Home Health Expert Witnesses

Porter Ranch, California

Emergency Medicine, Nurse - adult/pediatric critical care, triage, code blue, newborn critical care, trauma care, STEMI, primary Stroke, Elder abuse, triage, standards of care, record review, narcotics/drug diversion, negligence, home health, medical concierge, interventional radiology, malpractice, emergency room nurse, intubation, pain

I am an experience board certified Emergency Room Registered Nurse with 18 years of hands on clinical experience. I originally graduated in Toronto, Canada with nursing diploma and then obtained my Bachelors of Science in Nursing degree after I moved to California. I completed the legal nurse consulting certificate through the program at California State University Long Beach, after having worked for the Board of Registered Nurses of California as an expert witness. I continue to work in that capacity and enjoy the ability to exercise caution and meticulous details in my reviews. I am highly skilled in critical care nursing in the emergency department, where I frequently take care of all walks and ages of life. When I'm not in the emergency department, I work in Interventional Radiology. I also work in the fields of home health and home concierge and can speak to standards of care in that realm. I am a certified emergency room nurse and have additional certifications in triaging.

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...