Coding Expert Witnesses

San Francisco, California

Ophthalmology, Optometry - Cataract, Glaucoma, Diabetic Retinopathy, eye, vision, eye injury, eye injuries, retina, macula, eye surgery, vision loss, patent, antitrust, eyedrops, pharmaceuticals, coding, reimbursement

Past President of the California Academy of Eye Physicians and Surgeons, and Associate Clinical Professor at UC-San Francisco, Dr. Andrew Calman brings comprehensive expertise in eye diseases, injuries and surgery, as well as outstanding availability and responsiveness. Attorneys have repeatedly praised Dr. Calman's deposition and courtroom skills. Most cases have settled favorably after his expert report or deposition. Dr. Calman is also knowledgeable about pharmacological patent and antitrust issues including Hatch-Waxman, Paragraph IV filings, inter parte review and BPCIA. Dr. Calman has served as an Ophthalmology Expert for the Medical Board of California, Associate Examiner for the American Board of Ophthalmology,and has developed national eye care policy with the Medicare Carrier Advisory Committee and the American Academy of Ophthalmology. He has an active private practice in San Francisco's Mission District, treating a wide variety of medical and surgical eye problems. D...

San Marino, California

Internal Medicine, Hospitalist - Medical Director, HMO, Medicare Advantage, Insurance, HCC, RAF, Coding, Billing, Contracts

Dr. Ji is a Los Angeles based board certified internal medicine physician with experience as a medical director and practicing hospitalist physician since graduating residency in New York in 2013 (Columbia University/New York Presbyterian Hospital). Since then he has had: 10+ years of experience as a hybrid hospitalist and office based internal medicine physician in active practice 7+ years of medical director experience for two large medical groups (Regal Medical Group and Caremore) Additional experience and expertise include clinical and management expertise in: -value based care and risk bearing models of care -PCP/specialist and hospital contracting -HCC/RAF coding -STARS/HEDIS -High risk population management (inpatient and outpatient) -Insurance based bed day management (inpatient/observation determination, and out-of-network and patient transfer management) -Extensive case review experience with physician quality/standards, hospital coding, appeals determination including...

Melbourne, Florida

Medical Coding, Ophthalmology - Surgeon, Coder, Auditor, Fair and Reasonable Value, Medical Coding, Physician Coding, Ophthalmology Coding, Optometry Coding, Reimbursement, Eye Care, Coding, Medicare, Healthcare Fraud, Audits, False Claims Act, National Correct Coding Initiative, Bundling

ABOUT: Highly experienced expert witness with 100+ cases in medical coding, reimbursement, and compliance across the entire medical spectrum, providing services for both plaintiff and defense. Board-certified practicing physician and surgeon, Certified Coding Specialist (Physician-based), and Certified Professional Medical Auditor. Awarded graduate of Cornell University’s College of Engineering (B.S.) and the University of Michigan Medical School (M.D.), with postgraduate specialty training at Johns Hopkins Hospital and the University of California, San Francisco. Master-level graduate (M.B.A.) of the University of Central Florida, College of Business Administration. Chairman of the Ophthalmology Section at Holmes Regional Medical Center in Melbourne, Florida. Assistant professor at the University of Central Florida, College of Medicine. Extensive committee involvement, including American Medical Association’s CPT Advisory Committee and the Florida Medicare Carrier Advisory Com...

Newbury, New Hampshire

Medical Billing, Medical Coding - ALL STATES, Medical Billing, Coding, Usual and customary, reasonable and customary, DRG, CPT, ICD-10, ICD-9, medical necessity, fees, fee schedule, billing

Mark L Friedman MD FACEP FACP is currently Chief Medical Officer Emeritus of First Stop Health. He is an emergency physician emeritus at St Vincent’s Hospital in Bridgeport, CT. He was formerly Associate Professor of Emergency Medicine at the Frank Netter School of Medicine, Chief of Emergency Medicine at St Elizabeth's Hospital of Boston, Assistant Professor of Medicine at Tufts University School of Medicine, Assistant Clinical Professor of Emergency Medicine at the University of Illinois, and Adjunct Professor of Public Health at Benedictine University. Dr. Friedman is an expert in DRG claims analysis and medical cost containment. He has helped design programs to prevent medical errors as well as malpractice litigation. He has served as an advisor to government on medical billing fraud and abuse and developed two companies that perform audits for the Medicare RAC. Dr. Friedman is the author of articles and books on medically related topics. Dr Friedman specializes in expert op...

