Medical Billing Expert Witnesses in Texas

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Medical billing expert witnesses practice in a variety of fields, including healthcare administration, medical coding, health insurance, medical records review, and healthcare compliance. Some of the most common specialties among medical billing expert witnesses also include Medicare/Medicaid billing, hospital billing, ambulatory surgical center billing, physician billing, and emergency medicine billing. They can opine on the effects of fraudulent billing practices, improper coding, non-compliance with insurance regulations, overcharging patients, and discrepancies in medical records.

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Geoffrey Dean Bretches II, CMPE, CSMC, FHFMAView profile

ID: 6669841

Mr. Geoffrey Dean Bretches II, CMPE, CSMC, FHFMA

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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...

Medical Records Expert WitnessView profile

E-182680

Medical Records Expert Witness

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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...

Nadine Larrea GonzalezView profile

ID: 6935984

Ms. Nadine Larrea Gonzalez

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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...

Sandip Jain GuptaView profile

ID: 6935986

Mr. Sandip Jain Gupta

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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.

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.

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