Medicare Advantage Expert Witness

Listings

Medicare advantage expert witnesses and consultants listed here may be able to form expert opinions, draft expert witness reports, provide expert witness testimony at deposition and/or trial as or serve as consulting (non-testifying) experts on medicare advantage. The medicare advantage expert witness listings on this page are typically from fields/areas of expertise such as: Business Operations, HIPAA, and Medical Coding.

Unable to find the right medicare advantage expert? Contact us for personalized assistance locating an expert witness.

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

Brian R Boyce, MHA, BSHS, CPC, CRC, CPC-I ionHealthcare

Richmond, Virginia
Medical Coding, Business Operations - Risk Adjustment, HCC, Part C, Part D, RADV, HRADV, Medicare Advantage, ACA, Affordable Care Act, Medicare fraud, medical record review, clinical bioethics, medical management, compliance, clinical documentation, clinical informatics, coding audit, medical billing, ICD-9, ICD-10, OIG audits
Clinician, Author, Speaker, Educator, USAF veteran. Author of the CRC (certified risk adjustment coder) credential curriculum - offered nationally by the AAPC. National Risk Adjustment expertise working with Medicare, Medicaid, and the Affordable Care Act (ACA) models nationally. Support for health plans, ACO's, and physicians in numerous medical coding and documentation audits. Experience working on national cases before the OIG and DOJ. National independent validation auditor (IVA) for many health plans for government regulatory audits for Medicare Advantage Risk Adjustment Data Validation (RADV) , and the ACA (HRADV). Experience in HEDIS and other quality measure programs. Experience in CLIA and OSHA in healthcare settings- especially CLIA-waived testing performed in outpatient settings. Trained in Total Quality Management (USAF) and Six Sigma (Juran Institute). Former ethics participant on internal review board (IRB) for local hospital system. Experience managing p...

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...