False Claims Act Expert Witnesses

New Britain, Connecticut

Medical Billing, Medical Coding - Medical Records Review, Provider Documentation, Medicaid/Medicare, State Regulations/Statutes, Federal Regulations/Statutes, Regulatory Compliance, Healthcare Fraud Investigation, Data Analysis, Data Mining, Payment Integrity, False Claims Act, Fraud Waste and Abuse, Provider Billing Verification

Revenue Integrity and Healthcare Compliance leader with over 18 years of experience in medical auditing, coding, billing, and regulatory compliance. Currently serving as Revenue Integrity Manager at Connecticut Children’s, where I lead initiatives to safeguard revenue integrity, ensure compliance with federal and state regulations, and proactively mitigate organizational risk. Holding certifications as a CPC, CPMA, CDEO, CHC, and CFE, I bring deep expertise in healthcare compliance, risk assessment, fraud prevention, and data analysis. Recognized for driving process improvements, strengthening internal controls, and enabling healthcare organizations to optimize operations while maintaining the highest standards of billing accuracy, compliance, and ethical practice.

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...

Federal Way, Washington

Financial, Investigation - Fraud, Bank Fraud, SBA Fraud, Loan Fraud, Elder Abuse, Government Contracting Fraud, Asset Tracing, Litigation Support, Consulting, Qui Tam, Investment Fraud, Investigation-Case Review, White Collar Crimes, Whistleblower, Criminal Defense, Civil Fraud, False Claims Act, False Claims, Embezzlement, Bankruptcy Fraud

Over 26 years as a federal agent conducting complex white collar investigations involving bank and loan fraud, SBA Program Fraud, bankruptcy fraud, contract fraud, money laundering, mortgage fraud, and real estate fraud. For the last 6 years, as a consultant, Certified Fraud Examiner and Private Investigator (WA), Kari's focus has been on these same specialties, with additional work in investment fraud, elder financial exploitation cases, divorce cases, and finding assets.