Medical Coding Expert Witnesses

The SEAK Expert Witness Directory contains a comprehensive list of medical coding expert witnesses who testify, consult and provide litigation support on medical coding and related issues. Medical coding expert witnesses and consultants on this page may form expert opinions, draft expert witness reports, and provide expert witness testimony at deposition and trial. The issues and subjects these medical coding expert witnesses testify regarding may include: Medicare, Coding, Legal Medicine, Medical Coding, Medical Devices, Medical Management, Medicare Fraud, Aca, Addiction Medicine, Affordable Care Act, Audits, Benefits, Bundling, Certified Healthcare Compliance Chc, and Certified In Medical Reimbursement And Billing.

Use the search box above to further refine your search for medical coding expert witnesses by keyword and state. Attorneys contact the experts directly – with no middleman.

JACQUELINE N BLOINK, MBA, RHIA, CFE, CHC, CPCO, CPC-I, CPC, CMRS JACQUELINE BLOINK LLC

Arizona
Medical Coding, Medical Billing - 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 - Cons...

JACQUELINE N BLOINK, MBA, RHIA, CFE, CHC, CPCO, CPC-I, CPC, CMRS JACQUELINE BLOINK LLC

San Clemente, California
Medical Coding, Medical Billing - 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 - Cons...

Roberto Contreras II, MD, CLCP California Life Care Planning Association

Huntington Beach, California
Life Care Planning, Internal Medicine - medical billing, life care planner, hospitalist, medical devices, medical management, medical coding, legal medicine, legal nurse consulting, nurse practitioner, obstetrics and gynecology, addiction medicine, family medicine, general practice, gynecology, consultative examinations
The California Life Care Planning Association was created by experts in the field of Life Care Planning, with more than 30 years of experience working in the health care industry. All of our professionals are Certified Life Care Planners, as well as active medical practitioners dedicated to assessing lifetime cost of care for individuals with catastrophic injuries/illness. What sets us apart from many other Life Care Planning organizations and individuals is that all of our Life Care Planners have active direct experience with patient care. We hold ourselves to a higher standard and hold all of our affiliates to that same higher standard. Whether it be plaintiff, defense , or any other client, our methodology is transparent and consistent. Given the healthcare backgrounds of our founders, all Life Care Plans and services are overseen by a Physician. Similar to a hospital setting, many of our services go through "rounding" with senior partners and physicians to make sure we are keep...

Ronda K Ash, CPC, CPMA, CHC, CIFHA RKAsh Consulting Associates Inc

Boynton Beach, Florida
Medical Coding, Medical Billing
Ronda K. Ash, CPC, CPMA, CHC, CIFHA is the President of RKAsh Consulting Associates, Inc., a healthcare consulting firm focusing on compliance, procedural and diagnosis coding, documentation education, auditing, and expert testimony. Ms. Ash embarked on her career in the medical coding arena for an Emergency Department more than 20 years ago. She quickly excelled due to her attention to detail and her commitment to quality, earning her a reputation as an industry leader. As such, she has been sought out as a key component in revenue optimization by physician groups and healthcare organizations as well as serving as an expert witness in the field of Medical Coding.

L. Neal Freeman, MD, MBA, CCS-P, CPMA Coding and Physician Reimbursement Analysts, Inc.

Viera, Florida
Medical Coding, Ophthalmology - Expert Surgeon + Coder + Auditor: Fair and reasonable value, Medical coding, physician coding, ophthalmology coding, optometry coding, reimbursement, eye care, coding, Medicare, healthcare fraud, audits, False Claims Act, National Correct Coding Initiative, bundling
Expert Surgeon + Coder + Auditor: L. Neal Freeman, MD, MBA, CCS-P, CPMA is a practicing physician and surgeon and is additionally certified as both a Coding Specialist-Physician-based and a Professional Medical Auditor. He provides expert services in medical coding, reimbursement, and compliance across all specialties. He is available for consultation, research, analysis, report generation, deposition, and trial testimony as an expert witness. He has been retained as an expert for plaintiff and defense. -State Representative, Florida Medicare Carrier Advisory Committee -Chair, Third Party Liaison Committee, Florida Society of Ophthalmology -Chair, Coding and Third Party Reimbursement Committee, American Society of Ophthalmic Plastic and Reconstructive Surgery -Representative, CPT Advisory Committee, American Medical Association -Assistant Professor, University of Central Florida College of Medicine -Chief of Ophthalmology, Holmes Regional Medical Center Areas of expertise ...

JACQUELINE N BLOINK, MBA, RHIA, CFE, CHC, CPCO, CPC-I, CPC, CMRS JACQUELINE BLOINK LLC

Nevada
Medical Coding, Medical Billing - 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 - Cons...

JACQUELINE N BLOINK, MBA, RHIA, CFE, CHC, CPCO, CPC-I, CPC, CMRS JACQUELINE BLOINK LLC

New Mexico
Medical Coding, Medical Billing - 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 - Cons...

JACQUELINE N BLOINK, MBA, RHIA, CFE, CHC, CPCO, CPC-I, CPC, CMRS JACQUELINE BLOINK LLC

Oregon
Medical Coding, Medical Billing - 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 - Cons...

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

Fort Worth, Texas
Medical Billing, Medical Coding - 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 4 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, Medical Coding - 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

Brian R Boyce, MHA, CBSHS, CRC, CPC, CTPRP, Cert. Coding Instructor, Cert. Clinical Bioethics Health Administration Advisors

Richmond, Virginia
Medical Coding, Health Informatics - 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 improvement, clinical informatics, coding audit, ICD-9, ICD-10, OIG audit
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...

JACQUELINE N BLOINK, MBA, RHIA, CFE, CHC, CPCO, CPC-I, CPC, CMRS JACQUELINE BLOINK LLC

Washington
Medical Coding, Medical Billing - 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 - Cons...

David Boll, DC CPC PES Expert Opinions / Comprehensive Chiropractic Services

Adell, Wisconsin
Chiropractic, Medical Coding - Sports Medicine, Malpractice, motor vehicle accidents, motor vehicle collisions, independent medical examinations, legal medicine, physical therapy, coding, standard of care, scope of practice, insurance fraud, benefits
Dr. Boll has extensive medicolegal experience and has been in practice since 1992. He has been retained nationwide for various cases. Dr. Boll assists numerous entities (law enforcement, law firms, insurance carriers, TPAs) as an Expert Witness, Consulting Witness, CPT and diagnostic coding issues, File Review, and Independent Medical Examinations, along with internal educational programs. He is a Certified Professional Coder (CPC) from AAPC and a Performance Enhancement Specialist (PES) from NASM. Dr. Boll has active licenses in both Wisconsin and Michigan. He continues to practice within his athletic training and conditioning facility, serving two school districts and consulting with professional racing sanctioning bodies regarding race weekend injury concerns. Dr. Boll was a former Chiropractic Services Director for an insurance company, where he assisted in writing guidelines, sitting on appeals panels, and establishing internal review and claims processing measures. He is a cu...
You can also find Medical Coding Expert Witnesses in:
Texas, Florida, California, Wisconsin, and Virginia