Medical Billing Expert Witness Listings

Welcome to our Medical Billing expert directory. Browse the profiles below to find the right expert witness in Medical Billing 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 Expert Witness, Medical Coding Expert Witness - 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
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, ane...


San Clemente, California
Medical Coding Expert Witness, Medical Billing Expert Witness - Forensic Medical Coder / Biller - UCR Certified Fraud Examiner CFE, Certified Healthcare Compliance CHC, Certified Professional Coder / Certified Instructor, Certified in Medical Reimbursement and Billing, Registered Health Info. Admin.- Medical Documentation Specialist, HIPAA, FCA
Published author and national speaker on the topic of Medical Coding, Healthcare Compliance and Healthcare Fraud; Co-Contributor of the AAPC Certified Professional Compliance Officer curriculum; Co-Author and Presenter of the CMS / OIG presentation: ACA Provider Compliance Programs - Getting Started Webinar; Assisted AZ to identify (they recouped $35 Mil) largest Healthcare Fraud in AZ history; Previous job roles included: Director of Compliance for largest provider group in AZ; Medical Coding Manager, Reimbursement Manager and Compliance Liaison for University Physician Group - Department of Medicine; Corporate Responsibility Auditor for a large 3 Hospital network; Medium and Small Practice Administrator; Professor and Instructor in the area of Medical Coding, Billing, Health Information Management and Healthcare Fraud; Professor and Curriculum Designer / Instructor for Medical Coding, Billing, Compliance and Fraud courses; Provider Educator - Medical Billing, Coding - Con...


WILTON, Connecticut
Medical Coding Expert Witness, Medical Billing Expert Witness - CPT codes, Bill & Coding, Compliance, Accounts Receivable Reduction, Bill Review, Personal Injury Bill Reduction, Attorney education on consumers have rights too, Bill Analaysis, UCR pricing.
Beth Morgan, President & CEO, is a Certified Professional Coder (CPC) and Compliance Specialist (MCS-P) since 2004. Over the past 20 years she has worked in several areas of the medical profession doing billing and coding for all sorts of providers. Her knowledge and expertise has enabled her to not only reduce provider’s accounts receivables but medical bills by 51%. She has access to a broad base of insurance company policy information, and is an information contributor, to radio and TV shows as well as magazine articles. Medical Bill Detectives reviews medical bills for errors and overcharges, reducing them down to Usual Reasonable and Customary charges and negotiating discounts for the uninsured and underinsured.

Joel Grossman, MD

Miami, Florida
Medical Billing Expert Witness, Medical Coding Expert Witness - Bill Negotiation, Medical bill audit, CPT coding, Medical bills, Hospital bills, Doctor bills, Physician bills, Surgery bills, PIP, Implant cost data, Reasonable charges, Overbilling by provider
Joel Grossman, M.D. also provides bill negotiation of hospital and ambulatory surgery center claims on behalf of workers' compensation payers throughout the U.S. Dr. Grossman has lengthy experience and enjoyed unmatched success in performing bill negotiation over 20 years for the largest workers' compensation company in Florida. I provide primarily defense testimony in the way of bill re-coding and re-pricing on behalf of payers of medical claims such as automobile, premises liability and general personal injury insurers. I have testified in numerous cases over the past several years. Medical billing and coding is not as much a science as it is an accounting process. I provide the kind of testimony that helps a jury understand the defense’s position relative to the reasonableness of medical expenses. Typically I am the defense’s only witness who can testify that the medical charges in a claim were or were not reasonable. A longtime and still current member of the Americ...

Jeannene Stokes-McWilliams, CMRS TD&P Consulting Inc.

Silver Spring, Maryland
Medical Billing Expert Witness, Medical Coding Expert Witness - Medical Reimbursement, Reimbursement Analyst
Ms. Stokes-McWilliams specializes in the areas of behavioral health management, case management as well as home health care for vulnerable populations and special needs reimbursement. As an experienced healthcare professional, she has worked in hospitals and acute care settings for over 20 years. Stokes-McWilliams graduated from Bowie State University where she majored in human services and specialized in business administration. She has certifications in medical billing and coding, behavioral health and substance abuse counseling, and is a certified medical reimbursement specialist.

Thomas E. Davis, MD, FAAFP

St. Louis, Missouri
Family Medicine Expert Witness, Medical Billing Expert Witness - Medical Coding, Medicare Fraud, Medicaid Fraud, Upcoding, Medical Necessity, Qui Tam, Medicare Abuse, Health Insurance Fraud, Nursing Homes, Nursing Home Medical Director, Shared Risk Compensation, Accountable Care Organization (ACO), Medical Management, Telemedicine, Hospice
Board-Certified Family Physician with over 24 years of clinical experience. Regularly named one of the Best Doctors™ in St. Louis. Clinical experience includes general Family Medicine, tele-medicine, skilled and custodial nursing home care, nurse practitioner supervision and hospice. Specialized training, certification, and experience in medical coding and compliance under the Medicare, Medicare Advantage and Medicaid systems. Award winning teacher with over twenty years’ teaching experience. Licensed in Missouri, Ohio, and Texas. Completed 28 hours of SEAK Expert Witness Training.

James E Alexander, Jr., MD Healthcare Compliance Management, LLC

Fort Worth, Texas
Medical Billing Expert Witness, Medical Coding Expert Witness - Qui Tam, Health Insurance Fraud, Health Insurance Abuse, Medicare, Medicare Fraud, Medicare Abuse, Medical Policy, Medical Necessity in Medicare, Medicare LCDs, Medicare NCDs, Medicare Coding, Medicare Billing, Health Insurance Coding, Upcoding, Medical Devices, New Medical Technology
Completed SEAK Expert Witness Training. Experience working on 3 large qui tam cases. Retired Captain (O-6) United States Navy. Board Certified General Surgeon. Partner in Healthcare Compliance Management, LLC, a consulting firm incorporated in Texas. Dr. Alexander and his partners established HCM in early 2002 and since that time he has been involved in numerous healthcare compliance consulting projects for major pharmaceutical and medical device manufacturers, large and small hospitals, cancer centers, large and small physician groups, other consulting entities as a special consultant, and legal firms (both as a consultant and as an expert witness).

Rhonda R Guitreau Medical Reimbursement Specialists

Dallas, Texas
Medical Billing Expert Witness, Medical Coding Expert Witness - 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
You can also find Medical Billing Expert Witnesses in:
Texas, California, Missouri, Florida, Connecticut, and Maryland
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