Medicaid Expert Witness Listings

Welcome to our Medicaid experts directory. Browse the profiles below to find the right expert witness in Medicaid for your case. Our SEAK Expert Witness Database is always free to search.

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Michael F Arrigo No World Borders

Los Angeles, California
HIPAA, Medical Coding - 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 • Two DOJ retentions, $155 million settlement, an expert in anti-trust / FTC. Intellectual property; complex fraud coding, fraud damages expert • Healthcare IT patents intellectual property Technical Expert, MedicDamages Expert • Medical coding medical billing, claims, usual customary and reasonable, Lifecare plan rebuttal under ACA on the future cost of care, trauma E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud • 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 Assessments, Risk Adjustment, HCC Medicare Part C Accountable Care • PBMs, Pharmaceuticals, CLIA, lab, pathology billing accuracy, privacy Pain management, ketamine, spinal chord sti...
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Karl E. Steinberg, MD, CMD, HMDC, HEC-C Stone Mountain Medical Associates, Inc.

Oceanside, California
Geriatrics, Nursing Homes - Nursing Home - Skilled Nursing Facility, Hospice - End-of-Life Care, Palliative Care, Home Health, Assisted Living, Regulatory, Decubitus, Pressure Ulcers, Falls, Dementia - Alzheimer's, Medicare, Medicaid, Managed Care - HMO, Life Care Planning, Personal Injury, Family Medicine, Addiction Medicine
Experienced Expert, 200+ depositions, 25+ trials. Speedy and Objective Records Reviews (plaintiff/defense); Standard of Care, Causation and Damages Opinions, including Life Expectancy and Future Care Costs, Regulatory Actions; Comprehensive Report Writing. References Available on Request. In clinical practice of post-acute and long-term care medicine, Geriatrics & Hospice in San Diego area since 1992; Chief Medical Officer, Mariner Health Care (nursing facility management company); Chief Medical Officer, Beecan Health; Clinical Faculty UCSD School of Medicine and Family Medicine Dept. Adjunct faculty, Case Western Reserve University; Affiliate Faculty, California State University's Institute for Palliative Care (San Marcos), Past President of CALTCM, President of AMDA--The Society for Post-Acute and Long-Term Care Medicine (www.paltc.org, formerly known as American Medical Directors Association); Past Chair; Coalition for Compassionate Care of California; Editor Emeritus of Cari...
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Michael F Arrigo No World Borders

District Of Columbia
HIPAA, Medical Coding - 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 • Two DOJ retentions, $155 million settlement, an expert in anti-trust / FTC. Intellectual property; complex fraud coding, fraud damages expert • Healthcare IT patents intellectual property Technical Expert, MedicDamages Expert • Medical coding medical billing, claims, usual customary and reasonable, Lifecare plan rebuttal under ACA on the future cost of care, trauma E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud • 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 Assessments, Risk Adjustment, HCC Medicare Part C Accountable Care • PBMs, Pharmaceuticals, CLIA, lab, pathology billing accuracy, privacy Pain management, ketamine, spinal chord sti...
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Michael F Arrigo No World Borders

Florida
HIPAA, Medical Coding - 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 • Two DOJ retentions, $155 million settlement, an expert in anti-trust / FTC. Intellectual property; complex fraud coding, fraud damages expert • Healthcare IT patents intellectual property Technical Expert, MedicDamages Expert • Medical coding medical billing, claims, usual customary and reasonable, Lifecare plan rebuttal under ACA on the future cost of care, trauma E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud • 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 Assessments, Risk Adjustment, HCC Medicare Part C Accountable Care • PBMs, Pharmaceuticals, CLIA, lab, pathology billing accuracy, privacy Pain management, ketamine, spinal chord sti...
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Dana K. Keller, Ph.D. Halcyon Research, Inc.

Sarasota, Florida
Statistics, Fraud - Healthcare audit, sampling, samples, extrapolation, RAT-STATS, UPIC, ZPIC, MIC, Medicare, Medicaid, commercial insurance, litigation support
Chosen by Texas HHSC-OIG, CMS, and the Joint Chiefs of Staff, I bring 25 years of experience explaining healthcare statistics in plain English to a wide range of audiences, as exemplified through my first book, The Tao of Statistics: A Path to Understanding (With No Math). Further, I have provided testimony for Western Integrity Center (WIC), Zone Program Integrity Contractor (ZPIC), Medicaid Integrity Contractor (MIC), and commercial health cases, individually exceeding $100,000,000. As an accepted expert witness, I stand on the shoulders of the OIG and CMS for the techniques and approaches that I employ with healthcare claims. In so doing, I make few independent decisions and am less susceptible to Analytic Gap Test issues arising from Daubert challenges than statisticians who use less well endorsed procedures. My approaches to healthcare claims sampling, extrapolation, and defense appealed to HHSC-OIG (Texas), in particular, when their Medicaid audit department decided to over...
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Michael F Arrigo No World Borders

