Medical Billing Expert Witnesses
The SEAK Expert Witness Directory contains a comprehensive list of medical billing expert witnesses who testify, consult and provide litigation support on medical billing and related issues. Medical billing 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 medical billing expert witnesses testify regarding may include: Medical Billing, Fraud, Ime, Independent Medical Examinations, Medical Coding, Chronic Pain, Crps, Medical Necessity, Medicare, Nerve Injury, Qui Tam, Addiction, Benefit Administration, Benefit Application, and Case Management.
Use the search box above to further refine your search for medical billing expert witnesses by keyword and state. Attorneys contact the experts directly – with no middleman.
Michael F Arrigo
Medical billing, fraud, HIPAA privacy, FMV
No World Borders
Medical Billing, HIPAA
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Medical billing, Patents trade secrets, electronic medical records, Medicare fraud, medical billing fraud, qui tam false claims act fraud Usual Customary Reasonable (UCR), Meaningful Use Electronic Health Records, HITECH Act, Affordable Care Act, Medicare Advantage, Medicaid, insurance, CRPS, EMTALA
Writer, speaker, published peer-reviewed works as an expert in the field recent Federal court rulings as a qualified expert published in Westlaw
• US COURT OF APPEALS considered expert opinions, VACATED AND REMANDED
• Two DOJ retentions, $155 million settlement
• Healthcare IT patents intellectual property Technical Expert, Medicare Damages Expert
• Medical coding medical billing, claims, usual customary and reasonable charges in personal injury and medical malpractice cases, Lifecare plan rebuttal under ACA on the future cost of care, trauma
• Electronic medical record forensics / electronic health record forensics, E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud
• genetic testing, novel genetic sequencing, esoteric testing, laboratory testing
• HIPAA Privacy, Security, Blockchain special studies MIT
• Affordable Care Act, HITECH Act, electronic medical records, meaningful use, patents, and intellectual property in heal Healt...
Adam J Carinci, MD, JD, MBA
University of Rochester School of Medicine and Dentistry
Alabama
Pain Management - Medicine, Anesthesiology
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Complex Regional Pain Syndrome, CRPS, Reflex Sympathetic Dystrophy, RSD, Life Care Plan Analysis, Nerve Injury, Nerve Pain, Failed Back, Epidural Injections, Hematoma, Chronic pain, Opioids, Pill Mills, Overprescribing, Addiction, Fraud, IME, Independent Medical examinations, Medical Billing
Dr. Adam J Carinci MD, JD, MBA is a nationally recognized CRPS thought leader and expert witness with over a fifteen years of pain medicine experience. With his dual training as both a physician and a lawyer Dr. Carinci is a sought-after expert witness in medico-legal matters on a national stage where he combines distinct acumen and expertise at the intersection of medicine and law. He is double-board certified in both Anesthesiology and in Pain Medicine and maintains an active, full time medical practice. Dr. Carinci is Chief of Pain Management and Director of the Interventional Spine and Pain Treatment Center at the University of Rochester Medical Center and an Associate Professor at the University of Rochester School of Medicine. Prior to his current position, Dr. Carinci was the Director of the Pain Medicine Center at Massachusetts General Hospital and an Instructor at Harvard Medical School. Dr. Carinci trained at Johns Hopkins University School of Medicine and Harvard Medical ...
Joe Carnes
Medical Billing Expert Witness
Medsurity Experts
Birmingham, Alabama
Medical Billing, Medical Coding
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Usual customary reasonable charges, damages, fraud, Over-billing statistical analysis, Electronic health records, clinical documentation, insurance coverage determinations, provider, biller, insurance disputes
Two decades of Medical Billing expertise in multiple care settings. 24-hour turnaround on billing consultations. Thorough analysis and reporting.
Expert in analysis of contract rates compared to actual billed charges
Patents trade secrets, electronic medical records, Medicare fraud, medical billing fraud, qui tam false claims act fraud
Usual Customary Reasonable (UCR), Meaningful Use Electronic Health Records, HITECH Act, Affordable Care Act, Medicare Advantage, Medicaid,insurance, CRPS, EMTALA, HIPPA compliance
Wilfred L Hynes, MD
Award Winning, Harvard Trained Pain Physician
Tufts Medical Center
Alabama
Pain Management - Medicine
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Pain management, pain medicine, chronic pain, spine injections, steroid injections, opiates, complex regional pain syndrome, CRPS, RSD, nerve injury, epidural hematoma, failed back syndrome, facet injections, radiofrequency ablation, billing fraud, medical billing, personal injury
Award-Winning, Harvard Trained Pain Management Physician in active clinical practice. Tufts Faculty (2005-Present). Harvard Faculty (1997-2005). Double Board Certified (Anesthesia and Pain Management). 10+ years experience Medical Director, Tufts. Opiate Management Committee, Tufts Medical Center (2014-Present). Boston College - Scholar of the College/Gasson Scholar. Experienced expert witness at both deposition and trial. Forensic experience includes medical malpractice, workers’ compensation, criminal matters, national opiate litigation, and health care fraud
Doreen R Casuto, RN, MRA, CRRN, CCM
Rehabilitation Care Coordination
Arizona
Life Care Planning, Medical Billing
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Rehabilitation Nursing, Nursing Assessment, Case Management, Benefit Administration, Special Needs Trust, Care Coordination, Spinal Cord Injury, Traumatic Brain Injury, Cerebral Palsy, Neuromuscular Disorders, Amputation, Accessibility, Medical Billing, Benefit Application
50 years of experience in rehabilitation nursing, providing patient care, education and coordination of services. 35 years as an independent case manager working with catastrophically injured. Evaluated patients, assisted physicians in planning and coordinating the rehabilitation needs of patients with spinal cord, brain injuries, stroke and neuromuscular illnesses. Prior to founding RCC she was the Director of Physical Rehabilitation Nursing at Grossmont Hospital in San Diego, Rehabilitation Nurse Coordinator at Methodist Hospital in Indianapolis and Rehab Nursing Workshop Coordinator at Ohio State University. Doreen is currently an Adjunct Professor with San Diego State’s School of Nursing as well as a former board member of the Brain Injury Association of California (BIACAL), the San Diego Brain Injury Foundation (SDBIF) and Jewish Family Services of San Diego.
