MEDICARE 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 ...
Expert Witness: E-035253
This highly qualified expert has extensive experience with Medicare Set Asides (MSA), Complex Medical Cost Projections and Life Care Plans. She is dual-certified as a Life Care Planner and Medicare Set Aside Consultant among many more with 30+ years working alongside insurance companies. She has past legal experience, court testimony regarding Medicare Set Asides and Medical Cost Projections. This expert is the Vice President and business owner of a medical consulting ...
Expert Witness: E-276426
This qualified expert earned her BS and MA in communication disorders from Colorado State University and University of Florida, respectively. She is a certified life care planner with over 20 years of experience. Formerly, she served as the regional manager of Medbrook Rehabilitation and the owner and director of operations of Follow Along Therapy. She currently works as a life care planner and is a member of the American Speech-Language-Hearing Association as well as ...
Expert Witness: E-083635
This highly qualified expert has been a registered nurse for over 35 years. She has worked as a rehabilitation and intravenous nurse in both the hospital and home health care setting in OH. She has been a certified life care planner and case manager for 15 years and a certified nurse life care planner for over 5 years. She is also a certified brain injury specialist by the Brain Injury Association of America. She is a member of several professional organizations ...
Expert Witness: E-037140
This expert is Board of Governors Professor in the Institute for Health, Health Care Policy and Aging Research and the School of Social Work for a leading NJ University. At the Institute, he directs the Center for Health Services Research on Pharmacotherapy, Chronic Disease Management, and Outcomes, whose programs include the AHRQ-funded Center for Education and Research on Mental Health Therapeutics. He also is Chair of the Institute's Division on Aging and Associate ...
Expert Witness: E-032781
This expert received his undergraduate and doctoral degrees in Biomedical Engineering from Iowa State University. He has worked for and consulted with leading medical device, pharmaceutical & biotechnology companies ranging in size from start-ups to Fortune 100 companies. He also works on a regular basis for the FDA, Health Canada, the US & European Patent Offices, the Centers for Medicare and Medicaid Services, and other regulatory agencies around the world. As an ...
Expert Witness: E-005551
This expert is a Professor of Psychiatry and the Director of the Alzheimer's Disease and Dementia Center of a major university hospital. He treats patients with Alzheimer’s disease, train medical students and residents, and conduct research on Alzheimer’s disease. He completed his residency and fellowship training in psychiatry and neuropsychiatry at Johns Hopkins Hospital. He has published many research reports on the impact of dementia and the use of psychotropic ...

MEDICARE EXPERT WITNESS CASE STUDIES

Health Insurer Allegedly Underpays For Rehabilitation Services MEDICARE 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 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 …

Physical Therapy Expert Witness Opines on Motorized Wheelchair Safety MEDICARE Expert Case

This case involves the failure of a retailer to properly instruct a client on the ordinary care and use of a motorized wheelchair. The plaintiff, a sixty-one-year-old male, was assigned a motorized wheelchair by his physician. When the wheelchair was deliv …

Internist Misses the Diagnosis of Acromegaly MEDICARE Expert Case

Internist Misses the Diagnosis of Acromegaly

This case involved a fifty-one-year-old male with a twelve year delay in the diagnosis of acromegaly. The patient’s medical history included diabetes, two knee replacement surgeries, and significant dysmorphic facial features. Some of those features includ …