Illinois
HIPAA, Medical Coding - 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 • Two DOJ retentions, $155 million settlement, an expert in anti-trust / FTC. Intellectual property; complex fraud coding, fraud damages expert • Healthcare IT patents intellectual property Technical Expert, MedicDamages Expert • Medical coding medical billing, claims, usual customary and reasonable, Lifecare plan rebuttal under ACA on the future cost of care, trauma E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud • 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 Assessments, Risk Adjustment, HCC Medicare Part C Accountable Care • PBMs, Pharmaceuticals, CLIA, lab, pathology billing accuracy, privacy Pain management, ketamine, spinal chord sti...
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Richard K Baer, MD Richard K Baer, MD & Associates, LLC

Chicago, Illinois
Fraud, Health Informatics - Medicare, Medicaid, Medicare fraud, Medicaid fraud, Medicare audit, Medicaid audit, medical coding, medical reimbursement, Medicare coverage, third-party payer coverage, medical qui tam
Richard K. Baer, M.D., is engaged in consulting for clients requiring expertise in medical policy, claims data analysis, claims coding and claims processing edits, Medicare audits, and clinical trials compliance. Dr. Baer has served as expert witness and consultant to the US Department of Justice and private law firms for Medicare litigation cases. He has served as Medicare Contract Medical Director for the Midwest Program Integrity Contractor, the Recovery Auditor for Region A in the northeast United States, the RAC Validation Contractor and was the Lead Medical Director for National Government Services (NGS), one of the nation’s largest Medicare administrative contractors (MAC). At NGS Dr. Baer had responsibilities for oversight of all medical policy activities for Medicare Parts A and B in all states in NGS’ jurisdictions. Dr. Baer has been an AHIMA certified ICD-10 trainer since 2011. Dr. Baer attended the University of Illinois, Abraham Lincoln School of Medicine in Chicago ...
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Steven N. Wander, FSA, MAAA, FCA Deloitte Consulting LLP

Minneapolis, Minnesota
Actuarial, Health Informatics - Medicaid, Healthcare Provider Reimbursement, Managed Care, Medicare, Affordable Care Act, ACA
Fellow of the Society of Actuaries (FSA), a Member of the American Academy of Actuaries (MAAA), and a Fellow of the Conference of Consulting Actuaries (FCA)
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Robert D. Church Jr., CPA,CFF,CFE,AHFI White Collar, LLC

Oxford, Mississippi
Fraud, Financial - Healthcare Fraud, Financial Forensics, Forensic Accounting, Fraud, Medicare, Medicaid, Whistleblower, Expert Witness, Investigation, Accounting
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Michael F Arrigo No World Borders

Nevada
HIPAA, Medical Coding - 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 • Two DOJ retentions, $155 million settlement, an expert in anti-trust / FTC. Intellectual property; complex fraud coding, fraud damages expert • Healthcare IT patents intellectual property Technical Expert, MedicDamages Expert • Medical coding medical billing, claims, usual customary and reasonable, Lifecare plan rebuttal under ACA on the future cost of care, trauma E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud • 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 Assessments, Risk Adjustment, HCC Medicare Part C Accountable Care • PBMs, Pharmaceuticals, CLIA, lab, pathology billing accuracy, privacy Pain management, ketamine, spinal chord sti...
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Michael F Arrigo No World Borders

New Jersey
HIPAA, Medical Coding - 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 • Two DOJ retentions, $155 million settlement, an expert in anti-trust / FTC. Intellectual property; complex fraud coding, fraud damages expert • Healthcare IT patents intellectual property Technical Expert, MedicDamages Expert • Medical coding medical billing, claims, usual customary and reasonable, Lifecare plan rebuttal under ACA on the future cost of care, trauma E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud • 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 Assessments, Risk Adjustment, HCC Medicare Part C Accountable Care • PBMs, Pharmaceuticals, CLIA, lab, pathology billing accuracy, privacy Pain management, ketamine, spinal chord sti...
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Michael F Arrigo No World Borders

New York
HIPAA, Medical Coding - 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 • Two DOJ retentions, $155 million settlement, an expert in anti-trust / FTC. Intellectual property; complex fraud coding, fraud damages expert • Healthcare IT patents intellectual property Technical Expert, MedicDamages Expert • Medical coding medical billing, claims, usual customary and reasonable, Lifecare plan rebuttal under ACA on the future cost of care, trauma E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud • 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 Assessments, Risk Adjustment, HCC Medicare Part C Accountable Care • PBMs, Pharmaceuticals, CLIA, lab, pathology billing accuracy, privacy Pain management, ketamine, spinal chord sti...
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Michael F Arrigo No World Borders