In 1989, Doreen Casuto decided to start a small company with a unique goal. Doreen had recently left Grossmont Hospit...
Paul Saiz, MD, FAAOS, CIME
3 Crosses Orthopedic Spine
Arizona
Spine Surgery & Spine Care, Medical Coding
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Spine fusion, Spine tumors, Spine trauma, Laminectomy, Discectomy, Total disk replacement, Decompression, Dural tear, Pedicle screws, Independent medical examinations, IME, Causation, Medical coding, Medical billing, Medical necessity, Spinal abscess, Disability evaluation, Workers Comp, MVA
Board Certified in Orthopedic Surgery and Spine Surgery in active clinical practice. Fellowship trained in both spinal reconstructive surgery and musculoskeletal oncology and reconstruction. 20+ years clinical experience in spine surgery. Well-experienced public speaker. Special expertise in spinal care coding. New Mexico State Team Physician. Experienced expert witness, independent medical examiner, and medical necessity peer reviewer. Licensed in New Mexico, Texas and Arizona.
Michael F Arrigo
Medical billing, fraud, HIPAA privacy, FMV
No World Borders
Newport Beach, California
Medical Billing, HIPAA
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Medical billing, Patents trade secrets, electronic medical records, Medicare fraud, medical billing fraud, qui tam false claims act fraud Usual Customary Reasonable (UCR), Meaningful Use Electronic Health Records, HITECH Act, Affordable Care Act, Medicare Advantage, Medicaid, insurance, CRPS, EMTALA
Writer, speaker, published peer-reviewed works as an expert in the field recent Federal court rulings as a qualified expert published in Westlaw
• US COURT OF APPEALS considered expert opinions, VACATED AND REMANDED
• Two DOJ retentions, $155 million settlement
• Healthcare IT patents intellectual property Technical Expert, Medicare Damages Expert
• Medical coding medical billing, claims, usual customary and reasonable charges in personal injury and medical malpractice cases, Lifecare plan rebuttal under ACA on the future cost of care, trauma
• Electronic medical record forensics / electronic health record forensics, E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud
• genetic testing, novel genetic sequencing, esoteric testing, laboratory testing
• HIPAA Privacy, Security, Blockchain special studies MIT
• Affordable Care Act, HITECH Act, electronic medical records, meaningful use, patents, and intellectual property in heal Healt...
Adam J Carinci, MD, JD, MBA
University of Rochester School of Medicine and Dentistry
California
Pain Management - Medicine, Anesthesiology
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Complex Regional Pain Syndrome, CRPS, Reflex Sympathetic Dystrophy, RSD, Life Care Plan Analysis, Nerve Injury, Nerve Pain, Failed Back, Epidural Injections, Hematoma, Chronic pain, Opioids, Pill Mills, Overprescribing, Addiction, Fraud, IME, Independent Medical examinations, Medical Billing
Dr. Adam J Carinci MD, JD, MBA is a nationally recognized CRPS thought leader and expert witness with over a fifteen years of pain medicine experience. With his dual training as both a physician and a lawyer Dr. Carinci is a sought-after expert witness in medico-legal matters on a national stage where he combines distinct acumen and expertise at the intersection of medicine and law. He is double-board certified in both Anesthesiology and in Pain Medicine and maintains an active, full time medical practice. Dr. Carinci is Chief of Pain Management and Director of the Interventional Spine and Pain Treatment Center at the University of Rochester Medical Center and an Associate Professor at the University of Rochester School of Medicine. Prior to his current position, Dr. Carinci was the Director of the Pain Medicine Center at Massachusetts General Hospital and an Instructor at Harvard Medical School. Dr. Carinci trained at Johns Hopkins University School of Medicine and Harvard Medical ...
Doreen R Casuto, RN, MRA, CRRN, CCM
Rehabilitation Care Coordination
San Diego, California
Life Care Planning, Medical Billing
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Rehabilitation Nursing, Nursing Assessment, Case Management, Benefit Administration, Special Needs Trust, Care Coordination, Spinal Cord Injury, Traumatic Brain Injury, Cerebral Palsy, Neuromuscular Disorders, Amputation, Accessibility, Medical Billing, Benefit Application
50 years of experience in rehabilitation nursing, providing patient care, education and coordination of services. 35 years as an independent case manager working with catastrophically injured. Evaluated patients, assisted physicians in planning and coordinating the rehabilitation needs of patients with spinal cord, brain injuries, stroke and neuromuscular illnesses. Prior to founding RCC she was the Director of Physical Rehabilitation Nursing at Grossmont Hospital in San Diego, Rehabilitation Nurse Coordinator at Methodist Hospital in Indianapolis and Rehab Nursing Workshop Coordinator at Ohio State University. Doreen is currently an Adjunct Professor with San Diego State’s School of Nursing as well as a former board member of the Brain Injury Association of California (BIACAL), the San Diego Brain Injury Foundation (SDBIF) and Jewish Family Services of San Diego.
