Medical Billing Expert Witnesses in Texas

Medical Billing, HIPAA - 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...

Fort Worth, Texas

Medical Billing, Medical Coding - 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).

Texas

Medical Billing, HIPAA - 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...

Texas

Pain Management - Medicine, Independent Medical Examinations - Pain Management, spinal cord stimulator, nerve injury, RSD, Reflex Sympathetic Dystrophy, radiofrequency ablation, injections, complex regional pain syndrome, CRPS, opioids, causalgia, nerve block, neuropathic pain, failed back syndrome, IME, medical billing, billing fraud, disability evaluation

Award Winning, Harvard Trained Pain Physician. Active clinical practice. Provided pain management treatment to WNBA players, the MLS, the Boston Red Sox and the Pittsburgh Pirates. Castle Connolly Top Doctor, Pain Management, since 2015. Chosen by his peers and recognized as "Top Doctor" in the Sarasota area since 2017. U.S. Naval Academy graduate. Former United States Marine Corps Officer with deployments to Sarajevo, Mogadishu, and Kuwait.

Arlington, Texas

Life Care Planning, Medical Billing - Case Management, Medical Cost Projection, Vocational Expert, Employability Expert, Nursing, Personal Injury, Property Liability, Workers Compensation

A licensed Registered Nurse with over 30 years of experience. I have provided care for and developed treatment plans for a multitude of patients, including those patients experiencing orthopedic conditions that require inpatient and outpatient rehabilitation, patients with burn injuries, patients with spinal cord injuries, patients who have experienced with amputations, patients with visual impairments, and patients with acquired brain injuries. I trained as and began working as a medical and vocational case manager in 2006, becoming certified in 2007. As a case manager, I perform assessment, planning, implementation, coordination of care, monitoring, evaluation, and outcomes management in a variety of practice settings. My work as a case manager included medical billing audit, utilization review, as well as appeals and denials of hospital services which included medical and procedural coding, medical necessity, and cost review. In 2011, I became a certified disability management sp...

DALLAS, Texas

Medical Billing, Medical Coding - 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

Montgomery, Texas

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, AKS, 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...

McKinney, Texas

Medical Billing, HMO - Managed Care, HMO, PPO, HIPAA, Medical Billing, Capitation, IPA, Medical Group, Medicare, Medi-Cal, Medicaid, POS, Athena, Nationwide, California, Texas, Florida, Arizona, Colorado, Washington

Do you need someone who knows and understands medical billing? I have been in the industry since 1988. I know the games and tricks payers use to deny claims. I have been a claims examiner, biller, claims manager, medical billing company owner, and a highly sought-after lecturer. I am not some Johnny-come-lately. I have the tools that you need to succeed. • EXPERIENCE ACCURATE MEDICAL BILLING & AUDIT, Rancho Cucamonga, CA/McKinney, TX OWNER, CEO, AND FOUNDER Only Billing Service to earn Preferred partner status with San Bernardino County Medical Society. Only billing services are authorized in California to perform CEUs for doctors. Comprehensive knowledge and experience in insurance billing, claims, and collections. Recommended billing service by and to CCA members Recommended and endorsed by ICAC Co-Chair insurance and Managed Care Committee-California Chiropractic Association CONSOLIDATED HEALTHCARE SERVICES/A1 IMAGING/HALLMARK SURGERY CENTER NATIONAL DIRECTOR BILLING/COL...

Texas

Spine Surgery & Spine Care, Medical Coding - 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.

Frisco, Texas

Life Care Planning, Medical Billing - 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...

SAN ANTONIO, Texas

Medical Billing, Medical Coding - Pain Management, Orthopaedics, Anesthesia, UCR, Personal Injury, Chiropractic, Neurology, Fraud Waste Abuse, Unbundling, Fee Analysis, Physical Therapy, Radiology, Medical Record Auditing, Psychiatry, Up coding, Outpatient Hospital, Hospital Billing, Reasonable charges, Future Costs

BEST-MED CONSULTING, LLC - Billing Expert Solutions of Texas. Highly Experienced Expert Witness 10 years –150 + cases. Multiple specialty expertise (Pain Management, Anesthesia, Physical Therapy, Chiropractic, Orthopedic, Radiology, Hospital) Trial and deposition experience. Certified Professional Coder and Medical Record Auditor 20+ Years. Healthcare Compliance experience for Health Plan and Large Health System. Experience in detecting Healthcare Fraud, Waste and Abuse former Special Investigation Unit Manager.