Ohio
HIPAA, Medical Coding - 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 • Two DOJ retentions, $155 million settlement, an expert in anti-trust / FTC. Intellectual property; complex fraud coding, fraud damages expert • Healthcare IT patents intellectual property Technical Expert, MedicDamages Expert • Medical coding medical billing, claims, usual customary and reasonable, Lifecare plan rebuttal under ACA on the future cost of care, trauma E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud • 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 Assessments, Risk Adjustment, HCC Medicare Part C Accountable Care • PBMs, Pharmaceuticals, CLIA, lab, pathology billing accuracy, privacy Pain management, ketamine, spinal chord sti...
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Michael F Arrigo No World Borders

Oregon
HIPAA, Medical Coding - 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 • Two DOJ retentions, $155 million settlement, an expert in anti-trust / FTC. Intellectual property; complex fraud coding, fraud damages expert • Healthcare IT patents intellectual property Technical Expert, MedicDamages Expert • Medical coding medical billing, claims, usual customary and reasonable, Lifecare plan rebuttal under ACA on the future cost of care, trauma E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud • 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 Assessments, Risk Adjustment, HCC Medicare Part C Accountable Care • PBMs, Pharmaceuticals, CLIA, lab, pathology billing accuracy, privacy Pain management, ketamine, spinal chord sti...
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Frank L Brown, MD, FACP, FRSM, FCP(E) THE COMMUNICATION ACADEMY

Bluffton, South Carolina
Medical Management, Pharmacology- Clinical - Accountable Care Organizations (ACO), Credentialing, Disruptive Physicians, Drug Dosing, Electronic Medical Records (EHR), Healthcare Fraud & Abuse, MCO, Medical Devices, Medicaid, Medical Staff Affairs, Patient Safety & Quality, Pharmacology, Quality Measurements, Risk Management, Standards of Care
Over 30 years of experience in the national health insurance industry with increasing executive levels of responsibility in physician management, systems integration, mergers and acquisitions, and extramural affairs. Companies have included Oxford Healthplans, Blue Cross & Blue Shield, Wellpoint, Anthem and Cigna. Responsible for the profit and loss performance of Accountable Care Organizations throughout the country with aggregate system revenue of over $1 billion. Metrics managed included average length of stay, discharge and readmission rates, pharmacy management, comprehensive quality and patient safety, emergency department visits, mental health management, and fraud & abuse by doctors and patients. Developed several systems for the improvement in the efficiency of case management, population health management, physician profiling, patient engagement, patient satisfaction, emergency care, disaster readiness, patient grievance & appeals, and patient safety. Awarded patents ...
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Michael F Arrigo No World Borders

Texas
HIPAA, Medical Coding - 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 • Two DOJ retentions, $155 million settlement, an expert in anti-trust / FTC. Intellectual property; complex fraud coding, fraud damages expert • Healthcare IT patents intellectual property Technical Expert, MedicDamages Expert • Medical coding medical billing, claims, usual customary and reasonable, Lifecare plan rebuttal under ACA on the future cost of care, trauma E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud • 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 Assessments, Risk Adjustment, HCC Medicare Part C Accountable Care • PBMs, Pharmaceuticals, CLIA, lab, pathology billing accuracy, privacy Pain management, ketamine, spinal chord sti...
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Rhonda R Guitreau Medical Reimbursement Specialists

DALLAS, Texas
Medical Billing, Medical Coding - Medical Bill Review, Controverting Billing Affidavits, Forensic Bill Review, Medical Cost Analysis, Expert Witness for Deposition/ Trial, Usual,Customary,Reasonable (UCR) fee analyses, Geographic Specific Provider market comparisons, Medicare, Medicaid, Major Insurance comps
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Michael F Arrigo No World Borders

Washington
HIPAA, Medical Coding - 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 • Two DOJ retentions, $155 million settlement, an expert in anti-trust / FTC. Intellectual property; complex fraud coding, fraud damages expert • Healthcare IT patents intellectual property Technical Expert, MedicDamages Expert • Medical coding medical billing, claims, usual customary and reasonable, Lifecare plan rebuttal under ACA on the future cost of care, trauma E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud • 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 Assessments, Risk Adjustment, HCC Medicare Part C Accountable Care • PBMs, Pharmaceuticals, CLIA, lab, pathology billing accuracy, privacy Pain management, ketamine, spinal chord sti...
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