In 1989, Doreen Casuto decided to start a small company with a unique goal. Doreen had recently left Grossmont Hospit...
Roberto Contreras II, MD, CLCP
California Life Care Planning Association
Seal Beach, California
Life Care Planning, Internal Medicine
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medical billing, life care planner, hospitalist, medical devices, medical management, medical coding, legal medicine, legal nurse consulting, nurse practitioner, obstetrics and gynecology, addiction medicine, family medicine, general practice, gynecology, consultative examinations
The California Life Care Planning Association was created by experts in the field of Life Care Planning, with more than 30 years of experience working in the health care industry. All of our professionals are Certified Life Care Planners, as well as active medical practitioners dedicated to assessing lifetime cost of care for individuals with catastrophic injuries/illness. What sets us apart from many other Life Care Planning organizations and individuals is that all of our Life Care Planners have active direct experience with patient care. We hold ourselves to a higher standard and hold all of our affiliates to that same higher standard. Whether it be plaintiff, defense , or any other client, our methodology is transparent and consistent.
Given the healthcare backgrounds of our founders, all Life Care Plans and services are overseen by a Physician. Similar to a hospital setting, many of our services go through "rounding" with senior partners and physicians to make sure we are keep...
Carol Moreali, RN, MSN
Inpatient and Post Hospital Care Management Expert
HealthTrack
Carmel, California
Nurse, Medical Management
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Inpatient and Post Hospital Care Coordination, Assessment of Inpatient Hospital Practices, Nurse Practice, Nursing Assessment, Medical Chart Documentation and Chart Review, Medical Billing, Benefit Administration, Benefit Application, and Medical Claim Review and Appeals
Ms Moreali has enjoyed 50 years of medical experience in Nursing providing patient care covering areas in critical care, case management, education and coordination of services, medical consulting, quality and regulatory management. Expertise in chart review/ analysis and documentation.
She also had over 40 years expertise in independent consulting, development of disease management programs, and with inpatient care coordination teams consisting of Hospitalists, RN, RN Case Manager, and Social Services. Working with large Integrated Healthcare Systems and singular hospital organizations.
Thomas Peatman, CIME, MD
San Ramon, California
Orthopedic Surgery, Sports Medicine
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Hip, Knee, Shoulder, Trauma, Causation, Spine Surgery & Spine Care, Orthopedics Non Surgical, Independent Medical Examinations, IME, Life care planning, Disability evaluation, Impairment Evaluation, Medical Coding, Medical billing, Fraud, Workers’ Compensation, Motor Vehicle Accident, Patents, MVA
Board-Certified orthopedic surgeon in active clinical practice. Additional sub-specialty Certification in Sports Medicine. IME certified.
Have performed over 8,000 joint replacements, hip, knee and shoulder arthroscopies and open surgeries. After developing a hand tremor, I now focus on the non-operative management of orthopedic disease and trauma.
Former Team Physician for the Oakland Athletics. United States Navy veteran.
I have been participating in expert witness work for 13+ years. I perform complex case reviews with or without an exam, as well as provide clarity to simpler incidents. I am timely and prioritize scheduling exams, depositions and court appearances.
Michael F Arrigo
Medical billing, fraud, HIPAA privacy, FMV
No World Borders
Colorado
Medical Billing, HIPAA
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Medical billing, Patents trade secrets, electronic medical records, Medicare fraud, medical billing fraud, qui tam false claims act fraud Usual Customary Reasonable (UCR), Meaningful Use Electronic Health Records, HITECH Act, Affordable Care Act, Medicare Advantage, Medicaid, insurance, CRPS, EMTALA
Writer, speaker, published peer-reviewed works as an expert in the field recent Federal court rulings as a qualified expert published in Westlaw
• US COURT OF APPEALS considered expert opinions, VACATED AND REMANDED
• Two DOJ retentions, $155 million settlement
• Healthcare IT patents intellectual property Technical Expert, Medicare Damages Expert
• Medical coding medical billing, claims, usual customary and reasonable charges in personal injury and medical malpractice cases, Lifecare plan rebuttal under ACA on the future cost of care, trauma
• Electronic medical record forensics / electronic health record forensics, E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud
• genetic testing, novel genetic sequencing, esoteric testing, laboratory testing
• HIPAA Privacy, Security, Blockchain special studies MIT
• Affordable Care Act, HITECH Act, electronic medical records, meaningful use, patents, and intellectual property in heal Healt...
BETH MORGAN, CPC, MCS-P
Somers, Connecticut
Medical Coding, Medical Billing
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CPT codes, Bill & Coding, Compliance, Accounts Receivable Reduction, Bill Review, Personal Injury Bill Reduction, Attorney education on consumers have rights too, Bill Analaysis, UCR pricing
Beth Morgan, President & CEO, is a Certified Professional Coder (CPC) and Compliance Specialist (MCS-P) since 2004. Over the past 20 years she has worked in several areas of the medical profession doing billing and coding for all sorts of providers. Her knowledge and expertise has enabled her to not only reduce provider’s accounts receivables but medical bills by 51%. She has access to a broad base of insurance company policy information, and is an information contributor, to radio and TV shows as well as magazine articles.
