Medical Billing & Coding — California

Medical Billing & Coding California 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).