HIPAA Expert Witnesses
The SEAK Expert Witness Directory contains a comprehensive list of hipaa expert witnesses who testify, consult and provide litigation support on hipaa and related issues. Hipaa expert witnesses and consultants on this page may form expert opinions, draft expert witness reports, and provide expert witness testimony at deposition and trial. The issues and subjects these hipaa expert witnesses testify regarding may include: Hipaa, Artificial Intelligence, Data, Data Privacy, Emtala, Healthcare, Healthcare Compliance, Human Resources, Medical Billing, Patient Safety, Ransomware, Utilization Review, (Ceds) Information Governance, (Cphims) Medical Records, and Ada.
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Omar Shaker
Leading Healthcare Data Expert & Futurist
Oakland , California
HIPAA
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Healthcare Futurist, HIPAA, data, Consultant, EHR, Pharma, Health Systems, HIEs, HIMSS, Data Expert, Data Science, Data Analytics, Functional Medicine, AHIMA
Omar Shaker, MD, MBA is a physician turned clinical data visualization expert, with 3 years of patient care at Tufts and abroad, and a 10-year track record of EHR, decision making, and interoperability consulting. People-focused with exceptional ability to lead emotionally. Extensive clinical data analytics practice working with a wide variety of clinical datasets from payers, health systems, pharma, and HIEs. Successful track record in delivering health data products based on data generated from user research and using design thinking methods. Named one of HIMSS Future 50, and published author and presenter on FHIR at HL7 Roundtables, and AHIMA on clinical data integrity and burnout. Active advisor and angel investor in early-stage digital health startups. Published author and confident speaker, with extensive healthcare network.
Omar has 10+ years of experience in consulting US Payers and Providers to improve healthcare using data science and data visualization. Over his career, ...
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Michael F Arrigo
Medical billing, fraud, HIPAA privacy, damages
No World Borders
Newport Beach, California
Medical Billing, HIPAA
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Medical billing expert, Patents trade secrets, electronic medical records, Medicare fraud, medical billing fraud, qui tam false claims act, Meaningful Use Electronic Health Records, HITECH Act, Affordable Care Act, Medicare Advantage, Medicaid, insurance, EMTALA, HIPAA, rebut life care, Usual Customary Reasonable (UCR), damages
Summary of Qualifications
National healthcare expert witness with extensive federal and state court experience. Published author, speaker, and peer-reviewed authority featured in Westlaw federal court rulings.
Federal Precedent: Expert opinions considered by the U.S. Court of Appeals, resulting in a Vacated and Remanded ruling.
DOJ Retentions: Retained twice by the Department of Justice, contributing to a $155 million settlement.
Advanced Credentials: Specialized studies in HIPAA Privacy, Security, and Blockchain at MIT.
Areas of Expertise
Medical Billing, Coding & Reimbursement: Usual, Customary, and Reasonable (UCR) charges in personal injury and medical malpractice; Affordable Care Act (ACA) Life Care Plan rebuttals (future cost of care); trauma, workers' compensation, liens, balance billing, subrogation, and uninsured patient discounts (including California law/Knox-Keene Act).
Healthcare IT & Forensics: Technical Expert in healthcare IT patents and intellectual property; Elec...
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Geni A Bennetts, MD MA FAAP FACMQ CHCQM CPE
Hospital, Managed Care, Compliance, HIPAA Expert
Resolve Healthcare Consulting
Napa, California
Medical Management, Risk Management
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Medical Quality/Risk Management, Hospital and Medical Management, Hospital Compliance, Medical Compliance, HIPAA, Grievance and Appeals, Managed Care, Joint Commission, CMS, Utilization Review, Patient Safety, Hospital Governance
Dr. Geni Bennetts is an experienced physician executive in healthcare and a Certified Physician Executive. She has served as a hospital subspecialist and as Chair of that division. Additionally, she has chaired hospital care management and managed care compliance, as well as serving as the chair of hospital risk management.
Dr. Bennetts is the founder and principal of Resolve Healthcare Consulting. She also held the roles of Vice Chair, Chair of the Asset/Liability Committee, and then Chair of a Bank Board, the last position being held for five years.
She has been an examiner for the California Department of Managed Health Care and has reviewed over 40 health plans for Quality, Utilization, Grievance and Appeals, and Access and Availability. She has consulted for a number of health plans and has held positions in health plans, hospitals, and IPAs as consulting interim CMOs, Medical Directors, and Advisors.
