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Billing Coding Fraud Expert Witnesses

Billing coding fraud expert witnesses provide specialized knowledge in identifying fraudulent coding practices in healthcare claims. They analyze medical billing records to detect instances of upcoding, unbundling, or other unethical practices that lead to inflated healthcare costs. These experts are often called upon in legal cases where healthcare fraud is alleged, assisting in uncovering improper billing methods. In healthcare fraud litigation, billing coding fraud expert witnesses offer critical expertise in analyzing medical coding and billing practices. They evaluate compliance with coding standards and determine if there has been intentional manipulation to secure higher reimbursements. By examining billing patterns, these experts help legal teams establish fraud, supporting cases with detailed, technical insights into billing irregularities.

By Criteria: billing coding fraud

Showing 11 from 11 results

Medical Coding Billing Audits Expert Witness

Expert Number: 3806 | 
State: TX 

Provides Testimony In

Medicaid Billing, Medicaid Coding, Medical Billing, Audit, Fee Analysis, Insurance Billing, Medical Bill Coding

Healthcare Medical Billing Coding Audits Expert Witness

Expert Number: 2872 | 
State: CA 

Provides Testimony In

Healthcare Medical Billing, Medical Coding, Billing Audits, Healthcare Management, Business Administration, Medical Billing, CHDP, CPSP, Family Pact Programs, Healthcare Management, Healthcare Operations, Billing, Insurance, Medicare, Medi-Cal, Private Insurance

Physician Executive & Medical Expert Witness

Expert Number: 5322 | 
State: MD 

Provides Testimony In

Board Certified in Emergency Medicine,Standards of Care, Personal Injury, Hospital Administration, Billing & Coding, SNF & Long-Term Care Facilities, Nursing Homes,Opioids, EMTALA, Wound Care, Medicare, Fraud, Stroke, Sepsis, Cardiovascular Diseases, Myocardial Infarction, Fractures, Motor Vehicle Accident, Aortic Dissection, Foreign Body, COVID,Trauma, Forensics Sexual Assault Digital, Health Product Liability Negligence, Independent Medical Exam

Medical Billing Collections Expert Witness

Expert Number: 720 | 
State: WA 

Provides Testimony In

Medical Billing, Full Cycle Billing, Collections, Medicare, Medicaid, Commercial Insurance, MVA, WC, Chart Review, Coding Compliance, Billing Standards, Appeals Process, Reimbursement, Compliance, Fraud Prevention

Medical Billing Standards Expert Witness

Expert Number: 647 | 
State: MA 

Provides Testimony In

Quality Assurance in Medical Standards, Quality Assurance Medical Standards Medical Billing Utilization Review, Board Certified Medical Billing, Insurance Claims Medical Standards of Care, Quality Assurance Medical Standards Medical Billing Coding, Medical Billing, Quality Assurance Medical Standards Medical Billing Managed Care HMO, Medical Over Billing Fraudulent Billing Practices, Quality Assurance Medical Standards Medical Billing, CPT Coding

Neuro Oncology Molecular Biology Expert Witness

Expert Number: 303 | 
State: CA 

Provides Testimony In

Neurosurgical, Neuro oncology, Molecular Biology, Neurosurgery, General Surgery, Trauma, Spine Surgery, Brain Surgery, Spinal Cord Injury, Organ Tissue Committee, Bioethics, Stereotactic, Radiosurgical, CyberKnife, Paragangliomas, Glomus Tumors, Spinal Neoplasms, Cranial Trauma, Plavix Trauma, Radiosurgery, Hemangiopericytomas, Chordomas, Hemangioblastomas, Stem Cells, Thoraco Lumbar, Spine Fusion, Stupor, Coma, Neurological Syndromes, Spinal Conditions, Cervical Disease, Neurosurgical Shunts, Micro lumbar Discectomy, Syringomyelia, Primary Spondylolysis, Quadriplegic, Spinal Stenosis Decompression, Knodt Rod Fusion, Cervical Spondylotic Myelopathy, Hangmans Fracture, Axis Vertebra, Mid Cervical Cord Compression, Hyperglycemia, Cerebral Artery Occlusion, Cervical Stenosis, Myosin Filament,utilization, billing coding accuracy, appropriateness of care, quality of care

Statistical Insurance Fraud Billing Medicare Medicaid Expert Witness

Expert Number: 1890 | 
State: OH 

Provides Testimony In

Insurance Fraud Billing Disputes (Including Medicare & Medicaid), Employment Discrimination, Inventory Disputes Between Companies, Contract Disputes Between Companies, Medical Malpractice, Review & Analysis Of Technology Patent Infringement Claims; Review Analysis Tribal Claims Against The United States Of America,

Pediatric Orthopedic Registered Nurse Expert Witness

Expert Number: 1445 | 
State: SC 

Provides Testimony In

pediatrics, orthopedics, emergency medical technician, medical, surgical, registered nurse, trauma, Billing ICD 9 coding

Bicycle Sports Physiology Expert Witness

Expert Number: 3288 | 
State: KS 

Provides Testimony In

Bicycle Litigation, Pedestrian Litigation, Bicycle Consultant, Pedestrian Consultant, Sports Physiologist, Triathlon Coach, Biomechanical Analyst, Bicycle Advocate, Pedestrian Advocate, FiTTe System Practitioner Certification Instructor, Dynamic Motion Therapy, Race Promoter, Sports Physiologist, Bike Fitting, Medical coding billing, medical transcription, coding, billing in hospital private practice settings, exercise physiology and sports nutrition,

Life Insurance Claims Bad Faith Expert Witness

Expert Number: 3560 | 
State: PA 

Provides Testimony In

Life Insurance claim denials of any kind, Life Insurance Contract Policy disputes of any kind, Bad Faith issues Life Insurance Policies, Negligence issues Life Insurance Policies, Breach of Contract issues Life Insurance Policies, Agent, Broker Producer Fiduciary Responsibilities regarding Life Insurance Policies, Unfair Claim Settlement Practices, Unfair Trade Practices, Claim Procedure issues Life Insurance Policies, Guardianship Conservator issues Life insurance Policies, Estate Trust issues Life Insurance Policies, Beneficiary disputes Beneficiary issues Life Insurance Policies, Waiver of Premium issues Life Insurance, Viatical Settlement issues Life Insurance, Policy Lapse Policy Cancellation issues involving Life Insurance, Coverage disputes involving Life Insurance, Investor/Stranger/Third Party Owned Life Insurance transactions, Individual Long Term Disability Claim Denials , Individual Disability Policy disputes, Cancer/Critical Illness Policy disputes Claim Denials, , Proper Sales Practices, Underwriting Guidelines, Sales Practice Administrative matters, Life Claims Procedure, Claims of any type, Life Underwriting Process, Life Claims, Claim Decision process, Accidental Death Claims, Investor Owned Life, Insurance matters, Accidental Death benefits, Life Policy Rescissions, Policyholder Rights, Health Policy Rescissions, Policy owner Rights Responsibilities, Employer Sponsored benefits, Stranger owned Life Insurance, Investor Owned Life Insurance, Billing Coding, Medical Billing Review, Medicare, Medicaid, Accident Health Policy claims issues, Obama Care, ACA Affordable Care Act. Calculation of Subsidies, Undocumented workers, Temporary workers, illegal alien insurance exchanges

Medicare Medical Coding Coverage Expert Witness

Expert Number: 1523 | 
State: IL 

Provides Testimony In

Medicare, Medicaid, Payer Coverage, Reimbursement, Medical Audit, Medical Policy, Medical Coding, Medical Billing

Showing 11 from 11 results