Expert Witness Services
Comprehensive medical billing and coding expert witness services for complex litigation cases, insurance disputes, fraud investigations, and regulatory compliance matters
Medical Billing Audits
Comprehensive analysis of medical billing practices, coding accuracy, and compliance with healthcare regulations.
- CPT/ICD-10 Coding Analysis
- HCPCS Level II Review
- Modifier Usage Assessment
- Documentation Review
Expert Testimony
Professional expert witness testimony for court proceedings, depositions, and arbitration cases.
- Deposition Testimony
- Trial Testimony
- Expert Report Preparation
- Cross-Examination Support
Fraud Investigation
Investigation and analysis of suspected healthcare fraud, billing irregularities, and pattern identification.
- Billing Pattern Analysis
- Statistical Analysis
- Damage Calculations
- Whistleblower Support
Case Consultation
Strategic consultation and case preparation assistance for attorneys handling healthcare disputes.
- Case Strategy Development
- Discovery Planning
- Document Review
- Settlement Analysis
Compliance Analysis
Assessment of healthcare billing compliance with federal and state regulations and industry standards.
- CMS Guidelines Review
- HIPAA Compliance
- OIG Risk Assessment
- State Medicaid Analysis
Insurance Disputes
Expert analysis for insurance claim disputes, denials, and reimbursement controversies.
- Claim Denial Analysis
- Prior Authorization Review
- Medical Necessity Assessment
- Coverage Determination
Specialized Services
Revenue Cycle Management
- End-to-end revenue cycle analysis and optimization recommendations
- Claims processing workflow evaluation
- Denial management and appeals process review
- Accounts receivable analysis and aging reports
Quality Assurance
- Medical coding accuracy assessments and error rate analysis
- Provider credentialing and enrollment verification
- Billing software and system functionality review
- Staff training and competency evaluations
Regulatory Compliance
- Medicare and Medicaid billing compliance audits
- Anti-kickback and Stark Law violation assessments
- False Claims Act liability analysis
- HITECH Act and data breach impact studies
Damage Assessment
- Financial impact calculations for billing errors and fraud
- Lost revenue analysis due to system failures or breaches
- Remediation cost estimates and implementation timelines
- Restitution calculations and payment plan assessments
Types of Cases We Handle
Healthcare Fraud
Medicare/Medicaid fraud, upcoding, unbundling, phantom billing, and kickback schemes
Insurance Litigation
Claim denials, bad faith insurance practices, coverage disputes, and reimbursement issues
Employment Disputes
Wrongful termination, whistleblower retaliation, and healthcare industry employment law
Contract Disputes
Provider agreements, billing service contracts, and vendor relationship disputes
Regulatory Violations
OIG investigations, CMS audits, state licensing board actions, and compliance failures
Data Breaches
HIPAA violations, cybersecurity incidents, and patient data protection failures
Our Process
Initial Consultation
Case evaluation and expert assignment based on specific expertise requirements
Document Review
Comprehensive analysis of medical records, billing data, and relevant documentation
Expert Analysis
Detailed investigation, coding review, and preparation of findings and opinions
Expert Report & Testimony
Written expert reports and live testimony as needed for your case
Ready to Get Started?
Connect with our expert witnesses for your next case. Available nationwide for federal and state court proceedings.