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- Medical Coding, Compliance & Ophthalmology Billing Expert Witness
Medical Coding, Compliance & Ophthalmology Billing Expert Witness
A board-certified physician and surgeon with over 20 years of expert witness experience, specializing in medical coding, reimbursement, and compliance across various medical specialties. Credentials include Certified Coding Specialist (Physician-based) and Certified Professional Medical Auditor. Holds advanced degrees in medicine and business administration. Offers expert services including consultation, report generation, depositions, and trial testimony. Experienced educator and active participant in national healthcare coding and compliance committees.
Professional Affiliations:
Alpha Omega Alpha Honor Medical Society
American Academy of Ophthalmology
American Academy of Professional Coders
American College of Surgeons
American Health Information Management Association
American Medical Association
American Society of Ophthalmic Plastic and Reconstructive Surgery
Brevard County Medical Society
Florida Medical Association
Florida Society of Ophthalmology
Johns Hopkins Medical and Surgical Association
Surgical Eye Expeditions International
Education:
Bachelor of Science, Engineering
Doctor of Medicine
Master of Business Administration
Areas of expertise:
Auditing
Medical Billing
Medical Fraud
Medical Insurance
Case Study:
Medical coding and reimbursement
Coding compliance
Coding guidelines
Medicare
Medicaid
Private insurance
Fair and reasonable value
Usual, customary, and reasonable (UCR) value
CPT coding
ICD-10 coding
Auditing
Fraud and abuse
False Claims Act
Personal Injury Protection (PIP)
DRGs
National Correct Coding Initiative
Bundling
Modifiers
Certifications:
Certified Coding Specialist (Physician-based)
Certified Professional Medical Auditor
Certified Physician
