HIPAA Expert Witnesses

HIPAA, Medical Billing - 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 • US COURT OF APPEALS considered expert opinions, VACATED AND REMANDED • Two DOJ retentions, $155 million settlement • Healthcare IT patents intellectual property Technical Expert, Medicare Damages Expert • Medical coding medical billing, claims, usual customary and reasonable charges in personal injury and medical malpractice cases, Lifecare plan rebuttal under ACA on the future cost of care, trauma • Electronic medical record forensics / electronic health record forensics, E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud • genetic testing, novel genetic sequencing, esoteric testing, laboratory testing • HIPAA Privacy, Security, Blockchain special studies MIT • Affordable Care Act, HITECH Act, electronic medical records, meaningful use, patents, and intellectual property in heal Healt...

Pharmacist, Health Informatics - Patient Safety, Pharmacy Management, e-medication, e-prescribing, Health IT, health informatics, EHR systems, EHR audits, REMS, Drug Safety, Medication Errors, Root Cause Analysis, False Claims, HIPAA, Medical Records, Health Care Litigation, Medical Malpractice, Pharmaceutical, Pharmacovigilance

Dr. Ajit Dhavle is the Vice President of Health IT Audits and Life Science at Quandary Peak Research, where he oversees a team of health informatics experts to provide Strategy, Management, Product Management, Software Development Life Cycle (SDLC), Patient Safety, Compliance, and Engineering Consulting and Audit services to both Government and Commercial entities. Previously, Ajit founded Adviva Health, Inc a SaaS prescription medication history reconciliation and analytics platform designed to streamline the medication experience for EHR users. Ajit joined Surescripts in its early years and helped replace the paper prescription and start the first National E-prescribing network. At Surescripts, he last served as the Vice President of Clinical Quality and was responsible for corporate clinical quality, patient safety, and quality research initiatives. While at Surescripts, he also built and ran the first-of-its kind enterprise-wide clinical quality program – a critical component ...

Computers, Cybersecurity - Computer, Digital Forensics, Discovery, Databases, Class Action, Hacking, Breach, Encryption Safe Harbor, Health Care Data, Digital Medical Records, HIPAA, PII

John Horst, CISSP®-ISSAP®, is the Managing Member for Technology and Innovation for Xanesti Technology Services, LLC. John has provided expert information technology consulting across several lines of business such as pharmaceutical development, medical billing, general liability insurance, clinical laboratory systems, mortgage financing, and automotive aftermarket products. John has provided cybersecurity engineering, software development, installation and training, and troubleshooting for 11 years in support of multiple U.S. Navy programs of record, including programs operating at both unclassified and secret levels. John maintains an active national security clearance at the SECRET level. John has taught information technology courses for the University of Phoenix (San Diego and Online campuses) and Coleman University (San Diego) where John pioneered the development of computer game software development instruction, now a core part of the Coleman curriculum. John has also ta...

HIPAA - Healthcare Futurist, HIPAA, data, Consultant, EHR, Pharma, Health Systems, HIEs,

Omar Shaker, MD, MBA is a physician turned clinical data visualization expert, with 3 years of patient care at Tufts and abroad, and a 10-year track record of EHR, decision making, and interoperability consulting. People-focused with exceptional ability to lead emotionally. Extensive clinical data analytics practice working with a wide variety of clinical datasets from payers, health systems, pharma, and HIEs. Successful track record in delivering health data products based on data generated from user research and using design thinking methods. Named one of HIMSS Future 50, and published author and presenter on FHIR at HL7 Roundtables, and AHIMA on clinical data integrity and burnout. Active advisor and angel investor in early-stage digital health startups. Published author and confident speaker, with extensive healthcare network. Omar has 10+ years of experience in consulting US Payers and Providers to improve healthcare using data science and data visualization. Over his career, ...

Emergency Medicine, Emergency Medical Services - military medicine, neglect, patient transport, hospice, EMTALA, toxicology, corporate practice of medicine, pediatric emergency medicine, end of life care, Disaster, EMS, delay of care, geriatric, HIPAA, austere environment, prehospital care, aviation, nursing home, transfer, wilderness

20 years of experience in emergency medicine and former EMS medical director. Currently on pause from clinical practice as I complete my JD.

HIPAA, Medical Billing - 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 • US COURT OF APPEALS considered expert opinions, VACATED AND REMANDED • Two DOJ retentions, $155 million settlement • Healthcare IT patents intellectual property Technical Expert, Medicare Damages Expert • Medical coding medical billing, claims, usual customary and reasonable charges in personal injury and medical malpractice cases, Lifecare plan rebuttal under ACA on the future cost of care, trauma • Electronic medical record forensics / electronic health record forensics, E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud • genetic testing, novel genetic sequencing, esoteric testing, laboratory testing • HIPAA Privacy, Security, Blockchain special studies MIT • Affordable Care Act, HITECH Act, electronic medical records, meaningful use, patents, and intellectual property in heal Healt...