Medical Bill Detectives reviews medical bills for errors and overcharges, reducing them down to Usual Reasonable and Customary charges, for negotiating discounts on medical bills.
Michael F Arrigo
Medical billing, fraud, HIPAA privacy, FMV
No World Borders
Florida
Medical Billing, HIPAA
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Medical billing, Patents trade secrets, electronic medical records, Medicare fraud, medical billing fraud, qui tam false claims act fraud Usual Customary Reasonable (UCR), Meaningful Use Electronic Health Records, HITECH Act, Affordable Care Act, Medicare Advantage, Medicaid, insurance, CRPS, EMTALA
Writer, speaker, published peer-reviewed works as an expert in the field recent Federal court rulings as a qualified expert published in Westlaw
• US COURT OF APPEALS considered expert opinions, VACATED AND REMANDED
• Two DOJ retentions, $155 million settlement
• Healthcare IT patents intellectual property Technical Expert, Medicare Damages Expert
• Medical coding medical billing, claims, usual customary and reasonable charges in personal injury and medical malpractice cases, Lifecare plan rebuttal under ACA on the future cost of care, trauma
• Electronic medical record forensics / electronic health record forensics, E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud
• genetic testing, novel genetic sequencing, esoteric testing, laboratory testing
• HIPAA Privacy, Security, Blockchain special studies MIT
• Affordable Care Act, HITECH Act, electronic medical records, meaningful use, patents, and intellectual property in heal Healt...
Adam J Carinci, MD, JD, MBA
University of Rochester School of Medicine and Dentistry
Florida
Pain Management - Medicine, Anesthesiology
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Complex Regional Pain Syndrome, CRPS, Reflex Sympathetic Dystrophy, RSD, Life Care Plan Analysis, Nerve Injury, Nerve Pain, Failed Back, Epidural Injections, Hematoma, Chronic pain, Opioids, Pill Mills, Overprescribing, Addiction, Fraud, IME, Independent Medical examinations, Medical Billing
Dr. Adam J Carinci MD, JD, MBA is a nationally recognized CRPS thought leader and expert witness with over a fifteen years of pain medicine experience. With his dual training as both a physician and a lawyer Dr. Carinci is a sought-after expert witness in medico-legal matters on a national stage where he combines distinct acumen and expertise at the intersection of medicine and law. He is double-board certified in both Anesthesiology and in Pain Medicine and maintains an active, full time medical practice. Dr. Carinci is Chief of Pain Management and Director of the Interventional Spine and Pain Treatment Center at the University of Rochester Medical Center and an Associate Professor at the University of Rochester School of Medicine. Prior to his current position, Dr. Carinci was the Director of the Pain Medicine Center at Massachusetts General Hospital and an Instructor at Harvard Medical School. Dr. Carinci trained at Johns Hopkins University School of Medicine and Harvard Medical ...
Marsha S Diamond, CPC, COC, CCS, CPMA
Orlando, Florida
Medical Coding, Medical Billing
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CPC, CPMA, COC, CCS, medical coding, medical billing, medical auditing, Qui tam, AAPC, CIA, IRO, Medicare, Inspector General
Ms. Diamond is an experienced coding, billing, and auditing professional who is available for consultation in medical practice auditing, billing, coding, compliance, litigation, reimbursement, and revenue cycle issues when requested by medical providers, their management, or their legal counsel.
She is a Certified Professional Coder (CPC) and Certified Outpatient Coder (COC) by the American Association of Professional Coders (AAPC), with her initial certifications over 30 years ago. She has served as a member of the AAPC National Advisory Board, has been a Fellow of the AAPC, and has served as President of the Greater Orlando Chapter of AAPC. She is a Certified Professional Medical Auditor (CPMA) by the AAPC. For 18 years, she led billing and coding for a university multi-specialty medical practice of over 400 physicians. She has 20 years of experience as a medical auditor with a company that provided medical auditing services for medical practices, hospitals, and commercial me...
Adam J Carinci, MD, JD, MBA
University of Rochester School of Medicine and Dentistry
Illinois
Pain Management - Medicine, Anesthesiology
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Complex Regional Pain Syndrome, CRPS, Reflex Sympathetic Dystrophy, RSD, Life Care Plan Analysis, Nerve Injury, Nerve Pain, Failed Back, Epidural Injections, Hematoma, Chronic pain, Opioids, Pill Mills, Overprescribing, Addiction, Fraud, IME, Independent Medical examinations, Medical Billing
Dr. Adam J Carinci MD, JD, MBA is a nationally recognized CRPS thought leader and expert witness with over a fifteen years of pain medicine experience. With his dual training as both a physician and a lawyer Dr. Carinci is a sought-after expert witness in medico-legal matters on a national stage where he combines distinct acumen and expertise at the intersection of medicine and law. He is double-board certified in both Anesthesiology and in Pain Medicine and maintains an active, full time medical practice. Dr. Carinci is Chief of Pain Management and Director of the Interventional Spine and Pain Treatment Center at the University of Rochester Medical Center and an Associate Professor at the University of Rochester School of Medicine. Prior to his current position, Dr. Carinci was the Director of the Pain Medicine Center at Massachusetts General Hospital and an Instructor at Harvard Medical School. Dr. Carinci trained at Johns Hopkins University School of Medicine and Harvard Medical ...
