Medical Billing Expert Witnesses

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Medical billing expert witnesses practice in a variety of fields, including healthcare administration, medical coding, health insurance, medical records review, and healthcare compliance. Some of the most common specialties among medical billing expert witnesses also include Medicare/Medicaid billing, hospital billing, ambulatory surgical center billing, physician billing, and emergency medicine billing. They can opine on the effects of fraudulent billing practices, improper coding, non-compliance with insurance regulations, overcharging patients, and discrepancies in medical records.

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Medical Billing and Consulting Expert WitnessView profile

E-008375

Medical Billing and Consulting Expert Witness

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Maryland

This qualified expert has over 17 years in healthcare administration, medical accounts, and medical billing matters. She received both an A.A. and B.S. in Health Care Administration from the University of Phoenix. Her previous positions include managerial positions in medical billing departments at various companies including Johns Hopkins, GE Healthcare and LifeBridge Health. She currently works...

Medicare Rules and Regulations Expert WitnessView profile

E-050744

Medicare Rules and Regulations Expert Witness

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Illinois

This board certified physician is currently an active consultant in medical billing compliance, device and drug marketing, and claims data analysis. He has recently been involved as consultant and expert witness in Medicare criminal and civil litigation, Qui Tam cases and administrative hearings. The expert recently served as a Medical Consultant for ICD-10 transition, coding, and policy at...

Medical Billing Expert WitnessView profile

E-023088

Medical Billing Expert Witness

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California

This highly qualified expert has 35+ years of experience in the healthcare arena ranging from hands-on clinical to the executive level of operations. He specializes in medical billing, collections, and in the financial performance of businesses, along with business practices. He received his BSN degree from Arizona State University and his MBA degree in finance from the University of Southern...

Medical Records Expert WitnessView profile

E-182680

Medical Records Expert Witness

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Texas

This expert in EMR and Hospital Billing systems has worked as a certified Epic consultant with various healthcare providers for the past 7 years. He is currently certified in 10 Epic applications ranging from hospital billing to CDM and ASAP. He has previously held positions as a Senior Epic Consultant at multiple hospitals, as an Epic Instructional Designer, and as an Epic Revenue Cycle Report...

Medicaid Regulations Expert WitnessView profile

E-472200

Medicaid Regulations Expert Witness

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Indiana

This highly qualified expert earned his BA in political science from Ohio State University. He then went on to serve as a mediator for consumer protection at the Office of the Indiana Attorney General. He also served as the Director of Medicaid contract management, the director of Provider Relations for Indiana Medicaid and as the Medicaid Program Integrity Director at Indiana Family and Social...

Life Care Planning, Medical Cost Projection, & Medical Bill Review Expert WitnessView profile

E-541399

Life Care Planning, Medical Cost Projection, & Medical Bill Review Expert Witness

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Nevada

This highly qualified expert has been in the field of nursing for over four decades, with demonstrated experience in the areas of life care planning, medical cost projection, Medicare set asides, medical damage reports, and medical bill reviews. She received her BSN from Saint Olaf College and then her MS in nursing from Ohio State University. She is a registered nurse, as well as a certified...

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Medical Billing Expert Witness FAQs

A medical billing expert witness provides insight into the complexities of healthcare billing, coding, and regulations. They can testify on fraudulent practices, incorrect billing, or disputes between providers and insurers.

Cases involving health insurance fraud, wrongful denial of insurance claims, personal injury claims, malpractice suits, or any case where medical costs are disputed may benefit from a medical billing expert witness.

They can analyze patient records, invoices, and payment histories to identify discrepancies or fraudulent charges. Their expertise can provide crucial evidence in proving or disproving allegations of fraud.

Yes, some experts specialize in areas like Medicare/Medicaid billing, private insurance billing, hospital or clinic-specific billing practices, or specific types of treatment such as mental health or physical therapy.

Certified professionals have demonstrated their knowledge and adherence to industry standards. Their certification lends credibility to their testimony and ensures they're up-to-date with current practices.

Expert Institute offers a personalized approach to help you find the highest quality experts. We source actively-practicing professionals who match all your requirements for specialty areas, work experience, litigation history, fee range, certifications, location, and more.

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