Medical Billing Expert Witnesses
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Ms. Agnes Grogan, RN, BS
California
Ms. Agnes M. Grogan has over 50 years of experience as a Registered Nurse and over 35 years of experience as a Legal Nurse Consultant. She earned her AA from Mount San Antonio College and her BS in Business Administration from California Coast University. Today, this expert is licensed as a Registered Nurse in the state of California. Formerly, she served as a Risk Control Consultant at ACRA, as...
Medical Billing and Consulting Expert Witness
Maryland
This qualified expert has over 17 years in healthcare administration, medical accounts, and medical billing matters. She received both an A.A. and B.S. in Health Care Administration from the University of Phoenix. Her previous positions include managerial positions in medical billing departments at various companies including Johns Hopkins, GE Healthcare and LifeBridge Health. She currently works...
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Ms. Connie Coleman, CPC, CHC
Florida
Ms. Connie G. Coleman has 40 years of experience Practical Nursing and over 20 years of experience in Medical Coding and Compliance. Today, this expert is certified as a Certified Professional Coder through the American Academy of Professional Coders. She is also Certified in Healthcare Compliance through the Health Care Compliance Association. Formerly, this expert served as an Utilization...
Medicare Rules and Regulations Expert Witness
Illinois
This board certified physician is currently an active consultant in medical billing compliance, device and drug marketing, and claims data analysis. He has recently been involved as consultant and expert witness in Medicare criminal and civil litigation, Qui Tam cases and administrative hearings. The expert recently served as a Medical Consultant for ICD-10 transition, coding, and policy at...
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Ms. Tamera Rockholt, BSN, RN
Oregon
Ms. Tamera Gayle Rockholt has 27 years of experience in Nursing. She earned her BSN from Oregon Health and Science University. Today, this expert is licensed as a Registered Nurse in California and Oregon. Formerly, this expert served as a Co-founder and Nurse Consultant at Medical Management Online, as a Founder and Nurse Consultant at Health Cost Management, and as a Nurse Consultant at...
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Medical Billing Expert Witness
California
This highly qualified expert has 35+ years of experience in the healthcare arena ranging from hands-on clinical to the executive level of operations. He specializes in medical billing, collections, and in the financial performance of businesses, along with business practices. He received his BSN degree from Arizona State University and his MBA degree in finance from the University of Southern...
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Mr. Geoffrey Bretches, FHFMA, CSMC, CMPE
Texas
Mr. Geoffrey D. Bretches II has 30 years of experience in Medical Billing and Coding. He earned his BA in Finance and Mathematics from the Vanguard University of Southern California. Today, this expert is certified as a Certified Specialist Managed Care and Certified Healthcare Financial Professional by the Healthcare Financial Management Association and as a Certified Medical Practice Executive...
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Medical Records Expert Witness
Texas
This expert in EMR and Hospital Billing systems has worked as a certified Epic consultant with various healthcare providers for the past 7 years. He is currently certified in 10 Epic applications ranging from hospital billing to CDM and ASAP. He has previously held positions as a Senior Epic Consultant at multiple hospitals, as an Epic Instructional Designer, and as an Epic Revenue Cycle Report...
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Ms. Nancy Fraser Michalski, RN, BSN
California
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Arizona
Ms. Nancy Michalski has 41 years of experience in the fields of Registered Nursing and Medical Billing. She earned her BSN from the University of Wisconsin Madison. Today, this expert is licensed as a Registered Nurse in the State of California. Formerly, this expert served as the Founder and Chief Executive Officer of Med Legal Consulting Source, Inc. She currently serves as Vice President and...
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Medicaid Regulations Expert Witness
Indiana
This highly qualified expert earned his BA in political science from Ohio State University. He then went on to serve as a mediator for consumer protection at the Office of the Indiana Attorney General. He also served as the Director of Medicaid contract management, the director of Provider Relations for Indiana Medicaid and as the Medicaid Program Integrity Director at Indiana Family and Social...
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Mrs. Natalie Lopez
Florida
Mrs. Natalie Lopez has 13 years of experience in Medical Billing and Coding. Formerly, this expert served as a Supervisor and Registrar at HCA Healthcare, and as a Coordinator and MOR III at BayCare Health System, and as a Coding Specialist at Prizm, LLC.
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Life Care Planning, Medical Cost Projection, & Medical Bill Review Expert Witness
Nevada
This highly qualified expert has been in the field of nursing for over four decades, with demonstrated experience in the areas of life care planning, medical cost projection, Medicare set asides, medical damage reports, and medical bill reviews. She received her BSN from Saint Olaf College and then her MS in nursing from Ohio State University. She is a registered nurse, as well as a certified...
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Ms. Nadine Gonzalez
Texas
Ms. Nadine L. Gonzalez has 23 years of experience in Medical Billing and Coding. She earned a certificate in Documentation Coding from St. Philip's College. Formerly, this expert served as a Coder and Trainer at HealthCare Resolution Services, Inc., and as a Senior Compliance Auditor and Specialist in the Institutional Compliance and Privacy Office at UT Health San Antonio. Currently, this expert...
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Mr. Sandip Gupta
Texas
Mr. Sandip J. Gupta has 15 years of experience in Medical Billing and Marketing and he earned his BBA in Marketing from the University of Texas at Austin. Formerly, he served as a Business Intelligence Manager and Reporting Manager for Compass Professional Health Services. Currently, he serves as the Director of Data Services and Market Pricing Intelligence for Alight Solutions.
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Medical Billing Expert Witness FAQs
A medical billing expert witness provides insight into the complexities of healthcare billing, coding, and regulations. They can testify on fraudulent practices, incorrect billing, or disputes between providers and insurers.
Cases involving health insurance fraud, wrongful denial of insurance claims, personal injury claims, malpractice suits, or any case where medical costs are disputed may benefit from a medical billing expert witness.
They can analyze patient records, invoices, and payment histories to identify discrepancies or fraudulent charges. Their expertise can provide crucial evidence in proving or disproving allegations of fraud.
Yes, some experts specialize in areas like Medicare/Medicaid billing, private insurance billing, hospital or clinic-specific billing practices, or specific types of treatment such as mental health or physical therapy.
Certified professionals have demonstrated their knowledge and adherence to industry standards. Their certification lends credibility to their testimony and ensures they're up-to-date with current practices.
Expert Institute offers a personalized approach to help you find the highest quality experts. We source actively-practicing professionals who match all your requirements for specialty areas, work experience, litigation history, fee range, certifications, location, and more.