Wilfred L Hynes, MD
Award Winning, Harvard Trained Pain Physician
Tufts Medical Center
Boston, Massachusetts
Pain Management - Medicine
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Pain management, pain medicine, chronic pain, spine injections, steroid injections, opiates, complex regional pain syndrome, CRPS, RSD, nerve injury, epidural hematoma, failed back syndrome, facet injections, radiofrequency ablation, billing fraud, medical billing, personal injury
Award-Winning, Harvard Trained Pain Management Physician in active clinical practice. Tufts Faculty (2005-Present). Harvard Faculty (1997-2005). Double Board Certified (Anesthesia and Pain Management). 10+ years experience Medical Director, Tufts. Opiate Management Committee, Tufts Medical Center (2014-Present). Boston College - Scholar of the College/Gasson Scholar. Experienced expert witness at both deposition and trial. Forensic experience includes medical malpractice, workers’ compensation, criminal matters, national opiate litigation, and health care fraud
Richard A Parker, MD
Hospital Corporate Negligence
Care Dimensions hospice
Newton Highlands, Massachusetts
Hospital Administration, Hospice and Palliative Care
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Hospital Corporate Negligence, Hospital Liability, Hospital administration, Hospice care, Hospice fraud, healthcare fraud, Credentialing, Policies and procedures, Mental Health, Covid, sepsis, hemorrhage, medical billing, qui tam, medical necessity, DNR, end of life, hospital advertising
Highly experienced hospital corporate negligence, hospital credentialing and hospice expert witness. Reviewed over 800 cases and testified in 48 trials and depositions over 23 years. Trained at Dartmouth and Brown medical schools. Previous Assistant Professor appointment at Harvard Medical School. Practiced internal medicine for 24 years. Served as medical director and chief medical officer for Beth Israel Deaconess Physician Organization for 15 years in Boston. Former chief of medical services at Massachusetts Mental Health Center, Boston, MA and New England Deaconess Psychiatric unit. Former editor for Journal of the American Medical Association. Served as chief medical officer for Arcadia -- a data aggregation and analytics company providing population health services to large healthcare organizations. Currently practice in hospice for Care Dimensions hospice in Lincoln, Mass. Experienced speaker and presenter.
Tiana Thompson, NHA, MBA
Experienced Expert - Nursing Home Administrator
Expert Consulting Services
Marblehead, Massachusetts
Nursing Home Administration, Long Term Care
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SNF Admin, SNF Expert, Assisted Living, Medicare Compliance, Behavioral Health, Infection Control, Health Services Management, Elder Care, RCFE Admin, Memory Care, Dementia/Alzheimer's, Regulatory Compliance, Nursing Home Finance, Quality Assurance, Subacute Care, Medical Billing
A dynamic healthcare executive with a rich background in senior living, skilled nursing, and behavioral health management, Tiana Thompson brings substantial expertise in operations, compliance, and turnaround strategies for healthcare facilities. As VP of Operations for “We Care” Psychology Affiliates and a seasoned healthcare consultant, she manages multi-state behavioral health practices and provides expert witness services in nursing home litigation. Her leadership in skilled nursing and assisted living facilities has consistently resulted in improved star ratings, regulatory compliance, and financial health. Known for her strategic approach, Tiana excels in staff development, budgeting, and fostering positive work environments.
Case Work Includes:
Skilled Nursing and Assisted Living Operations
Behavioral Health Program Management for Senior Living
Expert Witness in Nursing Home and Assisted Living Litigation
Regulatory Compliance (Medicare, Medicaid, CMS, OBRA, OSHA)
Financial ...
Michael F Arrigo
Medical billing, fraud, HIPAA privacy, FMV
No World Borders
Nevada
Medical Billing, HIPAA
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Medical billing, Patents trade secrets, electronic medical records, Medicare fraud, medical billing fraud, qui tam false claims act fraud Usual Customary Reasonable (UCR), Meaningful Use Electronic Health Records, HITECH Act, Affordable Care Act, Medicare Advantage, Medicaid, insurance, CRPS, EMTALA
Writer, speaker, published peer-reviewed works as an expert in the field recent Federal court rulings as a qualified expert published in Westlaw
• US COURT OF APPEALS considered expert opinions, VACATED AND REMANDED
• Two DOJ retentions, $155 million settlement
• Healthcare IT patents intellectual property Technical Expert, Medicare Damages Expert
• Medical coding medical billing, claims, usual customary and reasonable charges in personal injury and medical malpractice cases, Lifecare plan rebuttal under ACA on the future cost of care, trauma
• Electronic medical record forensics / electronic health record forensics, E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud
• genetic testing, novel genetic sequencing, esoteric testing, laboratory testing
• HIPAA Privacy, Security, Blockchain special studies MIT
• Affordable Care Act, HITECH Act, electronic medical records, meaningful use, patents, and intellectual property in heal Healt...
Mark D. Kraft, MD
Pain Medicine & Medical Devices Expert Witness
Advanced Pain Consultants
Las Vegas, Nevada
Pain Management - Medicine, Medical Devices
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Failed back, chronic pain, Complex Regional Pain Syndrome (CRPS), Practice guidelines and standards, Nerve Injury, Injections, Opioids, Addiction, Fraud, IME, Independent Medical examinations, patents, intellectual property, pharma, medical billing, pill mill, spinal cord stimulators, ablation
Fellowship trained pain physician. Experienced expert witness with excellent communication skills. Co-author of international pain practice guidelines. Active clinical practice after recovering from a disabling spine injury. Pharma and medical device experience. Inventor of a patented system and method for objectively verifying internal disc disruption. Former master instructor for International Spinal Injection Society.
