Medical Billing Expert Witnesses in Arkansas

Medical Billing, HIPAA - 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

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...

Medical Billing, Fraud - 60-Day Rule, Hospice, Corrective Action Plan, Cost Report, Coding, Statistical Sampling, Overpayment, Skilled Nursing, Home Health, FCA, Medicare, Hospital, Physician, False Claim, Physician Contract, Compliance Training, Anti-Kickback, Laboratory Billing, Medical Necessity, Clinical Documentation

Mr. Loria has 53 years of healthcare (HC) regulatory compliance, M&A, Medicare reimbursement and appeals, hospital pricing, managed care contracting and litigation support. Extensive expert witness experience before the Provider Reimbursement Review Board, ALJ proceedings, civil and criminal litigation, and mediation and arbitration proceedings. Mr. Loria has represented hospitals, nursing facilities, home health, hospice, reference laboratory, physician groups, and other providers in Medicare appeals and controversies. During his career he has managed more than 2,000 Medicare disputes and other investigations. He was a Partner in the SW Regional HC practice of PwC. Prior to joining PwC as a Partner, he was the National Director of the Regulatory practice at EY for 10 years. He founded Loria Associates in 2002 and serves as CEO and Managing Director. He has consistently served HC clients on a nation-wide basis and delivered excellent results based on his unique qualifications a...

Fort Smith, Arkansas

Legal Nurse Consulting, Nurse - Pediatrics, Medical chart review, Acute hospital care, Long term care, Adolescent, Sexual Assault, Analysis, Neonatal, Medical billing, Report writing, Abuse, Review, Infant, Medical coding, Wrongful death, Expert witness, Intensive care, Adult

CERTIFIED * EXPERIENCED * SPECIALIZED * INTEGRATED * COMPASSIONATE CERTIFIED: Board Certified MSN, RN, SANE-A EXPERIENCED: Justice Forensics offers over 33 years in professional nursing practice, 10 years of experience on the nursing faculty at the University of Arkansas. Current Director at Large for the Arkansas Forensic Nursing Association, 10 years Clinical and Didactic pediatric Instructor at the Fort Smith campus, and experience in: acute care hospitals, pediatrics, neonatal intensive care, Infant and pediatric ICU, special care nursery, OB/post-partum, and long-term pediatric care. Our team also has over 20 years of medical billing and coding. SPECIALIZED: Pediatric and neonatal care. Forensic Nurse Examiner, SANE-A, with expertise in sexual abuse and assault, anogenital findings, injury interpretation for sexual contact and sexual assault, forensic evidence collection, chain of custody compliance and analysis, forensic photography, and medical records. INTEGRATED: O...