HIPAA, Medical Billing - 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 • US COURT OF APPEALS considered expert opinions, VACATED AND REMANDED • Two DOJ retentions, $155 million settlement • Healthcare IT patents intellectual property Technical Expert, Medicare Damages Expert • Medical coding medical billing, claims, usual customary and reasonable charges in personal injury and medical malpractice cases, Lifecare plan rebuttal under ACA on the future cost of care, trauma • Electronic medical record forensics / electronic health record forensics, E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud • genetic testing, novel genetic sequencing, esoteric testing, laboratory testing • HIPAA Privacy, Security, Blockchain special studies MIT • Affordable Care Act, HITECH Act, electronic medical records, meaningful use, patents, and intellectual property in heal Healt...

Podiatry, HIPAA - All foot and ankle fractures, sprains, wounds, infection and standard of care. HIPPA and compliance.

Dr. King-Adekunle is board-certified in Primary Podiatric Medicine by the American Board of Multiple Specialties in Podiatry. She is an experienced medical professional with a background in health services administration and compliance. Her area of specialty is geriatric foot care treatments affected by arthritis, diabetic wounds and chronic skin conditions. Dr. King-Adekunle is a graduate of the Pace University in Westchester County, NY with a BS in Biology/minor in Chemistry. This is followed by her education at the Temple University School of Podiatric Medicine in Philadelphia, PA where she was awarded her Doctor of Podiatric Medicine degree. She completed her podiatry residency at the Veteran’s Administration Medical Center in Wilmington, DE. Dr. King-Adekunle also completed her MBA degree at Widener University in Chester, PA in 2004. Her career has included private podiatry practice, long-term care podiatry consulting (White Plains, NY and Atlanta, Georgia), and healt...

HIPAA, Medical Billing - 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 • US COURT OF APPEALS considered expert opinions, VACATED AND REMANDED • Two DOJ retentions, $155 million settlement • Healthcare IT patents intellectual property Technical Expert, Medicare Damages Expert • Medical coding medical billing, claims, usual customary and reasonable charges in personal injury and medical malpractice cases, Lifecare plan rebuttal under ACA on the future cost of care, trauma • Electronic medical record forensics / electronic health record forensics, E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud • genetic testing, novel genetic sequencing, esoteric testing, laboratory testing • HIPAA Privacy, Security, Blockchain special studies MIT • Affordable Care Act, HITECH Act, electronic medical records, meaningful use, patents, and intellectual property in heal Healt...

Health Informatics, HIPAA - Electronic Health Information Systems, (CPHIMS) Medical Records, Healthcare EDiscovery, (CEDS) Information Governance, Electronic Health Records, Health Insurance, Healthcare Compliance, Clinical Documentation, CEDS, RHIA, Quality Improvement (CPHQ)

Kimberly is a credentialed (MBA, MJ, PBCI, RHIA, CPHIMS, CEDS CPHQ, FAHIMA) healthcare ediscovery, HIPAA, information governance, quality management, and compliance professional with over 30 years of experience in a variety of healthcare settings. She is a national speaker and author on the topics of health information operations, including HIPAA, e-discovery, information governance and healthcare compliance. Kim has been an active member of the Health Level Seven (HL-7) Working Group responsible for review and development of the Records Management and Evidentiary Support (RM-ES) profile for the design and development of the functional profile for Electronic Health Record (EHR) systems since 2006. She has also been an active member and contributor in AHIMA task forces and working groups related to electronic discovery. Kim holds a Master’s of Business (MBA) from the Lake Forest Graduate School of Management, a Master’s of Jurisprudence (MJ) in Health Law and Policy from the Loyola S...

HIPAA, Medical Billing - 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 • US COURT OF APPEALS considered expert opinions, VACATED AND REMANDED • Two DOJ retentions, $155 million settlement • Healthcare IT patents intellectual property Technical Expert, Medicare Damages Expert • Medical coding medical billing, claims, usual customary and reasonable charges in personal injury and medical malpractice cases, Lifecare plan rebuttal under ACA on the future cost of care, trauma • Electronic medical record forensics / electronic health record forensics, E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud • genetic testing, novel genetic sequencing, esoteric testing, laboratory testing • HIPAA Privacy, Security, Blockchain special studies MIT • Affordable Care Act, HITECH Act, electronic medical records, meaningful use, patents, and intellectual property in heal Healt...

