Medical Billing Expert Witnesses in Massachusetts

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...

Andover, Massachusetts

Ophthalmology, Medical Billing - Ophthalmology Expert Witness, Fraud & Abuse, Retina Surgery, Retinal Detachment, Cataract Surgery, Glaucoma, Macular Degeneration, Uveitis, Oculoplastics, Optometry, Ophthalmology Standard of Care, Eye Surgery, LASIK, Vision Loss, Medical Billing, Medical Coding, Insurance Billing Disputes, Medical Malpractice, Legal Malpractice

Adam P. Beck, M.D., Esq. is a board-certified ophthalmologist and attorney with extensive experience in clinical ophthalmology, vitreoretinal disease, medical billing, and medical-legal analysis. Dr. Beck is the President of New England Eye and Facial Specialists and has been in private practice since 2005, providing comprehensive ophthalmology care with particular expertise in vitreoretinal disease and retinal surgery. Dr. Beck completed a vitreoretinal surgery fellowship at Massachusetts Eye and Ear Infirmary and previously served as a Clinical Instructor in Ophthalmology at Harvard Medical School, where he supervised residents and fellows in the diagnosis and management of complex ophthalmic disease. In addition to his medical training, Dr. Beck earned a Juris Doctor, magna cum laude, from the Massachusetts School of Law and is admitted to the Massachusetts Bar and the United States District Court. This dual background provides a unique perspective on issues involving stand...

Boston, Massachusetts

Pain Management - Medicine - 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

Newton Highlands, Massachusetts

Hospital Administration, Hospice and Palliative Care - 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 57 trials and depositions over 25 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 and Danvers, Mass. Experienced speaker and presenter.