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: Medical Billing, Medical Coding, Medicare, Coding, Independent Medical Examinations, Legal Medicine, Medical Devices, Addiction, Addiction Medicine, Audits, Benefits, Bundling, Chronic Pain, Complex Regional Pain Syndrome , and Crps.

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.

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...

Victoria Morgan, FHFMA Abacus Analytics

California
Medical Billing, Medical Coding - Medical Billing Expert, Medical Cost Expert, Healthcare Finance, Revenue Cycle Management
EXPERIENCE: Tahoe Forest Health District, Truckee, CA: June 2018 to Present – Director, Revenue Cycle Projects Responsible for coordination of all revenue cycle functions for 2 hospitals, a cancer center, surgery center, skilled nursing facility, hospice and 150 providers in various clinics in 2 states. Provide management oversite to systems development, charge description master (Revenue Integrity), business office, health information management, patient registration, and customer service. Facility uses both EPIC Hospital Billing (HB) and EPIC Physician Billing (PB) Abacus Analytics: Revenue Analyst/Expert Witness: June 2017 to Present Working as in independent reviewer / expert witness on 3rd party liability medical cases. Principal, Independent Revenue Cycle Consultant: 1991 - Present Consulting projects involve interacting with internal staff in all facets of the revenue cycle. Typical projects include focusing on operational assessments and issues involving staff. Emphas...

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 ...

Victoria Morgan, FHFMA Abacus Analytics

Reno, Nevada
Medical Billing, Medical Coding - Medical Billing Expert, Medical Cost Expert, Healthcare Finance, Revenue Cycle Management
EXPERIENCE: Tahoe Forest Health District, Truckee, CA: June 2018 to Present – Director, Revenue Cycle Projects Responsible for coordination of all revenue cycle functions for 2 hospitals, a cancer center, surgery center, skilled nursing facility, hospice and 150 providers in various clinics in 2 states. Provide management oversite to systems development, charge description master (Revenue Integrity), business office, health information management, patient registration, and customer service. Facility uses both EPIC Hospital Billing (HB) and EPIC Physician Billing (PB) Abacus Analytics: Revenue Analyst/Expert Witness: June 2017 to Present Working as in independent reviewer / expert witness on 3rd party liability medical cases. Principal, Independent Revenue Cycle Consultant: 1991 - Present Consulting projects involve interacting with internal staff in all facets of the revenue cycle. Typical projects include focusing on operational assessments and issues involving staff. Emphas...

Adam J Carinci, MD, MBA University of Rochester School of Medicine and Dentistry

Rochester, New York
Pain Management - Medicine, Anesthesiology - Complex Regional Pain Syndrome, CRPS, Reflex Sympathetic Dystrophy, RSD, Nerve Injury, Nerve Pain, Failed Back, Epidural Injections, Hematoma, Chronic pain, Opioids, Pill Mills, Overprescribing, Addiction, Fraud, IME, Independent Medical examinations, Medical Billing, Medical Coding, Fibromyalgia
Pain management thought leader. Chief of Pain Medicine at University of Rochester Medical Center. University of Rochester Faculty. Former Harvard Faculty. Johns Hopkins and Harvard trained. Winner of multiple awards for clinical excellence. Well-published. Significant teaching experience. Experienced expert witness at both deposition and trial. Broad variety of expert witness experience including CRPS litigation, medical malpractice, personal injury, overdose, and opioid fraud and abuse matters. Has performed over 500 independent medical examinations.

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, Reasonableness of Medical Bills, 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

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, Wisconsin, Florida, and Nevada