HIPAA, Medical Billing - 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 • US COURT OF APPEALS considered expert opinions, VACATED AND REMANDED • Two DOJ retentions, $155 million settlement • Healthcare IT patents intellectual property Technical Expert, Medicare Damages Expert • Medical coding medical billing, claims, usual customary and reasonable charges in personal injury and medical malpractice cases, Lifecare plan rebuttal under ACA on the future cost of care, trauma • Electronic medical record forensics / electronic health record forensics, E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud • genetic testing, novel genetic sequencing, esoteric testing, laboratory testing • HIPAA Privacy, Security, Blockchain special studies MIT • Affordable Care Act, HITECH Act, electronic medical records, meaningful use, patents, and intellectual property in heal Healt...

HIPAA, Medical Billing - 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 • US COURT OF APPEALS considered expert opinions, VACATED AND REMANDED • Two DOJ retentions, $155 million settlement • Healthcare IT patents intellectual property Technical Expert, Medicare Damages Expert • Medical coding medical billing, claims, usual customary and reasonable charges in personal injury and medical malpractice cases, Lifecare plan rebuttal under ACA on the future cost of care, trauma • Electronic medical record forensics / electronic health record forensics, E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud • genetic testing, novel genetic sequencing, esoteric testing, laboratory testing • HIPAA Privacy, Security, Blockchain special studies MIT • Affordable Care Act, HITECH Act, electronic medical records, meaningful use, patents, and intellectual property in heal Healt...

Employment, Medical Management - Human resources, HR, healthcare, hospitals, employee relations, hiring, labor relations, union avoidance, background checks, investigations, drug testing, sexual harassment, termination, collective bargaining agreement, discipline, workplace violence, HIPAA, performance evaluation, FMLA, ADA, WC

Executive-level human resources leader. 35+ years of experience in employee and labor relations, as well mediation conflict resolution, employee training development, and resource allocation assessments. Special experience in healthcare human resources. 13-year Marine Corps veteran, including Gulf War. Experience also includes RIFs, Layoffs, Reduction in Force, Leave of Absence, Reasonable Accommodations, Interactive Meetings, Americans with Disabilities Act, and Job Descriptions.

HIPAA, Medical Billing - 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 • US COURT OF APPEALS considered expert opinions, VACATED AND REMANDED • Two DOJ retentions, $155 million settlement • Healthcare IT patents intellectual property Technical Expert, Medicare Damages Expert • Medical coding medical billing, claims, usual customary and reasonable charges in personal injury and medical malpractice cases, Lifecare plan rebuttal under ACA on the future cost of care, trauma • Electronic medical record forensics / electronic health record forensics, E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud • genetic testing, novel genetic sequencing, esoteric testing, laboratory testing • HIPAA Privacy, Security, Blockchain special studies MIT • Affordable Care Act, HITECH Act, electronic medical records, meaningful use, patents, and intellectual property in heal Healt...

Nursing Administration, Medical Management - Medication errors, patient falls, restraints, restrictive interventions, central lines, infection prevention, infection control, CLABSI, CAUTI, pressure ulcers, bedsores, informed consent, HIPAA, staffing, delegation, scope of care, sedation, endoscopy, radiology, critical care, ICU

I am a Registered Nurse leader with a Master’s Degree and professional certification in Nursing Leadership. With strong bedside and management experience in Critical Care and procedural departments, I have dedicated many years to ensuring quality and compliance in high-performing patient care areas. This includes addressing patient care issues such as patient falls, pressure ulcer prevention, physical restraints, infection prevention, and procedural sedation; regulatory issues such as HIPAA, scope of care, delegation, and informed consent; and evaluating the circumstances around adverse events such as medication errors, patient misidentification, and incorrect execution of orders. I have precepted new hires, developed onboarding programs, and been extensively involved with hiring, performance evaluations, disciplinary steps, and maintaining a just culture. I am comfortable and experienced with documentation audits and medical record chart review. I have been a Registered Nurse sinc...

HIPAA, Medical Billing - 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 • US COURT OF APPEALS considered expert opinions, VACATED AND REMANDED • Two DOJ retentions, $155 million settlement • Healthcare IT patents intellectual property Technical Expert, Medicare Damages Expert • Medical coding medical billing, claims, usual customary and reasonable charges in personal injury and medical malpractice cases, Lifecare plan rebuttal under ACA on the future cost of care, trauma • Electronic medical record forensics / electronic health record forensics, E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud • genetic testing, novel genetic sequencing, esoteric testing, laboratory testing • HIPAA Privacy, Security, Blockchain special studies MIT • Affordable Care Act, HITECH Act, electronic medical records, meaningful use, patents, and intellectual property in heal Healt...