For the past 15 years, Dr. Bennetts has consulted in the following areas o...
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Patrick Moon, JR
Home Health & Falls PT Expert – California
Walnut Creek, California
Physical Therapy, HIPAA
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Home health PT, falls & fall causation, home safety assessment, adequacy of PT services, homebound status, geriatric & post-surgical rehab, Medicare home health eligibility, home health agency protocols, OASIS documentation, discharge planning PT malpractice, rehab frequency
California-licensed physical therapist specializing exclusively in geriatric home health. Has evaluated and treated thousands of geriatric patients in the home setting across more than five years of dedicated home health practice. Conducts 70–80 home visits per week across multiple Medicare-certified home health agencies in the Bay Area — vast majority of patients are Medicare-age adults with fall history, functional decline, post-surgical recovery, and neurological conditions. Doctor of Physical Therapy (Army-Baylor University); Board Certified Orthopaedic Clinical Specialist (OCS, ABPTS). Deep expertise in standard of care for home health PT, falls prevention and causation, home safety assessment, homebound status determination, adequacy of PT services, and Medicare home health documentation including OASIS. Prior career as U.S. Army Physical Therapist (Captain) with experience in outpatient orthopaedics, sports medicine, and brigade-level rehabilitation. Available for record revi...
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Michael F Arrigo
Medical billing, fraud, HIPAA privacy, damages
No World Borders
Colorado
Medical Billing, HIPAA
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Medical billing expert, Patents trade secrets, electronic medical records, Medicare fraud, medical billing fraud, qui tam false claims act, Meaningful Use Electronic Health Records, HITECH Act, Affordable Care Act, Medicare Advantage, Medicaid, insurance, EMTALA, HIPAA, rebut life care, Usual Customary Reasonable (UCR), damages
Summary of Qualifications
National healthcare expert witness with extensive federal and state court experience. Published author, speaker, and peer-reviewed authority featured in Westlaw federal court rulings.
Federal Precedent: Expert opinions considered by the U.S. Court of Appeals, resulting in a Vacated and Remanded ruling.
DOJ Retentions: Retained twice by the Department of Justice, contributing to a $155 million settlement.
Advanced Credentials: Specialized studies in HIPAA Privacy, Security, and Blockchain at MIT.
Areas of Expertise
Medical Billing, Coding & Reimbursement: Usual, Customary, and Reasonable (UCR) charges in personal injury and medical malpractice; Affordable Care Act (ACA) Life Care Plan rebuttals (future cost of care); trauma, workers' compensation, liens, balance billing, subrogation, and uninsured patient discounts (including California law/Knox-Keene Act).
Healthcare IT & Forensics: Technical Expert in healthcare IT patents and intellectual property; Elec...
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Michael F Arrigo
Medical billing, fraud, HIPAA privacy, damages
No World Borders
Florida
Medical Billing, HIPAA
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Medical billing expert, Patents trade secrets, electronic medical records, Medicare fraud, medical billing fraud, qui tam false claims act, Meaningful Use Electronic Health Records, HITECH Act, Affordable Care Act, Medicare Advantage, Medicaid, insurance, EMTALA, HIPAA, rebut life care, Usual Customary Reasonable (UCR), damages
Summary of Qualifications
National healthcare expert witness with extensive federal and state court experience. Published author, speaker, and peer-reviewed authority featured in Westlaw federal court rulings.
Federal Precedent: Expert opinions considered by the U.S. Court of Appeals, resulting in a Vacated and Remanded ruling.
DOJ Retentions: Retained twice by the Department of Justice, contributing to a $155 million settlement.
Advanced Credentials: Specialized studies in HIPAA Privacy, Security, and Blockchain at MIT.
Areas of Expertise
Medical Billing, Coding & Reimbursement: Usual, Customary, and Reasonable (UCR) charges in personal injury and medical malpractice; Affordable Care Act (ACA) Life Care Plan rebuttals (future cost of care); trauma, workers' compensation, liens, balance billing, subrogation, and uninsured patient discounts (including California law/Knox-Keene Act).
Healthcare IT & Forensics: Technical Expert in healthcare IT patents and intellectual property; Elec...
