Revenue Cycle Management Expert Witnesses

Reno, Nevada

Medical Billing, Medical Coding - Medical Cost, Healthcare Finance, Revenue Cycle Management

EXPERIENCE: Tahoe Forest Health District, Truckee, CA: June 2018 to Present – Director, Revenue Cycle Projects Responsible for coordination of all revenue cycle functions for 2 hospitals, a cancer center, surgery center, skilled nursing facility, hospice and 150 providers in various clinics in 2 states. Provide management oversite to systems development, charge description master (Revenue Integrity), business office, health information management, patient registration, and customer service. Facility uses both EPIC Hospital Billing (HB) and EPIC Physician Billing (PB) Abacus Analytics: Revenue Analyst/Expert Witness: June 2017 to Present Working as in independent reviewer / expert witness on 3rd party liability medical cases. Principal, Independent Revenue Cycle Consultant: 1991 - Present Consulting projects involve interacting with internal staff in all facets of the revenue cycle. Typical projects include focusing on operational assessments and issues involving staff. Emphas...

Austin, Texas

Medical Billing - Revenue Cycle Management, Chargemaster Review, Collections Analysis, Medical Coding Review, Financial Analysis, Coding and Billing Operations, Budgeting, Insurance Billing, Phantom charges, Unbundling Charges, Claims Appeals, Payment Reconciliation

With more than 10 years of experience in healthcare reimbursement and revenue cycle analysis, I offer a specialized focus on benefit verification, claims appeals, payment reconciliation and trend analysis. My background includes in-depth research of payor policy stipulations, medical coding accuracy, and resolving discrepancies through direct communication with high-level insurance representatives. I have led special projects to secure mass payments owed to providers, launched and optimized a practice management system for a multi-provider chiropractic group, and successfully advocated for countless beneficiaries denied medically necessary procedures. I am well-versed in state-specific billing laws and guidelines nationwide and bring a detail-oriented, compliance-driven approach to every case. Available for depositions and trial testimony and willing to travel as needed. For a full CV or testimony list, please reach out directly.

Eagle Pass, Texas

Medical Billing, Hospital Administration - Healthcare Finance, Medical Billing, Usual Customary and Reasonable Charges, Revenue Cycle Management, Medical Cost Evaluation, Expert Witness Reports, Billing Reasonableness, Fee Schedule Compairson, Expert Rebuttal Reports, Medical Economics, Medical Charge Validation, Provider Charge Analysis, Medical Cost Benchmarking

I am a healthcare finance professional with over 18 years of experience in hospital finance, revenue cycle operations, and medical billing analysis. I currently serve as the Chief Executive Officer of Maverick County Hospital District (MCHD) in Eagle Pass, Texas, where I previously held the position of Chief Financial Officer for 11 years. In addition to my executive leadership roles, I have been retained as an expert witness in legal cases involving the reasonableness of medical billing charges. My work includes providing opinions on past medical expenses, authoring rebuttal reports to challenge unsupported methodologies, and offering deposition testimony. I base my evaluations on actual billed charges, widely accepted industry standards, and a comprehensive understanding of how providers establish pricing. I hold an MBA in Healthcare Management from the University of Texas at Tyler and a BBA in General Business from Sul Ross State University. I also earned an AAS in Computer Inf...

Austin, Texas

Medical Billing - Revenue Cycle Management, Chargemaster Review, Collections Analysis, Medical Coding Review, Financial Analysis, Organizational Design and Review, Coding and Billing Operations, Budgeting, Insurance billing, Phantom charges, Unbundling Charges

With more than 22 years of experience in healthcare financial management, I bring a well-rounded perspective to medical billing reviews, coding accuracy, reimbursement audits and reasonable value determinations. My career spans management roles in hospital finance and revenue cycle operations and executive level leadership in private radiology and laboratory data analysis My approach blends deep expertise with a commitment to integrity and clarity — whether reviewing complex billing files or providing Section 18.001 controverting affidavits. I specialize in analyzing the reasonableness of charges, identifying discrepancies and delivering precise objective insights that withstand legal scrutiny. I am available for depositions and trial testimony and willing to travel as needed. For more details, a full CV or a list of prior testimony, please reach out.