HIPAA, Medical Billing - 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 • US COURT OF APPEALS considered expert opinions, VACATED AND REMANDED • Two DOJ retentions, $155 million settlement • Healthcare IT patents intellectual property Technical Expert, Medicare Damages Expert • Medical coding medical billing, claims, usual customary and reasonable charges in personal injury and medical malpractice cases, Lifecare plan rebuttal under ACA on the future cost of care, trauma • Electronic medical record forensics / electronic health record forensics, E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud • genetic testing, novel genetic sequencing, esoteric testing, laboratory testing • HIPAA Privacy, Security, Blockchain special studies MIT • Affordable Care Act, HITECH Act, electronic medical records, meaningful use, patents, and intellectual property in heal Healt...

Health Informatics, Software Engineering - EMR - Electronice Medical Records, EHR - Electronic Health Records, Medical Records Forensics, Medical Records, Cerner, Epic, Meditech, Health Records, HIPAA, Expert Witness, Computer Forensics, Audit Trails

As an EMR forensics expert I can help others interpret the paper records that are generated from an EMR. Understanding the entire technical architecture and the complex regulatory requirements in healthcare requires a depth of understanding of the entire technical stack along with knowing the types of technologies used in healthcare. I am able to do a front end and back analysis to ensure integrity, sequence of events and completeness of comprehensive medical records. Having spent my entire career in healthcare I provide a deep understanding of the clinical, technical and healthcare workflow to articulate clearly to a jury the sequence of events in medical legal cases. I have practiced as an RN in many settings and have been a CIO of two major academic hospitals in the Greater New York area. I have designed, built, tested and deployed EMRs across the country including Cerner and Epic EMRs. Should you need the services of an EMR forensics expert to augment analysis, understandin...

Employment, Medical Management - Human resources, HR, healthcare, hospitals, employee relations, hiring, labor relations, union avoidance, background checks, investigations, drug testing, sexual harassment, termination, collective bargaining agreement, discipline, workplace violence, HIPAA, performance evaluation, FMLA, ADA, WC

Executive-level human resources leader. 35+ years of experience in employee and labor relations, as well mediation conflict resolution, employee training development, and resource allocation assessments. Special experience in healthcare human resources. 13-year Marine Corps veteran, including Gulf War. Experience also includes RIFs, Layoffs, Reduction in Force, Leave of Absence, Reasonable Accommodations, Interactive Meetings, Americans with Disabilities Act, and Job Descriptions.

Occupational Medicine, HIPAA - Nurse Case Management Administration, Worker's Compensation, Patient Advocacy, Nurse Case Management Opioid Interventions, Care Coordination.

Certified Case Manager, Certified Rehabilitation Nurse, Certified in Case Management with the American Nurses Commission & a Fellow with the American Academy of Nursing. Master of Jurisprudence in Healthcare Law and Policy as well as a Master's in Nursing Degree. Kathleen Fraser is a Registered Nurse, a Certified Case Manager, a Certified Rehabilitation Registered Nurse, and Board Certified in Case Management with the American Nurses Credentialing Center. She specializes in Occupational Medicine, Patient Advocacy and HIPAA with a focus on Case Management, Workers’ Compensation, Opioid Crisis Management and Education for Nurses and Case Managers. Kathleen holds a Masters' degree in Nursing, Healthcare Administration and most recently a Masters' of Jurisprudence in Healthcare Law & Policy from Texas A & M University School of Law. Kathleen's beginning nursing background included Acute Care, Emergency Room, Labor & Delivery and as a Director of Nursing. 30 years ago, she entered ...

Internal Medicine, Hospitalist - Independent medical examiner, medical bariatrics, medical billing, Diabetes, Hipaa, hospice and palliative care, HMO, life care planning, long term care, medical billing and coding, medical management, obesity, preventive medicine, urgent care

Internal Medicine, Hospitalist - Independent medical exam, HIPAA, Internal Medicine, Hospitalist, Geriatrics

Dr Ugorji is board certified in internal medicine. She is actively practice clinical medicine and has over 10 years experience in acute care including critical care access, level 2 trauma centers and telemedicine. She wants to work with attorneys on cases where her expertise in medical fraud, medical necessities and billing/coding is needed.

HIPAA, Medical Billing - 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 • US COURT OF APPEALS considered expert opinions, VACATED AND REMANDED • Two DOJ retentions, $155 million settlement • Healthcare IT patents intellectual property Technical Expert, Medicare Damages Expert • Medical coding medical billing, claims, usual customary and reasonable charges in personal injury and medical malpractice cases, Lifecare plan rebuttal under ACA on the future cost of care, trauma • Electronic medical record forensics / electronic health record forensics, E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud • genetic testing, novel genetic sequencing, esoteric testing, laboratory testing • HIPAA Privacy, Security, Blockchain special studies MIT • Affordable Care Act, HITECH Act, electronic medical records, meaningful use, patents, and intellectual property in heal Healt...