Performs pain procedures including: Spinal cord stimulators, radio frequency ablations, stellate ganglion blocks, epidural injections, steroid injections, spinal nerve root injections, facet injections, and nerve blocks.
Licensed in Arizona, California, and Nevada
Mark L Friedman, MD, FACEP, FACP
Medical billing and coding expertise
Medical Directions LLC
Newbury, New Hampshire
Medical Billing, Medical Coding
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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...
Michael F Arrigo
Medical billing, fraud, HIPAA privacy, FMV
No World Borders
New Jersey
Medical Billing, HIPAA
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Medical billing, Patents trade secrets, electronic medical records, Medicare fraud, medical billing fraud, qui tam false claims act fraud Usual Customary Reasonable (UCR), Meaningful Use Electronic Health Records, HITECH Act, Affordable Care Act, Medicare Advantage, Medicaid, insurance, CRPS, EMTALA
Writer, speaker, published peer-reviewed works as an expert in the field recent Federal court rulings as a qualified expert published in Westlaw
• US COURT OF APPEALS considered expert opinions, VACATED AND REMANDED
• Two DOJ retentions, $155 million settlement
• Healthcare IT patents intellectual property Technical Expert, Medicare Damages Expert
• Medical coding medical billing, claims, usual customary and reasonable charges in personal injury and medical malpractice cases, Lifecare plan rebuttal under ACA on the future cost of care, trauma
• Electronic medical record forensics / electronic health record forensics, E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud
• genetic testing, novel genetic sequencing, esoteric testing, laboratory testing
• HIPAA Privacy, Security, Blockchain special studies MIT
• Affordable Care Act, HITECH Act, electronic medical records, meaningful use, patents, and intellectual property in heal Healt...
Paul Saiz, MD, FAAOS, CIME
3 Crosses Orthopedic Spine
Las Cruces, New Mexico
Spine Surgery & Spine Care, Medical Coding
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Spine fusion, Spine tumors, Spine trauma, Laminectomy, Discectomy, Total disk replacement, Decompression, Dural tear, Pedicle screws, Independent medical examinations, IME, Causation, Medical coding, Medical billing, Medical necessity, Spinal abscess, Disability evaluation, Workers Comp, MVA
Board Certified in Orthopedic Surgery and Spine Surgery in active clinical practice. Fellowship trained in both spinal reconstructive surgery and musculoskeletal oncology and reconstruction. 20+ years clinical experience in spine surgery. Well-experienced public speaker. Special expertise in spinal care coding. New Mexico State Team Physician. Experienced expert witness, independent medical examiner, and medical necessity peer reviewer. Licensed in New Mexico, Texas and Arizona.
Michael F Arrigo
Medical billing, fraud, HIPAA privacy, FMV
No World Borders
New York
Medical Billing, HIPAA
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Medical billing, Patents trade secrets, electronic medical records, Medicare fraud, medical billing fraud, qui tam false claims act fraud Usual Customary Reasonable (UCR), Meaningful Use Electronic Health Records, HITECH Act, Affordable Care Act, Medicare Advantage, Medicaid, insurance, CRPS, EMTALA
Writer, speaker, published peer-reviewed works as an expert in the field recent Federal court rulings as a qualified expert published in Westlaw
• US COURT OF APPEALS considered expert opinions, VACATED AND REMANDED
• Two DOJ retentions, $155 million settlement
• Healthcare IT patents intellectual property Technical Expert, Medicare Damages Expert
• Medical coding medical billing, claims, usual customary and reasonable charges in personal injury and medical malpractice cases, Lifecare plan rebuttal under ACA on the future cost of care, trauma
• Electronic medical record forensics / electronic health record forensics, E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud
• genetic testing, novel genetic sequencing, esoteric testing, laboratory testing
• HIPAA Privacy, Security, Blockchain special studies MIT
• Affordable Care Act, HITECH Act, electronic medical records, meaningful use, patents, and intellectual property in heal Healt...
Adam J Carinci, MD, JD, MBA
University of Rochester School of Medicine and Dentistry
Rochester, New York
Pain Management - Medicine, Anesthesiology
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Complex Regional Pain Syndrome, CRPS, Reflex Sympathetic Dystrophy, RSD, Life Care Plan Analysis, Nerve Injury, Nerve Pain, Failed Back, Epidural Injections, Hematoma, Chronic pain, Opioids, Pill Mills, Overprescribing, Addiction, Fraud, IME, Independent Medical examinations, Medical Billing
Dr. Adam J Carinci MD, JD, MBA is a nationally recognized CRPS thought leader and expert witness with over a fifteen years of pain medicine experience. With his dual training as both a physician and a lawyer Dr. Carinci is a sought-after expert witness in medico-legal matters on a national stage where he combines distinct acumen and expertise at the intersection of medicine and law. He is double-board certified in both Anesthesiology and in Pain Medicine and maintains an active, full time medical practice. Dr. Carinci is Chief of Pain Management and Director of the Interventional Spine and Pain Treatment Center at the University of Rochester Medical Center and an Associate Professor at the University of Rochester School of Medicine. Prior to his current position, Dr. Carinci was the Director of the Pain Medicine Center at Massachusetts General Hospital and an Instructor at Harvard Medical School. Dr. Carinci trained at Johns Hopkins University School of Medicine and Harvard Medical ...
