Fca Expert Witnesses

Brentwood, Tennessee

Appraisal & Valuation, Business Damages - Healthcare, Physician, False Claim Act, Compensation, Compliance, Stark, AKS, FCA, Lost Profits, Damages, Interference

Mr. Romero has over 30 years of experience performing financial analysis with over 25 years of experience specifically within the healthcare industry. He provides general financial consulting in the healthcare industry, performs valuation of provider compensation for regulatory compliance (Stark and Antikickback), business valuation of healthcare entities, and litigation support including damages, lost profits, and assistance with Stark-Referral Disclosure Protocol filings. He has provided valuation services for interests of healthcare entities, management services and joint venture agreements. Mr. Romero has significant experience performing valuation services in the healthcare industry for regulatory compliance and transactions, He is a recognized national expert regarding valuation of provider compensation. This includes serving as the primary defense expert for the largest Stark based False Claim Act case in US history. He serves as the Co-Chair of ABA' Health Law Section Di...

Montgomery, Texas

Medical Billing, Fraud - 60-Day Rule, Hospice, Corrective Action Plan, Cost Report, Coding, Statistical Sampling, Overpayment, Skilled Nursing, Home Health, FCA, Medicare, Hospital, Physician, False Claim, Physician Contract, Compliance Training, Anti-Kickback, Laboratory Billing, Medical Necessity, Clinical Documentation

Mr. Loria has 53 years of healthcare (HC) regulatory compliance, M&A, Medicare reimbursement and appeals, hospital pricing, managed care contracting and litigation support. Extensive expert witness experience before the Provider Reimbursement Review Board, ALJ proceedings, civil and criminal litigation, and mediation and arbitration proceedings. Mr. Loria has represented hospitals, nursing facilities, home health, hospice, reference laboratory, physician groups, and other providers in Medicare appeals and controversies. During his career he has managed more than 2,000 Medicare disputes and other investigations. He was a Partner in the SW Regional HC practice of PwC. Prior to joining PwC as a Partner, he was the National Director of the Regulatory practice at EY for 10 years. He founded Loria Associates in 2002 and serves as CEO and Managing Director. He has consistently served HC clients on a nation-wide basis and delivered excellent results based on his unique qualifications a...