Health Care Fraud Expert Witnesses
Health care fraud expert witness candidates typically have backgrounds as physicians, legal nurse consultants, medical billing professionals, and may have experience in the healthcare insurance industry or health law. A damages expert, CPA, or forensic accounting professional may also be called in to assist. In a high-profile case, or litigation involving a significant financial stake, the lead attorney may request a professional with prior expert testimony experience.
The term health care, or healthcare, covers the prevention, diagnosis, treatment, recovery, or cure of mental and physical issues of a patient or group of people. Healthcare fraud encompasses health insurance fraud, drug fraud, and medical fraud. Damages from fraud can be recovered under the False Claims Act, most often under the qui tam provisions which rewards individuals for being “whistleblowers.” Fraudulent medical practice, also known as “quackery,” includes activities such as questionable diagnoses, questionable diagnostic tests, and untested or refuted treatments.
What types of legal cases require a healthcare fraud or healthcare fraud damages expert?
Example litigation support matters requiring healthcare fraud expert witnesses have included:
- medical malpractice in Texas,
- medical device approval,
- Medicare fraud in New York,
- managed care health plan disputes,
- healthcare antitrust laws,
- standards of care at a New Jersey facility,
- anti-kickback statute,
- breach of contract,
- Florida fraud case based on unnecessary medical referrals,
- internal investigation,
- Independent Medical Examiner for medical negligence arbitration, and
- fraudulent claims valuation.
Expert witness services by a subject matter expert in healthcare fraud could include dispute resolution, an expert report, medical expert opinion, damages calculations, deposition testimony and expert witness testimony in the courtroom.
Representing the plaintiff or defendant, Cahn Litigation Services has the experience required to turn a search for a health care fraud subject matter expert around quickly and provide the right balance of expertise and testimony experience.
Health Care Fraud Expert Witness - Representative Bios
Please Note: All Cahn Litigation expert witness searches are customized to attorneys' precise specifications and preferences. Attorneys are encouraged to discuss search parameters with a Cahn search specialist.
The below expert witness bios represent a small fraction of those Health Care Fraud experts known by Cahn Litigation Services. These bios are provided to give lawyers a sense of the Health Care Fraud landscape.