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Nicole Baldwin-Hunt, APRN, MLS
Clinical Expertise Meets Legal Compliance
United States, Florida
Nurse Practitioner, Legal Medicine
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Healthcare Law, Healthcare Compliance, Medical Malpractice, Stark Law, Legal Compliance, Nursing Jurisprudence, Trauma, Anti-Kickback, HIPAA, Regulatory Compliance, Patient Safety, Credentialing, Chronology, Scope of Practice, Legal Nurse, NP Law, Medical Law, Cross State Licensure, License Defense, Clinical Specialist
APRN & Healthcare Law Specialist | Crafting Defensible Medical Chronologies, Navigating Regulatory Compliance, and Pre-Screening Malpractice Claims
Dual-Credentialed Healthcare Law Expert & Board-Certified Family Nurse Practitioner (APRN) with over 15 years of high-acuity clinical experience and a Master of Legal Studies (MLS) in Healthcare Law.
I bridge the critical gap between complex clinical outcomes and legal strategy. Specializing in the defense of healthcare providers, hospitals, and insurance entities, I provide high-impact medical chronologies, merit screenings, and forensic medical record reviews for general and professional liability matters.
What sets my practice apart is my active medical licensure in all 50 states + Washington, D.C. This rare credential allows me to deliver unmatched jurisdictional insights and evaluate national versus localized standards of care seamlessly across the United States. Whether analyzing a multi-volume EHR, preparing a trial team for de...
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Kim A Reich, MBA, MJ, PBCI, RHIA, CPHIMS, CEDS, CPHQ, FAHIMA
KBS Consulting & Expert Witness Services
Lake Forest, Illinois
Health Informatics, HIPAA
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Electronic Health Information Systems, (CPHIMS) Medical Records, Healthcare EDiscovery, (CEDS) Information Governance, Electronic Health Records, Health Insurance, Healthcare Compliance, Clinical Documentation, CEDS, RHIA, Quality Improvement (CPHQ)
Kimberly is a credentialed (MBA, MJ, PBCI, RHIA, CPHIMS, CEDS CPHQ, FAHIMA) healthcare ediscovery, HIPAA, information governance, quality management, and compliance professional with over 30 years of experience in a variety of healthcare settings. She is a national speaker and author on the topics of health information operations, including HIPAA, e-discovery, information governance and healthcare compliance. Kim has been an active member of the Health Level Seven (HL-7) Working Group responsible for review and development of the Records Management and Evidentiary Support (RM-ES) profile for the design and development of the functional profile for Electronic Health Record (EHR) systems since 2006. She has also been an active member and contributor in AHIMA task forces and working groups related to electronic discovery. Kim holds a Master’s of Business (MBA) from the Lake Forest Graduate School of Management, a Master’s of Jurisprudence (MJ) in Health Law and Policy from the Loyola S...
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Michael F Arrigo
Medical billing, fraud, HIPAA privacy, damages
No World Borders
Louisiana
Medical Billing, HIPAA
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Medical billing expert, Patents trade secrets, electronic medical records, Medicare fraud, medical billing fraud, qui tam false claims act, Meaningful Use Electronic Health Records, HITECH Act, Affordable Care Act, Medicare Advantage, Medicaid, insurance, EMTALA, HIPAA, rebut life care, Usual Customary Reasonable (UCR), damages
Summary of Qualifications
National healthcare expert witness with extensive federal and state court experience. Published author, speaker, and peer-reviewed authority featured in Westlaw federal court rulings.
Federal Precedent: Expert opinions considered by the U.S. Court of Appeals, resulting in a Vacated and Remanded ruling.
DOJ Retentions: Retained twice by the Department of Justice, contributing to a $155 million settlement.
Advanced Credentials: Specialized studies in HIPAA Privacy, Security, and Blockchain at MIT.
Areas of Expertise
Medical Billing, Coding & Reimbursement: Usual, Customary, and Reasonable (UCR) charges in personal injury and medical malpractice; Affordable Care Act (ACA) Life Care Plan rebuttals (future cost of care); trauma, workers' compensation, liens, balance billing, subrogation, and uninsured patient discounts (including California law/Knox-Keene Act).
Healthcare IT & Forensics: Technical Expert in healthcare IT patents and intellectual property; Elec...