Thomas Peatman, CIME, MD
Oregon
Orthopedic Surgery, Sports Medicine
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Hip, Knee, Shoulder, Trauma, Causation, Spine Surgery & Spine Care, Orthopedics Non Surgical, Independent Medical Examinations, IME, Life care planning, Disability evaluation, Impairment Evaluation, Medical Coding, Medical billing, Fraud, Workers’ Compensation, Motor Vehicle Accident, Patents, MVA
Board-Certified orthopedic surgeon in active clinical practice. Additional sub-specialty Certification in Sports Medicine. IME certified.
Have performed over 8,000 joint replacements, hip, knee and shoulder arthroscopies and open surgeries. After developing a hand tremor, I now focus on the non-operative management of orthopedic disease and trauma.
Former Team Physician for the Oakland Athletics. United States Navy veteran.
I have been participating in expert witness work for 13+ years. I perform complex case reviews with or without an exam, as well as provide clarity to simpler incidents. I am timely and prioritize scheduling exams, depositions and court appearances.
James R Quinn, RN, BSN, LCP-C, MCP-C, CNLCP, CPB
J. Quinn Consulting, LLC.
Langhorne, Pennsylvania
Life Care Planning, Medical Billing
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Bill Reviews, NJ PIP Law, New Jersey Haines Decision, Life Care Planning, Medical Cost Projection Specialist, UCR, Future Damages Expert
Mr. James R. Quinn is a recognized dual licensed registered nurse, certified nurse life care planner, certified professional biller, educator, consultant and expert witness. He consults in matters related to medical billing/coding, medical cost projections, life care planning, catastrophic injuries, and personal injury related litigation. He has developed over 1,500+ reports on past billing and future damages including life care plans, medical cost projections, and analyses of other experts’ life care plans and cost projections. His practice has a particular focus on trial testimony, as he has testified over 75 times to date, mostly for trial.
Mr. Quinn provides unbiased insights, evaluations, medical billing reviews and research for both plaintiff and defense attorneys in civil and federal legal proceedings. He bases his opinions on professional experience, science, analytics, academic expertise, and a deep understanding of the UCR or Usual, Customary, and Reasonable charges and t...
James E Alexander, Jr., MD
Healthcare Compliance Management, LLC
Fort Worth, Texas
Medical Billing, Medical Coding
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Qui Tam, Health Insurance Fraud, Health Insurance Abuse, Medicare, Medicare Fraud, Medicare Abuse, Medical Policy, Medical Necessity in Medicare, Medicare LCDs, Medicare NCDs, Medicare Coding, Medicare Billing, Health Insurance Coding, Upcoding, Medical Devices, New Medical Technology
Completed SEAK Expert Witness Training. Experience working on 4 large qui tam cases. Retired Captain (O-6) United States Navy. Board Certified General Surgeon. Partner in Healthcare Compliance Management, LLC, a consulting firm incorporated in Texas. Dr. Alexander and his partners established HCM in early 2002 and since that time he has been involved in numerous healthcare compliance consulting projects for major pharmaceutical and medical device manufacturers, large and small hospitals, cancer centers, large and small physician groups, other consulting entities as a special consultant, and legal firms (both as a consultant and as an expert witness).
Michael F Arrigo
Medical billing, fraud, HIPAA privacy, FMV
No World Borders
Texas
Medical Billing, HIPAA
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Medical billing, Patents trade secrets, electronic medical records, Medicare fraud, medical billing fraud, qui tam false claims act fraud Usual Customary Reasonable (UCR), Meaningful Use Electronic Health Records, HITECH Act, Affordable Care Act, Medicare Advantage, Medicaid, insurance, CRPS, EMTALA
Writer, speaker, published peer-reviewed works as an expert in the field recent Federal court rulings as a qualified expert published in Westlaw
• US COURT OF APPEALS considered expert opinions, VACATED AND REMANDED
• Two DOJ retentions, $155 million settlement
• Healthcare IT patents intellectual property Technical Expert, Medicare Damages Expert
• Medical coding medical billing, claims, usual customary and reasonable charges in personal injury and medical malpractice cases, Lifecare plan rebuttal under ACA on the future cost of care, trauma
• Electronic medical record forensics / electronic health record forensics, E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud
• genetic testing, novel genetic sequencing, esoteric testing, laboratory testing
• HIPAA Privacy, Security, Blockchain special studies MIT
• Affordable Care Act, HITECH Act, electronic medical records, meaningful use, patents, and intellectual property in heal Healt...
Adam J Carinci, MD, JD, MBA
University of Rochester School of Medicine and Dentistry
Texas
Pain Management - Medicine, Anesthesiology
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Complex Regional Pain Syndrome, CRPS, Reflex Sympathetic Dystrophy, RSD, Life Care Plan Analysis, Nerve Injury, Nerve Pain, Failed Back, Epidural Injections, Hematoma, Chronic pain, Opioids, Pill Mills, Overprescribing, Addiction, Fraud, IME, Independent Medical examinations, Medical Billing
Dr. Adam J Carinci MD, JD, MBA is a nationally recognized CRPS thought leader and expert witness with over a fifteen years of pain medicine experience. With his dual training as both a physician and a lawyer Dr. Carinci is a sought-after expert witness in medico-legal matters on a national stage where he combines distinct acumen and expertise at the intersection of medicine and law. He is double-board certified in both Anesthesiology and in Pain Medicine and maintains an active, full time medical practice. Dr. Carinci is Chief of Pain Management and Director of the Interventional Spine and Pain Treatment Center at the University of Rochester Medical Center and an Associate Professor at the University of Rochester School of Medicine. Prior to his current position, Dr. Carinci was the Director of the Pain Medicine Center at Massachusetts General Hospital and an Instructor at Harvard Medical School. Dr. Carinci trained at Johns Hopkins University School of Medicine and Harvard Medical ...
