Contact Information

  • Additional States: Florida, Massachusetts, Michigan, New York, Oregon , Pennsylvania, Texas, U.S. Virgin Islands, Utah, and Washington
  • Company: No World Borders
  • Phone: 949-335-5580 x101
  • Cell: 949-633-5664
  • Website: www.noworldborders.com
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Specialties & Experience

General Specialties: HIPAA and Medical Coding

Specialty Focus: Patents trade secrets, electronic medical records, fraud, Usual Customary Reasonable (UCR), Meaningful Use Electronic Health Records, elect HITECH Act, Affordable Care Act, medical billing, workers compensation, Medicare Advantage, Medicaid, trauma, insurance, CRPS, EMTALA Ambulance ER diversion

Education: Studies in Bioethics , Harvard Law School; Bachelor of Science Business Administration, University of Southern California; Statistics and Economics, UC Irvine; Studies in Biomedical Informatics, Stanford Medical School

Years in Practice: 17

Number of Times Deposed/Testified in Last 4 Yrs: 20+


Additional Information

Writer, speaker, published peer reviewed works as an expert in the field - oral, written testimony, recent Federal court ruling as a qualified expert • Two DOJ retentions, $155 million settlement, an expert in anti-trust / FTC. Intellectual property • Healthcare IT patents intellectual property Technical Expert, Damages Expert • medical coding medical billing, claims, usual customary and reasonable, Lifecare plan rebuttal under ACA on the future cost of care E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud • HIPAA transactions for inpatient, ambulatory, home care (HHRG), skilled nursing, HIPAA Privacy, Security • Affordable Care Act, HITECH Act, Electronic Health Records, electronic medical records, meaningful use, patents and intellectual property in heal Health Risk Assessments, Risk Adjustment, HCC Medicare Part C Accountable Care • PBMs, Pharmaceuticals Pain management, ketamine, spinal chord stimulators, blocks, p-stim, anesthesia, Nephrology MIPS, MACRA, Computer Assisted Coding, Physician Fee Schedule, Medicare Administrative Contractors, Medicaid expansion, Qualified Health plans - Labor Law, uninsured patient discounts, California Law confidential information, Benefits Administration, Fraud under Qui Tam False Claims Act. Eligibility, coverage determinations; physical therapy, interoperability, HL7, ICD-10, computer assisted coding, Knox-Keene Act, Stark Law, Sunshine Act, Insurance Bad Faith. Medicare Secondary Payor Act Physician-Hospital Contracts, Valuation, Health IT businesses, FQHC, ASC, ESRD, EMTALA. Claims processing, Independent Diagnostic Testing Facility (IDTF) coverage determinations, lien, balance billing, subrogation, clinical documentation, billing, audits, fraud, waste abuse (E&M, orthopedics, cardiology, vascular, MRI, PET, pathology, ESRD tests, esoteric test, nephrology, diabetes, pulmonology). Payor contracting, arbitration, third party liability. 90 day global period surgical