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Anwar Ouassini
Harvard AI Expert: Healthcare, LLMs, Agentic AI
Cambridge, Massachusetts
Artificial Intelligence, Health Informatics
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Healthcare AI, Bad Faith Denials, Insurance Denials, HIPAA, Machine Learning, Prior Authorization, Agentic AI, Clinical Decision Support, FDA, RAG, LLM Hallucinations, Generative AI, Utilization Review, EEOC, AI Ethics, Algorithmic Bias, AI Governance, AI Fraud, Daubert, ChatGPT
AI expert witness with 15+ years building, deploying, and auditing 100+ production AI systems. Rare combination of practitioner, scholar, and researcher - the expert opposing counsel can't dismiss as "just an academic" or "just an engineer." Most AI experts fall into one category: academics who've never shipped production code, or engineers who can't write a defensible report. I've done both - built AI systems at Harvard Medical School, Apple, and federal agencies while publishing award-winning peer-reviewed research on AI ethics and large language models. This dual foundation creates opinions that survive Daubert challenges and cross-examination.
Technical expertise spans multiple domains, including healthcare AI and insurance bad faith litigation, including prior authorization algorithms, utilization management systems, AI-driven claim denials, and clinical decision support failures. Deep experience with LLM hallucinations and defective outputs including GPT, Claude, and Llama fa...
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Michael F Arrigo
Medical billing, fraud, HIPAA privacy, damages
No World Borders
Nevada
Medical Billing, HIPAA
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Medical billing expert, Patents trade secrets, electronic medical records, Medicare fraud, medical billing fraud, qui tam false claims act, Meaningful Use Electronic Health Records, HITECH Act, Affordable Care Act, Medicare Advantage, Medicaid, insurance, EMTALA, HIPAA, rebut life care, Usual Customary Reasonable (UCR), damages
Summary of Qualifications
National healthcare expert witness with extensive federal and state court experience. Published author, speaker, and peer-reviewed authority featured in Westlaw federal court rulings.
Federal Precedent: Expert opinions considered by the U.S. Court of Appeals, resulting in a Vacated and Remanded ruling.
DOJ Retentions: Retained twice by the Department of Justice, contributing to a $155 million settlement.
Advanced Credentials: Specialized studies in HIPAA Privacy, Security, and Blockchain at MIT.
Areas of Expertise
Medical Billing, Coding & Reimbursement: Usual, Customary, and Reasonable (UCR) charges in personal injury and medical malpractice; Affordable Care Act (ACA) Life Care Plan rebuttals (future cost of care); trauma, workers' compensation, liens, balance billing, subrogation, and uninsured patient discounts (including California law/Knox-Keene Act).
Healthcare IT & Forensics: Technical Expert in healthcare IT patents and intellectual property; Elec...
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Michael F Arrigo
Medical billing, fraud, HIPAA privacy, damages
No World Borders
New Jersey
Medical Billing, HIPAA
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Medical billing expert, Patents trade secrets, electronic medical records, Medicare fraud, medical billing fraud, qui tam false claims act, Meaningful Use Electronic Health Records, HITECH Act, Affordable Care Act, Medicare Advantage, Medicaid, insurance, EMTALA, HIPAA, rebut life care, Usual Customary Reasonable (UCR), damages
Summary of Qualifications
National healthcare expert witness with extensive federal and state court experience. Published author, speaker, and peer-reviewed authority featured in Westlaw federal court rulings.
Federal Precedent: Expert opinions considered by the U.S. Court of Appeals, resulting in a Vacated and Remanded ruling.
DOJ Retentions: Retained twice by the Department of Justice, contributing to a $155 million settlement.
Advanced Credentials: Specialized studies in HIPAA Privacy, Security, and Blockchain at MIT.
Areas of Expertise
Medical Billing, Coding & Reimbursement: Usual, Customary, and Reasonable (UCR) charges in personal injury and medical malpractice; Affordable Care Act (ACA) Life Care Plan rebuttals (future cost of care); trauma, workers' compensation, liens, balance billing, subrogation, and uninsured patient discounts (including California law/Knox-Keene Act).
Healthcare IT & Forensics: Technical Expert in healthcare IT patents and intellectual property; Elec...