Rhonda R Guitreau
Medical Reimbursement Specialists
DALLAS, Texas
Medical Billing, Medical Coding
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Medical Bill Review, Reasonableness of Medical Bills, Forensic Bill Review, Medical Cost Analysis, Expert Witness for Deposition/ Trial, Usual, Customary, Reasonable (UCR) fee analyses, Geographic Specific Provider market comparisons, Medicare, Medicaid, Major Insurance comps
Paul Saiz, MD, FAAOS, CIME
3 Crosses Orthopedic Spine
Texas
Spine Surgery & Spine Care, Medical Coding
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Spine fusion, Spine tumors, Spine trauma, Laminectomy, Discectomy, Total disk replacement, Decompression, Dural tear, Pedicle screws, Independent medical examinations, IME, Causation, Medical coding, Medical billing, Medical necessity, Spinal abscess, Disability evaluation, Workers Comp, MVA
Board Certified in Orthopedic Surgery and Spine Surgery in active clinical practice. Fellowship trained in both spinal reconstructive surgery and musculoskeletal oncology and reconstruction. 20+ years clinical experience in spine surgery. Well-experienced public speaker. Special expertise in spinal care coding. New Mexico State Team Physician. Experienced expert witness, independent medical examiner, and medical necessity peer reviewer. Licensed in New Mexico, Texas and Arizona.
Eric Snowden, DC, CLCP
Carecrest Lifecare Planning
Frisco, Texas
Life Care Planning, Medical Billing
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Medical Cost Projection, EHR Development, Impairment Rating, Occupational Therapy, TBI, Amputations, Spinal Chord Injury, Burns, Physical Rehab, Bill Auditing
Dr. Eric Snowden is a renowned expert in health care claim reimbursement, business systems development, a Certified Life Care Planner, Medical Cost Projection Specialist, as well as a member of the American Academy of Coders. As the driving force behind Integrated Health Services, he excels in claims recovery, revenue cycle management, and life care planning. Dr. Snowden is recognized for assisting dentists and oral surgeons with reimbursement strategies under patients' medical benefit plans.
His groundbreaking cloud-based software, Portico, employs evidence-based medicine for accurate diagnoses and integrates with major insurers. Portico streamlines communication among physicians, patients, and ancillary providers while offering specialized modules for various disciplines. It empowers providers to secure reimbursements for up to 90% of claims and embeds policy guidelines and compliance protocols.
Dr. Snowden has been a principal and managing member in over 40 corporations spannin...
Doreen R Casuto, RN, MRA, CRRN, CCM
Rehabilitation Care Coordination
Utah
Life Care Planning, Medical Billing
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Rehabilitation Nursing, Nursing Assessment, Case Management, Benefit Administration, Special Needs Trust, Care Coordination, Spinal Cord Injury, Traumatic Brain Injury, Cerebral Palsy, Neuromuscular Disorders, Amputation, Accessibility, Medical Billing, Benefit Application
50 years of experience in rehabilitation nursing, providing patient care, education and coordination of services. 35 years as an independent case manager working with catastrophically injured. Evaluated patients, assisted physicians in planning and coordinating the rehabilitation needs of patients with spinal cord, brain injuries, stroke and neuromuscular illnesses. Prior to founding RCC she was the Director of Physical Rehabilitation Nursing at Grossmont Hospital in San Diego, Rehabilitation Nurse Coordinator at Methodist Hospital in Indianapolis and Rehab Nursing Workshop Coordinator at Ohio State University. Doreen is currently an Adjunct Professor with San Diego State’s School of Nursing as well as a former board member of the Brain Injury Association of California (BIACAL), the San Diego Brain Injury Foundation (SDBIF) and Jewish Family Services of San Diego.
In 1989, Doreen Casuto decided to start a small company with a unique goal. Doreen had recently left Grossmont Hospit...
Michael F Arrigo
Medical billing, fraud, HIPAA privacy, FMV
No World Borders
Washington
Medical Billing, HIPAA
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Medical billing, Patents trade secrets, electronic medical records, Medicare fraud, medical billing fraud, qui tam false claims act fraud Usual Customary Reasonable (UCR), Meaningful Use Electronic Health Records, HITECH Act, Affordable Care Act, Medicare Advantage, Medicaid, insurance, CRPS, EMTALA
Writer, speaker, published peer-reviewed works as an expert in the field recent Federal court rulings as a qualified expert published in Westlaw
• US COURT OF APPEALS considered expert opinions, VACATED AND REMANDED
• Two DOJ retentions, $155 million settlement
• Healthcare IT patents intellectual property Technical Expert, Medicare Damages Expert
• Medical coding medical billing, claims, usual customary and reasonable charges in personal injury and medical malpractice cases, Lifecare plan rebuttal under ACA on the future cost of care, trauma
• Electronic medical record forensics / electronic health record forensics, E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud
• genetic testing, novel genetic sequencing, esoteric testing, laboratory testing
• HIPAA Privacy, Security, Blockchain special studies MIT
• Affordable Care Act, HITECH Act, electronic medical records, meaningful use, patents, and intellectual property in heal Healt...
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