Medical Billing Expert Witnesses in California
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Medical Billing Experts in California
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Medical Billing Expert Witness
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 California. He is a member of the advisory board at Hearing Healthcare Providers of California and his previous responsibilities included senior level positions at Kaiser, Paracelsus and Adventist Health Medical Groups, as administrator, regional business development director, and COO. This expert is currently the founder of a major medical revenue management firm, where he currently works.
Founder, A Major Medical Revenue Management Firm
Master of Business Administration (MBA), University of Southern California
Orange,
California
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FAQs for Medical Billing Expert Witnesses
What is the role of a medical billing expert witness in legal proceedings?
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.
What types of cases might require a medical billing expert witness?
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.
How can a medical billing expert witness help in a healthcare fraud case?
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.
Are there subspecialties within the field of medical billing that an expert witness might focus on?
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.
Why is it important to have a certified professional in medical coding as an expert witness?
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.
How does Expert Institute select its Medical Billing expert witnesses?
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.