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Expert Witnesses & Forensic Consultants Directory

Medical Billing & Coding — United States

Medical Billing & Coding United States expert witnesses provide audits, reviews and opinions in issues of DRG codes, upcoding, unbundling, ICD/CPT coding, PATH audits, reasonable and customary (UCR) fees, utilization limits and utilization reviews, and alleged workers’ compensation, medicare and medicaid fraud and abuse. This includes cases involving payor provider disputes, provider billing organization disputes, personal injury and alleged malpractice.

The medical coding experts profiled in this directory may consult on billing disputes involving the International Classification of Disease (ICD-10) codes, Current Procedural Terminology (CPT) codes, ICD-9, DRG codes (diagnosis-related groupings) and other coding systems, the evaluation of clinical documentation and coding, and the provision of audits of medical bills.

These experts may also provide opinions on the methodology for UCR costs, charges adjusted for regional market billing and the use of geographic adjustment factors (GAF).

U.S. Hospital Rate for Childbirth in 1922, $50, in 2018, $22,000
Redit

About 17 results (0.07 seconds) — Results include first those located in the region, then those who serve in the region.

Double Board-Certified Dermatologist and Mohs Surgeon

21+ years of clinical experience. 30,000+ surgeries. 100k+ patients treated. Provides independent record review, deposition, and testimony on standard of care across medical & surgical dermatology. Available nationwide.

Santa Monica, CA

Expert Witness Referrals to Medical, Technical & Scientific Professionals

Expert Witness referrals United States and Internationally. This is a free referral to attorneys, barristers and insurance companies. View full CVs of experts on-line.

Chula Vista, CA

Expert Witness Medical Billing Fraud Electronic Health Records

Medical coding expert witness, medical billing expert witness, of HIPAA expert witness, medical coding/billing, clinical documentation, billing fraud, reasonable and customary fees, claims processing, HITECH Act, Affordable Care Act, workers comp. fraud.

Newport Beach, CA

Brad S. Kanter, CPA/CGMA/CFF, CFE, CFI, CVA/MAFF, EA, FCPA, MAC - FAZ Forensics

Broad based financial forensic services that recognize investigating and examining people and money are both an art and a science in any forensic accounting investigation. The application of behavioral credibility analysis delivers on this methodology.

Patrice Morin Resch, CPMA, CPC, & Associates

Expert testimony in the areas of medical coding, billing, audits, fraud & abuse, Medicare fees plus usual, customary and reasonable fees, and 3rd party payments.

L. Neal Freeman, MD, MBA — Coding and Physician Reimbursement Analysts

Highly experienced physician/surgeon + certified professional medical auditor and coding specialist

L. Lamar Blount, CPA - Health Law Network (HLN)

Peer-reviewed methodologies & Appellate proven testimony on reasonableness of medical billing by experienced professionals providing consulting services, audits & investigations for plaintiffs, defendants and healthcare providers in 50 states.

Beth Morgan, CPC, MCS-P Alicia Scott, CPC, CPC-I, CRC

Professional Coder (CPC) and Compliance Specialist (MCS-P), 12+ yr. Over 20 yr experience in medical billing and coding for many providers. Acts as an expert witness in CPT codes, compliance, insurance standards, Usual Reasonable and Customary charges

Dawn Cook - RN, CNLCP, CLCP

Life Care Planning, Future Medical Cost Projections, Medical Bill Reviews, and Expert Testimony.

Jan Roughan, BSN, PHN, RN, CRRN, CNLCP, CCM — Roughan & Associates

Rehabilitation nurse specialist provides case management, life care planning and expert witness services, including: damages/reasonableness of past meds; medical record review, analysis; video services (day in the life; etc.); medical bill auditing

Healthcare Billing Expert — Jacqueline Nash Bloink,

Healthcare Management specialist and Certified Fraud Examiner provides forensic medical coding, billing (UCR) incl. expert testimony in healthcare fraud, healthcare operations and compliance. Certified Professional Coder and Healthcare Compliance.

San Clemente, CA

Michael F. Sedrak, MD

Surgeon expert in bariatric, breast, general and laparoscopic surgery, as well as burns, emergency, trauma and hernia. Provides case review, screening for merit, deviation from standard of care, medical bill auditing and record tampering. Licensed CA, NY.

Los Angeles, CA

Areas of Expertise: Laparoscopic Surgery

Tel: (310) 728-0494

Limited public information. For more, contact us.

Rebecca A. Reier, BS, RN CRNA (Ret.), CCS-P

Experienced expert witness in medical billing litigation regarding usual, customary and reasonable medical fees. Summa cum laude BS, CRNA (Retired-CRNA) from Ohio State University and a Certified Coding Specialist (CCS-P) from the AHIMA.

Areas of Expertise: Medical Billing & Coding

Tel: (937) 548-3063

Limited public information. For more, contact us.

Mark L. Friedman, MD — Medical Billing & Coding

Consulting / expertise in medical billing, coding and cost containment as well as medical care / malpractice.

Georgeann Edford, RN, MBA, CCS-P — Coding Compliance Solutions

Expert in coding and medical records provides investigations and litigation support in medical billing matters, including: medicare fraud and abuse; allegations relating to DRG upcoding, unbundling, PATH audits, CPT coding, audits, etc.

Carole St. Pierre-Engels MD, FACEP, CPC

Board Certified in Emergency Medicine, 21+ years, provides medical records and case review vis-a-vis standards of care, assessment of case merit, audits of itemized medical bill(s), deposition and/or expert testimony as needed and related services.

Areas of Expertise: Emergency Medicine

Tel: (207) 498-4003

Limited public information. For more, contact us.

Susan Garrison, CHC, CCS-P — Med Law Advisors, Inc.

Healthcare management consultant and auditor provides expert witness testimony and opinions in matters of: documentation, coding, billing, compliance, litigation support, revenue enhancement, revenue cycle operations, and professional communications.

Dawsonville, GA

Areas of Expertise: Medical Billing & Coding

Tel: 800.381.9960 ext. 705,

Limited public information. For more, contact us.

Experts in the News

Federal Rules of Evidence for AI

Jun 21 — The Federal Judicial Conference’s Advisory Committee on Evidence Rules is considering changes to the federal rules of evidence due to the advancement of Artificial Intelligence, especially with issues of deep fakes in evidence.