Medicare Expert Witnesses in Missouri

This board-certified internal medicine and medical coding expert received his BA in zoology from Miami University before earning his MD from Loyola University. He subsequently completed an internal medicine residency at the University of Illinois. He is certified as a professional coder by the American Academy of Professional Coders, and holds additional certifications in advanced cardiac life support and basic life support. As a professional coder, this expert has experience that includes auditing of ICD-10, CPT, and HCPCS level II coding. He formerly served as a locum tenens physician in hospital medicine at Monroe Clinic and a physician advisor for South Florida Utilization Review. Currently, this expert serves as a hospital medicine physician for multiple hospitals in Illinois, a physician advisor for an independent medical review organization, and the medical director of a medical review organization in Georgia.

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 PricewaterhouseCoopers; he now runs his own consulting business and assists clients with all areas of Medicare coverage and billing.

This expert has over 60 years of experience in the field of insurance. He earned his BS at David Lipscomb University and is a Licensed Property and Casualty Insurance Agent, as well as a Life and Health Insurance Agent. He a certified Chartered Property and Casualty Underwriter, as well as an Associate in Risk Management. He is active in his field as a member of the National Chartered Property Casualty Underwriter Society, and has published on topics relating to the field of insurance. He has previously served as the Vice President of Tennessee Underwriters, and for the last 17 years has served as the President of an insurance consulting service in Tennessee.