Newcastle, Oklahoma

Emergency Medicine - Stroke, Sepsis, Cardiac arrest, Pulmonary embolism, fracture reduction, fracture, cardiopulmonary arrest, code, coding, neurologic deficits, CPR, ATLS, trauma, MVC, arthrocentesis, chest tube, central venous line, lumbar puncture, central line, intubation

I obtained my PhD in human physiology from Auburn University in 2008. While there I performed and published research regarding control and regulation of growth hormone and IGF-1 as well as regulation of the HPA axis. I obtained my medical degree from the University of Alabama at Birmingham in 2012 and subsequently completed Emergency Medicine residency there in 2015. I am Board Certified with the American Board of Emergency Medicine as of 2018. I have been a practicing emergency medicine attending physician since 2012. I am employed by a physician group in Norman, Oklahoma and am a member of the core faculty for the Emergency Medicine residency program affiliated with Oklahoma State University. I serve as the Research Director for the residency program. I opened a private medical spa in 2017 that I own and oversee that performs noninvasive cosmetic procedures, hormone replacement, medical weight loss, etc.

Front Royal, Virginia

Chiropractic, Sports Medicine - VBAI (Vertebrobasilar Arterial Insufficiency), Stroke, Vertebral Artery Dissection, Spinal Manipulation, Spinal Trauma Management for Sideline Physician, Sports Injury, Failure to Diagnose, Malpractice, Physical Medicine and Rehab, Scope of Practice, Standard of Care, Billing, Coding

17 years clinical experience in Chiropractic Medicine as well as sideline physician throughout amateur to professional levels of competitors. Currently assigned as Team Physician with Christendom College Athletics as well as contracted with Professional Sports Care (PSC). PSC is the Chiropractic provider for the PGA Tour. Also have 5+ years volunteering services as sideline physician for Warren County High School Athletics, Front Royal Cardinals Baseball, and the United States Olympic Committee as a Sports Medicine Volunteer. Volunteered as a Chiropractic Physician within the Polyclinic at the Rio Paralympics in 2016 and World Games in 2022. Currently serves as the ACA Sports Council's Treasurer as well as the Virginia and West Virginia Chiropractic Sports Network Co-coordinator. Past Virginia Chiropractic Association (VCA) Insurance Committee Chair for 5 years. Previously a District Director for the VCA and Board member for 4 years. Taught PM&R, billing, coding, and compl...

ARLINGTON , Virginia

Ophthalmology, Plastic Surgery Within the Head and Neck - Lasik, cataract surgery, pterygium surgery, medical retina, glaucoma, corneal procedures, facial aesthetics, oculoplastics, trauma and injuries, blepharoplasty, laser treatments, optometry, malpractice cases, ophthalmology emergencies, retinal lasers, intravitreal retinal injections, IMEs, coding

I am a Board Certified Ophthalmologist who graduated with honors from a highly competitive 6 year BS-MD program. I have over 20 years of clinical experience in ophthalmology and am familiar and experienced in most clinical and surgical fields of ophthalmology including but not limited to Lasik/PRK, cataract surgery, ocular trauma, glaucoma treatment and surgery, corneal diseases and surgeries , pterygium surgeries, retinal lasers and intravitreal injections, facial aesthetics including botox and fillers, and oculoplastics. I have over 10 years experience with and enjoy doing chart reviews, serving as an expert witness, and performing independent and disability medical examinations. I have significant knowledge and experience in dealing with ocular trauma and surgical complication cases. I have served on both defense and plaintiff cases. Other lawyers have highly complimented my services, as I deliver reviews in a timely and efficient manner. I am prompt, have excellent commu...

Adell, Wisconsin

Chiropractic, Medical Coding - Sports Medicine, Medical Malpractice, Chiropractic malpractice, motor vehicle accidents, motor vehicle collisions, independent medical examinations, legal medicine, physical therapy, coding, standard of care, scope of practice, insurance fraud, benefits, Taft- Hartley, personal injury

Dr. Boll has extensive medicolegal experience and has been in practice since 1992. He has been retained nationwide for various cases. Dr. Boll assists numerous entities (law enforcement, law firms, insurance carriers, TPAs) as an Expert Witness, Consulting Witness, CPT and diagnostic coding issues, File Review, and Independent Medical Examinations, along with internal educational programs. He is a Certified Professional Coder (CPC) from AAPC and a Performance Enhancement Specialist (PES) from NASM. Dr. Boll has active licenses in both Wisconsin and Michigan. He continues to practice within his athletic training and conditioning facility, serving two school districts and consulting with professional racing sanctioning bodies regarding race weekend injury concerns. Dr. Boll was a former Chiropractic Services Director for an insurance company, where he assisted in writing guidelines, sitting on appeals panels, and establishing internal review and claims processing measures. He is a cu...