Audit Expert Witnesses

Danville, California

Banking, Financial - Regulatory Compliance, Risk Management, PPP, Paycheck Protection Program, Elder Financial Exploitation, EFE, Credit Risk, Fraud, BSA, AML, Underwriting, Policy, Procedures, Best Practices, Lender Liability, Compliance, Audit, Fintech, Construction, Covenants

Call or text anytime for CV at 650-703-7009.

California

Medical Billing, Insurance - Managed Care, HMO, PPO, Medicare, Medicaid, Reasonable Value, Audit, Hospital, ERISA, Usual and Customary, Reimbursement Disputes, Claims Denials, Athena Billing, Out-of-Network, Balance Billing, Fee Schedule Analysis, Expert Testimony, Medical Necessity, Multi-State, Healthcare Reimbursement

I have over 35 years of experience in medical billing, reimbursement, and managed care systems, with expertise spanning provider operations, payer methodologies, and claims adjudication practices. My work focuses on evaluating medical billing accuracy, reimbursement methodologies, usual and customary charges, and payer denial practices. Practice includes multi-state reimbursement analysis, with extensive experience in California managed care systems, including HMO, IPA, and risk-based reimbursement structures, as well as Medicare Advantage and national payer methodologies. I have served in multiple roles, including claims examiner, billing manager, revenue cycle executive, and founder of a national medical billing and audit firm. This multidisciplinary experience allows me to analyze disputes from both the provider and payer perspectives. Experience includes analyzing billing system workflows and claims processing issues across platforms such as Athenahealth. My expert work includ...

Florida

Construction, Dispute Resolution - Construction Delay, Disruption, Productivity Loss, Quantum of Damages, Critical Path Delay, Change Orders, Scope Change, Termination, CPM Scheduling, Audit, Construction Claim, Acceleration, Cumulative Impact, Extended General Conditions, Extension of Time, Liquidated Damages, Concurrent Delay

According to Lexology Index: Mr. Sturm is known for being "extremely competent, knowledgeable and reliable." Mr. Sturm excels in delivering clear, well-structured expert opinions in construction disputes, with his "great subject matter expertise" and "top quality work product," earning him recognition in arbitration and litigation proceedings." Mr. Sturm has over 20 years of experience in the engineering and construction industry working in contractor, owner, and and expert consultant capacities. His expertise was developed while working on the delivery of large-scale and complex construction projects and within the context of claims and disputes. He has been appointed as an independent expert providing both written and oral opinion evidence regarding matters of programming and project delay, studies in working disruption and productivity, extension of time entitlement, forensic accounting, job cost auditing, and the quantification of additional costs incurred. Mr. Sturm has a de...

Atlanta, Georgia

Construction, Dispute Resolution - Construction Delay, Disruption, Productivity Loss, Quantum of Damages, Critical Path Delay, Change Orders, Scope Change, Termination, CPM Scheduling, Audit, Construction Claim, Acceleration, Cumulative Impact, Extended General Conditions, Extension of Time, Liquidated Damages, Concurrent Delay

According to Lexology Index: Mr. Sturm is known for being "extremely competent, knowledgeable and reliable." Mr. Sturm excels in delivering clear, well-structured expert opinions in construction disputes, with his "great subject matter expertise" and "top quality work product," earning him recognition in arbitration and litigation proceedings." Mr. Sturm has over 20 years of experience in the engineering and construction industry working in contractor, owner, and and expert consultant capacities. His expertise was developed while working on the delivery of large-scale and complex construction projects and within the context of claims and disputes. He has been appointed as an independent expert providing both written and oral opinion evidence regarding matters of programming and project delay, studies in working disruption and productivity, extension of time entitlement, forensic accounting, job cost auditing, and the quantification of additional costs incurred. Mr. Sturm has a de...

North Carolina

Construction, Dispute Resolution - Construction Delay, Disruption, Productivity Loss, Quantum of Damages, Critical Path Delay, Change Orders, Scope Change, Termination, CPM Scheduling, Audit, Construction Claim, Acceleration, Cumulative Impact, Extended General Conditions, Extension of Time, Liquidated Damages, Concurrent Delay

According to Lexology Index: Mr. Sturm is known for being "extremely competent, knowledgeable and reliable." Mr. Sturm excels in delivering clear, well-structured expert opinions in construction disputes, with his "great subject matter expertise" and "top quality work product," earning him recognition in arbitration and litigation proceedings." Mr. Sturm has over 20 years of experience in the engineering and construction industry working in contractor, owner, and and expert consultant capacities. His expertise was developed while working on the delivery of large-scale and complex construction projects and within the context of claims and disputes. He has been appointed as an independent expert providing both written and oral opinion evidence regarding matters of programming and project delay, studies in working disruption and productivity, extension of time entitlement, forensic accounting, job cost auditing, and the quantification of additional costs incurred. Mr. Sturm has a de...

Portland, Oregon

Pharmacology- Clinical, Geriatrics - Yale, PhD, Toxicology, malpractice, Iatrogenic, Delirium, Polypharmacy, Clinical Causation, Expert Witness, Prescribing Cascade, Nursing Home, MAR, Audit, Antipsychotics, Standard of Care, Pharmacological Interaction, Behavioral Pharmacology, Geriatric Falls, Merit Review, PharmD

Dr. David Lee is a Yale-trained clinical pharmacist and researcher specializing in the intersection of pharmacological causation, iatrogenic harm, and geriatric standard-of-care deviations. With a dual-doctorate background in Clinical Pharmacology (Ph.D.) and Pharmacy (Pharm.D.), Dr. Lee provides high-level forensic analysis for complex litigation involving medication-related injury, toxicology, wrongful death, and systemic institutional neglect. His work is defined by the "Unfiltered Brain" framework—a rigorous clinical methodology for identifying the "Prescribing Cascade" and iatrogenic delirium in geriatric populations. Dr. Lee specializes in translating complex longitudinal data, pharmacokinetic/pharmacodynamic (PK/PD) principles, and pharmacoepidemiology into clear, unassailable evidence for legal and executive stakeholders. Forensic Areas of Expertise Pharmacological Causation: Determining specific drug-related mechanisms of injury in civil and criminal matters. Iatrogenic...

McKinney, Texas

Medical Billing, Insurance - Managed Care, HMO, PPO, Medicare, Medicaid, Reasonable Value, Audit, Hospital, ERISA, Usual and Customary, Reimbursement Disputes, Claims Denials, Athena Billing, Out-of-Network, Balance Billing, Fee Schedule Analysis, Expert Testimony, Medical Necessity, Multi-State, Healthcare Reimbursement

I have over 35 years of experience in medical billing, reimbursement, and managed care systems, with expertise spanning provider operations, payer methodologies, and claims adjudication practices. My work focuses on evaluating medical billing accuracy, reimbursement methodologies, usual and customary charges, and payer denial practices. Practice includes multi-state reimbursement analysis, with extensive experience in California managed care systems, including HMO, IPA, and risk-based reimbursement structures, as well as Medicare Advantage and national payer methodologies. I have served in multiple roles, including claims examiner, billing manager, revenue cycle executive, and founder of a national medical billing and audit firm. This multidisciplinary experience allows me to analyze disputes from both the provider and payer perspectives. Experience includes analyzing billing system workflows and claims processing issues across platforms such as Athenahealth. My expert work includ...