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Timothy C. Egan, SPHR
Human Resources Expert Legal Witness
Coalition Resources Group
New Mexico
Human Resources, Hospital Administration
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Human resources, HR, healthcare, hospitals, employee relations, hiring, labor relations, union avoidance, background checks, investigations, drug testing, sexual harassment, termination, collective bargaining agreement, discipline, workplace violence, HIPAA, performance evaluation, FMLA, ADA
Seasoned, SEAK trained, executive-level human resources leader. 38 years of experience in all HR functional areas, most notably employment/hiring/strategic sourcing, employee & labor relations/union avoidance, managerial training.
Additional experience in:
- Mediation conflict resolution
- Employee training & development
- Resource allocation assessments
- RIFs
- Layoffs/Reduction in Force
- Leave of Absence
- Reasonable Accommodation
- ADA
- Interactive Meetings
- Job Descriptions
- Performance Evaluations
Special experience in healthcare/hospital human resources.
13-year Marine Corps veteran, including Desert Storm Gulf War.
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Michael F Arrigo
Medical billing, fraud, HIPAA privacy, damages
No World Borders
New York
Medical Billing, HIPAA
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Medical billing expert, Patents trade secrets, electronic medical records, Medicare fraud, medical billing fraud, qui tam false claims act, Meaningful Use Electronic Health Records, HITECH Act, Affordable Care Act, Medicare Advantage, Medicaid, insurance, EMTALA, HIPAA, rebut life care, Usual Customary Reasonable (UCR), damages
Summary of Qualifications
National healthcare expert witness with extensive federal and state court experience. Published author, speaker, and peer-reviewed authority featured in Westlaw federal court rulings.
Federal Precedent: Expert opinions considered by the U.S. Court of Appeals, resulting in a Vacated and Remanded ruling.
DOJ Retentions: Retained twice by the Department of Justice, contributing to a $155 million settlement.
Advanced Credentials: Specialized studies in HIPAA Privacy, Security, and Blockchain at MIT.
Areas of Expertise
Medical Billing, Coding & Reimbursement: Usual, Customary, and Reasonable (UCR) charges in personal injury and medical malpractice; Affordable Care Act (ACA) Life Care Plan rebuttals (future cost of care); trauma, workers' compensation, liens, balance billing, subrogation, and uninsured patient discounts (including California law/Knox-Keene Act).
Healthcare IT & Forensics: Technical Expert in healthcare IT patents and intellectual property; Elec...
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Daniel J. Lantos, MSN, RN, CNML
Expert in Nursing Practice and Standards of Care
Concord, North Carolina
Nursing Administration, Medical Management
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Medication errors, patient falls, restraints, restrictive interventions, central lines, infection prevention, infection control, CLABSI, CAUTI, pressure ulcers, bedsores, informed consent, HIPAA, staffing, delegation, scope of care, sedation, endoscopy, radiology, critical care
I am a Registered Nurse leader with a Master’s Degree and professional certification in Nursing Leadership. With strong bedside and management experience in Critical Care and procedural departments, I have dedicated many years to ensuring quality and compliance in high-performing patient care areas. This includes addressing patient care issues such as patient falls, pressure ulcer prevention, physical restraints, infection prevention, and procedural sedation; regulatory issues such as HIPAA, scope of care, delegation, and informed consent; and evaluating the circumstances around adverse events such as medication errors, patient misidentification, and incorrect execution of orders. I have precepted new hires, developed onboarding programs, and been extensively involved with hiring, performance evaluations, disciplinary steps, and maintaining a Just Culture. I am comfortable and experienced with documentation audits and medical record chart review. I have experience being deposed and ...
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Mike Apostle, MD, JD
Emergency Medicine Physician and Licensed Attorney
Gallatin , Tennessee
Emergency Medicine, Emergency Medical Services
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military medicine, neglect, patient transport, hospice, EMTALA, toxicology, corporate practice of medicine, pediatric emergency medicine, end of life care, Disaster, EMS, delay of care, geriatric, HIPAA, austere environment, prehospital care, aviation, nursing home, transfer, wilderness
***Please text or email first, so I can add your number to get past the spam blocker***
Initial consult always complimentary.
