Healthcare Fraud, Billing Compliance & Medical Coding Expert Witness

This expert has extensive experience providing opinions on healthcare-related technology, including medical coding, billing, fraud detection, and electronic health records. Recognized by federal and state courts as qualified in complex healthcare IT cases, the expert supports litigation involving government fraud investigations, healthcare data security, HIPAA compliance, and cost analysis. Skilled in forensic audits and eDiscovery tools, the expert consults on Medicare and Medicaid payment policies, medical coding accuracy, health plan regulations, and healthcare IT software implementation.

Professional Affiliations:

Health Information Management Systems Society (HIMSS)
Workgroup for Electronic Data Interchange (WEDI)
American Academy of Professional Coders (AAPC)
American Health Information Management Association (AHIMA)
Radiology Business Management Association (RBMA)
California State Bar Association
American Academy of Pain Medicine
Medical Group Management Association (MGMA)

Education:

Bachelor of Science in Business Administration, University of Southern California, Marshall School of Business
Biomedical Informatics Study, Stanford Medical School
Bioethics Study, Harvard Medical School

Areas of expertise:

Addiction Medicine
Analytical Testing Labs
Community Mental Health
Group Home
Health Care Economics
HIPAA
Hospital & Medical Ethics
Hospital Administration
Hospital Security
Information Technology
Intellectual Property
Life Care Planning
Medical Billing
Medical Fraud
Orthopedic Surgery
Patents
Pathology
Software

Case Study:

Medicare Fraud
Medicaid Fraud
Health Care Billing Disputes
Medical Coding Compliance
Electronic Health Records Audits
Healthcare IT Patent Infringement
False Claims Act Qui Tam Actions
Ambulance Fraud
HIPAA Privacy and Security Violations
Life Care Plan Rebuttals
Medicare Part C HCC Coding
Payment System Disputes

Certifications:

Lean Six Sigma and Process Improvement, Villanova University
Leadership Strategies, Wharton School, University of Pennsylvania
Clinical Documentation and Medical Coding Training including ICD-9/10 and CPT for multiple specialties
Instructor in HIPAA Privacy and Security, HITECH Act Electronic Health Records
Certified Ambulance Documentation Specialist (NAAC)