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- Healthcare Financial Compliance and Medical Billing Expert Witness
Healthcare Financial Compliance and Medical Billing Expert Witness
This expert provides comprehensive consulting and litigation support in medical billing, Medicare and Medicaid reimbursement, health insurance, and regulatory compliance. Their expertise covers clinical documentation, ICD and CPT coding, hospital and professional fee billing, auditing, forensic accounting, and damage quantification. With over 30 years of experience, they have served in numerous court cases and arbitrations, offering audits, training, and expert testimony on complex healthcare financial and compliance issues.
Professional Affiliations:
American Institute of CPAs
Association of Healthcare Auditors and Educators
Georgia Society of CPAs
Health Care Compliance Association
Healthcare Financial Management Association
National Association of Health Underwriters
Education:
BBA with Major in Accounting – 1974 – Georgia Southern University
Areas of expertise:
Business Valuation
Forensic Accounting
Health Care Litigation
Health/Medical/Disability Insurance
Insurance Agent/Broker
Insurance Fraud
Managed Care & HMOs
Medical Billing
Medical Fraud
Medical Insurance
Medical Malpractice
Medical Records
Medical Valuation
Nursing Homes
Case Study:
Medical Billing
Medicare and Medicaid reimbursement
Healthcare financial management
Billing fraud
Medicare False Claims
Medicaid False Claims
Usual Customary & Reasonable (UCR) Charges
Compliance Programs
Audits of documentation, coding and billing
Healthcare contractual disputes
Managed care disputes
Damage quantification
Certifications:
Certified Public Accountant – 1976 – Georgia #3625
Certified Healthcare Financial Professional – 1997
Fellow Healthcare Financial Management Association – 1998
Property and Casualty Insurance – 2001 Georgia #595707
Life, Accident and Sickness Insurance – 2002 Georgia #595707
Certified in Financial Forensics – 2010 #4509
Life, Accident & Sickness Insurance Counselor – 2011 – Georgia #595707