I am an actively practicing, board-certified emergency physician with more than 20 years of experience, and a newly licensed attorney. Throughout my career, I have evaluated and treated tens of thousands of patients with medical, traumatic, pediatric, and psychiatric emergencies while serving in both community and academic settings. My background also includes military service as a physician in the U.S. Army Reserve, providing additional experience in emergency preparedness, trauma care, and crisis decision-making. I hold a Juris Doctor degree, giving me a unique understanding of the legal process and the standards required for effective expert witness testimony.
As an expert witness, I provide objective, well-reasoned opinions in cases involving emergency medicine, emergency department standards of care, medical malpractice, EMTALA, patient safety, documen...
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John Horst, CISSP®-ISSAP®
Cybersecurity Expert Witness -
Xanesti Technology Services, LLC
Seymour, Tennessee
Computers, Cybersecurity
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Information Technology, IT, HIPAA, Privacy Act, NIST, Network Security, Data Breach, AI, Artificial Intelligence, Operating Systems, Data Privacy, Cloud Security, Malware, Ransomware, Data Recovery, ISO 27001, Cybersecurity Framework, Critical Infrastructure, Forensics, Contingency Planning
John Horst, CISSP®-ISSAP®, is the owner and Chief Technology Officer for Xanesti Technology Services, LLC.
Current Information System Security Officer (ISSO) providing security engineering compliance consultation to the U.S. Department of War. Experience with major cybersecurity standards (e.g., National Institute of Standards and Technology, ISSO 27001, CIS). 28 years’ experience in software development, secure software architectures and coding, systems integration and testing, and user support. Experience evaluating emerging Artificial Intelligence technologies and compliance frameworks. Substantial expert witness case history across State (including Family Court) and Federal jurisdictions. Active speaker. Certified Information Security Systems Professional. Top Secret National Security Clearance. Patent-Holder.
John has served in various information technology roles in the U.S. Defense Industrial Base for 20 years, including cybersecurity engineering, software development, inst...
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Timothy C. Egan, SPHR
Human Resources Expert Legal Witness
Coalition Resources Group
Horizon City, Texas
Human Resources, Hospital Administration
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Human resources, HR, healthcare, hospitals, employee relations, hiring, labor relations, union avoidance, background checks, investigations, drug testing, sexual harassment, termination, collective bargaining agreement, discipline, workplace violence, HIPAA, performance evaluation, FMLA, ADA
Seasoned, SEAK trained, executive-level human resources leader. 38 years of experience in all HR functional areas, most notably employment/hiring/strategic sourcing, employee & labor relations/union avoidance, managerial training.
Additional experience in:
- Mediation conflict resolution
- Employee training & development
- Resource allocation assessments
- RIFs
- Layoffs/Reduction in Force
- Leave of Absence
- Reasonable Accommodation
- ADA
- Interactive Meetings
- Job Descriptions
- Performance Evaluations
Special experience in healthcare/hospital human resources.
13-year Marine Corps veteran, including Desert Storm Gulf War.
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Avian Tisdale, MD, MBA, Paralegal
Experienced Physician Executive and Paralegal
DHM Consulting
Richmond, Texas
Pain Management - Medicine, Fraud
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Adoption, Arbitratilon, Mediation, Banking, Empolyment Law, Business Operations, Dispute Resolution, Document Examination, Failure Analysis, Health Informatics, HIPAA, Hospital Administration, Human Resources, Mangement, Medical Billing, Risk Management, Artificial Intelligence, Technology, School Safety, OSHA
Physician executive with over 20 years of clinical, administrative, and academic experience across hospitals, emergency departments, inpatient units, urgent care centers, and community health systems. Board-certified physician with deep expertise in medical staff management, quality improvement, and regulatory compliance. Dual-trained with a Paralegal certification and MBA in Finance, offering unique insight into how healthcare operations intersect with legal, financial, and risk domains.
Highly experienced in identifying deviations from clinical standards, assessing system-level failures, and providing objective, evidence-based opinions.
Independent, Licensed and Board Certified, Full-time Availability
AREAS OF EXPERTISE
Standards of Care
Emergency & Inpatient Pediatric Medicine
Hospital & Multi-Site System Administration
Medical Staff Credentialing & Supervision
Healthcare Compliance (HEDIS, NCQA, HRSA, FTCA)
HR Processes & Clinical Oversight
Value-Based Care & Quality Metrics
...
