assessments, economic valuations, work audits, and expert testimony regarding landscapes and land improvements that is increasing the recognition of "Green Assets™" for properties....

Accident Reconstruction, Premises Liability - Automobile Accidents, EDR Data (Black Box) Download, Commercial Vehicle (Truck) Accidents, Motorcycle Accidents, Construction Accidents, Maintenance of Traffic (M.O.T.), Premises Liability, Slip Resistance Testing (Slip and Fall), Product Defect, Forklift Accidents, Failure Analysis, OSHA Regulation

...He holds certification in the field of walkway safety in tribometry (the science of surface friction measurement) and walkway auditing. From previous professional experience conducting property condition assessments, he has knowledge of building codes, accessibility codes, safety codes, and industry standards that relate to various properties.

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...

Mechanical Engineering, Energy - Power, generation, power plant, operation, maintenance, commissioning, testing, performance, insurance, construction, defect, efficiency, turbine, boiler, contractor, design build, EPC, infrastructure, gas, coal, steam, failure, wind, solar, boiler, turbine, wood, waste, root cause, cost, estimate

...Numerous evaluations and audits of generating portfolios, including review of business processes and identifying/quantifying improvement opportunities/potential threats. Technologies include coal, oil, natural gas, wood, and waste-fueled facilities, simple and combined cycle power stations, and spark and diesel reciprocating engine-based power plants. Green energy experience, including, wind energy construction, smart grid implementation, building energy conservation measures, battery storage, and both concentrated and photo-voltaic solar generation. Experienced in all aspects of infrastructure projects and programs in both the public and private sectors: development, financing, construction, operations, maintenance, asset management, facility acquisition/divestiture, and efficiency improvement. Expert in construction management including scheduling and cost control. Expert financial modeler....

Insurance - workers' compensation, premium disputes, Best Practices, policy/contract/collateral analysis, retrospective rated policies, deductible policies, experience modification factor, claim evaluations, policy side agreements, reserving, return to work, payroll audit, classification codes

...Wills has performed extensive insurance program reviews and claim audits on a national basis, with testimony provided when required, for clients pertaining to various issues that have included, but were not limited to: • Premium disputes and monetary damages sustained by the insured/employer related to retrospective, deductible and guaranteed cost insurance programs as a result of improper and unreasonable claim handling of workers’ compensation claims by insurance carriers. • The negative impact and resulting monetary damages that improper and unreasonable claim handling by an insurance carrier can have on the insured/employer’s Experience Modification Factor and premium development in a guaranteed cost, assigned risk, deductible and retrospectively rated insurance programs. • Best Practices as it relates to claim management, claim investigation, claim litigation, claim handling, claim reserving and claim resolution. • Experience Modification Analysis • Policy, Contract and Collateral...

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...

Athletics & Recreation, Risk Management - zipline, zip lines, zipline accident, zipline braking, zipline brake system, zipline construction, zipline death, zipline safety, residential/backyard zipline, zipline standards, aerial adventure course, aerial adventure course standards, ropes course, challenge course, climbing, ACCT, ASTM, NAARSO

...Services include but are not limited to course inspections, operation audits, guide, facilitator, and management training, production of custom zip line and adventure park operation manuals, technical writing, design of web-based and print marketing materials, zip line and challenge course design and layout, risk assessment and reporting, and, in rare cases, complete management services for zip line canopy tours and adventure parks. In addition to his work as a third-party builder, inspector, and trainer, Smith is the founder of ArborTrek Canopy Adventures, an aerial adventure park and zip line canopy tour operator based in Vermont. During his tenure as the managing partner of ArborTrek (2010-2023), the company won many accolades and was regularly named one of the ten best zip line tours in the United 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...

Electrical Engineering, Energy - Electrical engineering & design, industrial automation & control systems, instrumentation integration, process control, programmable logic controllers hardware & software, electrically hazardous areas, code evaluations, safety, electric power generation & distribution systems, power plants design

...Energy efficient systems, energy audits, prototype technologies design. Electrical design specifications & drawings, equipment and systems specifications including large machinery, for skids, containers, buildings, or entire campuses. Electrically hazardous areas. Code and/or safety evaluations. Electrical power generation & distribution, power plants, motors, motor control centers (MCC), variable frequency drives (VFD), transformers, switchgear, uninterruptible powers supplies (UPS). Commissioning and startup. Flammable gas facilities including natural gas, liquefied natural gas (LNG), compressed natural gas (CNG), liquefied petroleum gas (LPG), liquid nitrogen, propane and hydrogen.

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...

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...

Maritime, Management - newbuilding sea trials, bridge resource management, watchkeeping, watchstanding, navigation, shiphandling, tanker operations, cruise ship operations, quality and safety management systems, ISM Code, ISPS Code, regulations for preventing collisions at sea (“Rules of the Road”), teaching and training

...EXPERIENCE -- Newbuilding sea trials shipmaster (over 100 sea trials in over 50 new ships) -- Operations, health, environment and safety superintendent -- Quality and safety management system lead auditor -- Shipmaster and officer in commercial merchant ships on international and US coastwise voyages -- Appointed shipmaster of a new refined products tanker in US coastwise service, at age thirty -- Served as second mate and chief mate on four maiden voyages, two on new trade routes for the respective shipowners EXPERTISE -- Command in newbuilding sea trials -- Bridge resource management, watchstanding, watchkeeping, navigation, shiphandling -- Petroleum tankship operations -- Tanker Management Self-Assessment 3 (TMSA3) -- Cruise ship operations including operation of their tender boats and rescue boats -- Design, administration and audit of quality management systems, safety management systems, and security management systems -- International Management Code for the Safe Operation...