Expert Medical Billing - Coding & Reasonableness

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Specialties & Experience of this Expert Witness

General Specialties:

Medical Billing

Keywords/Search Terms:

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

Years in Practice:

15

Number of Times Deposed/Testified in Last 4 Yrs:

24

Additional Information

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.