MEDICARE REGULATIONS EXPERT WITNESSES

Expert Witness: E-148041
This expert has over 30 years of experience with healthcare and health insurance. She gained her PhD in sociology and health policy at the University of California, Santa Cruz and directed research at the Institute of Health and Aging at UC San Francisco before leading the White House's Health Care Reform Task Force. Since, she has continued to contribute to the private and public sectors, working as a principal at William M. Mercer, Inc, the vice president of the Lewin ...
Expert Witness: E-000266
This expert has extensive credentials and training in nursing, nurse life care planning, and medicare consulting. She belongs to the American Association of Legal Nurse Consultants, the American Association of Nurse Life Care Planners, and the National Association of Medicare Set-Aside Professionals. She has held numerous nursing positions throughout the mid-west and is currently a nurse life care planner and consultant at a private firm in Indiana.
Expert Witness: E-050744
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 PricewaterhouseCoopers; he now runs his own consulting business and assists ...

MEDICARE REGULATIONS EXPERT WITNESS CASE STUDIES

Health Insurer Allegedly Underpays For Rehabilitation Services MEDICARE REGULATIONS Expert Case

This case involves an alleged breach of contract between a rehabilitation services system and a health insurance company in Arizona. The plaintiff system alleged that the health insurance company underpaid for inpatient rehabilitation services. It was also …

Health Agency Allegedly Defrauds Medicare MEDICARE REGULATIONS Expert Case

Health Agency Allegedly Defrauds Medicare

…  takes place in Connecticut and involves alleged fraud in Medicare. The defendants owned and operated a home health care agency that …  conduct assessments for the potential patients that were Medicare insured. These forms were allegedly manipulated to appear as though …