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Michael F Arrigo
Medical billing, fraud, HIPAA privacy, damages
No World Borders
Texas
Medical Billing, HIPAA
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Medical billing expert, Patents trade secrets, electronic medical records, Medicare fraud, medical billing fraud, qui tam false claims act, Meaningful Use Electronic Health Records, HITECH Act, Affordable Care Act, Medicare Advantage, Medicaid, insurance, EMTALA, HIPAA, rebut life care, Usual Customary Reasonable (UCR), damages
Summary of Qualifications
National healthcare expert witness with extensive federal and state court experience. Published author, speaker, and peer-reviewed authority featured in Westlaw federal court rulings.
Federal Precedent: Expert opinions considered by the U.S. Court of Appeals, resulting in a Vacated and Remanded ruling.
DOJ Retentions: Retained twice by the Department of Justice, contributing to a $155 million settlement.
Advanced Credentials: Specialized studies in HIPAA Privacy, Security, and Blockchain at MIT.
Areas of Expertise
Medical Billing, Coding & Reimbursement: Usual, Customary, and Reasonable (UCR) charges in personal injury and medical malpractice; Affordable Care Act (ACA) Life Care Plan rebuttals (future cost of care); trauma, workers' compensation, liens, balance billing, subrogation, and uninsured patient discounts (including California law/Knox-Keene Act).
Healthcare IT & Forensics: Technical Expert in healthcare IT patents and intellectual property; Elec...
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Jonathan Fenner
Healthcare Cybersecurity & Data Breach Expert
Bristol, Vermont
HIPAA, Cybersecurity
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Healthcare Data Breach, HIPAA Security, EHR System Failure, Ransomware, Remote Patient Monitoring, Medical Device Security, Healthcare SaaS, SOC 2 Compliance, Penetration Testing, Cloud Security AWS, Insurance Technology, Software Architecture, Data Privacy, IoT Security, AI Healthcare Systems, Technical Due Diligence, Healthcare
Jon Fenner is a technology executive with over 25 years of experience in healthcare systems architecture, cybersecurity, and enterprise software development. He specializes in healthcare data breaches, HIPAA security failures, EHR system integration, and insurance technology disputes.
As CTO of Community Wellness, Mr. Fenner led the development of a Remote Patient Monitoring platform serving 100,000+ patients across 12 healthcare networks. He scaled the engineering team from 2 to 38 members, achieved SOC 2 compliance, and implemented EHR integrations with Epic, Meditech, and Cerner using HL7 and FHIR standards.
Mr. Fenner served 11 years as Principal Infrastructure Architect at Guidewire Software, providing technical consulting to Fortune 500 insurance carriers including State Farm, Liberty Mutual, and QBE. His work included security analysis, penetration testing, and performance evaluation of customer-facing insurance applications.
He holds a Certified Ethical Hacker (CEH) crede...
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Michael F Arrigo
Medical billing, fraud, HIPAA privacy, damages
No World Borders
Washington
Medical Billing, HIPAA
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Medical billing expert, Patents trade secrets, electronic medical records, Medicare fraud, medical billing fraud, qui tam false claims act, Meaningful Use Electronic Health Records, HITECH Act, Affordable Care Act, Medicare Advantage, Medicaid, insurance, EMTALA, HIPAA, rebut life care, Usual Customary Reasonable (UCR), damages
Summary of Qualifications
National healthcare expert witness with extensive federal and state court experience. Published author, speaker, and peer-reviewed authority featured in Westlaw federal court rulings.
Federal Precedent: Expert opinions considered by the U.S. Court of Appeals, resulting in a Vacated and Remanded ruling.
DOJ Retentions: Retained twice by the Department of Justice, contributing to a $155 million settlement.
Advanced Credentials: Specialized studies in HIPAA Privacy, Security, and Blockchain at MIT.
Areas of Expertise
Medical Billing, Coding & Reimbursement: Usual, Customary, and Reasonable (UCR) charges in personal injury and medical malpractice; Affordable Care Act (ACA) Life Care Plan rebuttals (future cost of care); trauma, workers' compensation, liens, balance billing, subrogation, and uninsured patient discounts (including California law/Knox-Keene Act).
Healthcare IT & Forensics: Technical Expert in healthcare IT patents and intellectual property; Elec...
You can also find HIPAA Expert Witnesses in:
California, Florida, Illinois, Massachusetts, North Carolina, Tennessee, Texas, and Vermont
