Medical Insurance Expert Witnesses

Novato, California

Medical Billing, Insurance - MBR, Medical Billing Review, Usual and customary fees, UCR, Billing analysis, Medical Claims, Healthcare claims, Commercial claims, Hospital claims, Hospital billing, Workers compensation, Veteran Claims, MVA, MVC, Motor vehicle accident, PI case, Personal injury, coding, Medical insurance, Insurance payable

As a medical billing company owner, I'm a billing and claim specialist with 30+ years of experience assisting clinics, ASC's, and medical offices with their insurance claims, follow up, and revenue cycles. Specialties include chiro, acupuncture, orthopedic, psychiatry, psychology, urology, cosmetic surgery, pulmonary, podiatry, transgender, and many others. Experienced with commercial, Workers Comp, VA claims, liens, and MVA's. Experienced with HCFA 1500's, UB-04's, MS-DRG codes, LOA's, DME, and HCPCS. As an Expert Witness, I have analyzed 200+ cases to establish Usual and Customary fees, Howell numbers, payable averages, and have deposition and trial experience.

Miami, Florida

Legal, HMO - Health Insurance, Health Maintenance Organization, Affordable Care Act, Preferred Provider Network, Medical Insurance, ERISA

Maria T. Santi, Esq, is a Legal advocate for Patients and Physician Directed Healthcare in Florida. She is a native Miamian and the founder of the Health and Medicine Law Firm. She obtained her JD with a certification in Health Law from Nova Southeastern University—Shepard Broad College of Law. Maria is actively involved with the Florida Bar serving on the Government Advocacy Committee, and as a member of the Health Law section. She is admitted to practice in Florida, Washington DC and the US Supreme Court. Her legal practice is focused on healthcare law, including legal disputes against Health Insurance Companies, Health Insurance Litigation for denied treatment and prescriptions, Medicaid and Medicare representation for appeals and administrative hearings for medical treatment denials, medical bill disputes and negotiations, and health insurance appeals. She also handles legal action under the Employment Retirement and Security Act ("ERISA"). She is also a Certified Human Rights C...