A health information management expert witness typically has a background in healthcare administration, health law and policy, clinical informatics, medical billing, medical record review, electronic medical records (EMR), information technology, and/or healthcare compliance. The chosen expert could be associated with a health information industry organization such as the American Health Information Management Association (AHIMA), the Healthcare Business Management Association (HBMA), HL7 International, the American Medical Informatics Association (AMIA), the Healthcare Information and Management Systems Society (HIMSS), or the Workgroup for Electronic Data Interchange (WEDI).
Health information management encompasses the analysis and protection of medical information by planning information systems, developing health policy, and identifying current and future needs. Health information management specialists are also responsible for collecting, storing, and transmitting information to meet legal, professional, medical ethics, and administrative requirements.
Example litigation support matters requiring a health information management expert witness include a medical malpractice case, managed care health plan disputes, qui tam matters, standards of care, medical negligence, and health insurance fraud. Expert witness services by a subject matter expert in health care information management could include an expert report, expert opinion, deposition testimony and courtroom testimony. In a high-profile case, or litigation involving a significant financial stake, the lead attorney may request a professional with prior expert testimony experience.
Whether the case involves medical coding, medical billing, electronic health records (EHR), HIPAA matters or malpractice, Cahn Litigation Services has the experience required to turn a search for a health information management expert around quickly. The firm has an earned reputation for providing expert witnesses with the right balance of expertise and testimony experience to support each unique project.
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 Information Management experts known by Cahn Litigation Services. These bios are provided to give attorneys a sense of the Health Information Management landscape.
This expert has many years of experience in healthcare and in implementing information systems and technologies for process change and value creation. This expert provides consulting on healthcare software development, healthcare product positioning, Healthcare Transformation and Strategic Planning, and Process/Technology Improvement. Through a highly successful consultancy, this expert has provided consulting for many healthcare organizations. This expert has consulted with many companies, leading to many award winning software, technology and product development projects. This expert was the Executive Vice President of a core administration systems software provider to the Health Plan Market where this expert directed new product development. This expert also has served as Associate Professor of Medical Informatics and Director of eHealth Initiatives at a University's School of Health Systems. This expert was the co-founder and Executive Director for an EMR services company. This expert was Vice President of an international healthcare consulting company; and a founding member and CEO of an eHealth Application Solution Provider (ASP). This expert co- founded and was the Chief Technology Officer of an enterprise managed care solutions provider for healthcare networks. This expert was involved with the Department of Health and Human Services in the formulation of the HIPAA Rules. This expert has been intimately involved with the security, privacy, transaction and code set rules. This expert is a past member of the HL7, ANSI X.12, and ActiveX for Healthcare standards groups.
This expert is a nationally recognized subject matter expert in healthcare information management, quality management, and compliance. This expert has conducted healthcare fraud and abuse coding compliance defense reviews and clinical documentation audits for healthcare organizations. This expert has worked as a compliance consultant and conducted medically necessity reviews for healthcare organizations and law, having worked on Urology specifically.
This expert is a national speaker, author and adjunct professor on the topics of health information operations, information governance, e-discovery and healthcare compliance. This expert is an active member of the Health Level Seven (HL-7) Working Group, responsible for the review and development of the Records Management and Evidentiary Support (RM-ES) profile for the design and development of the functional profile for electronic health record systems. This expert has also been an active member and contributor in AHIMA task forces and working groups related to information governance and the functional design and profile of electronic health record (EHR) systems. This expert is a member of The Sedona Conference Working Group on Best Practices for Electronic Document Retention and Production, the American Medical Informatics Association (AMIA), the Health Information Management Systems Society (HIMSS), the American Society for Healthcare. This expert holds an MBA, a Master of Jurisprudence degree in Health Law and Policy, and Post Baccalaureate in Clinical Informatics. This expert has provided expert witness services to both plaintiff and defense counsel.
This expert is the President & CEO of a firm providing detailed medical coding and billing compliance reviews/audits, operational assessments, investigations, and forensic analyses. This expert also provides litigation support in a consulting and expert capacity. Case work frequently pertains to allegations of improper and/or fraudulent medical coding and/or billing. This expert has provided services to firms specializing in Qui Tam matters. Clients have included government agencies, some of the largest insurance carriers in the United States, and nationally-recognized law firms. This expert's coding and medical records career spans many years, including work at medical centers, an insurance company, and a consultancy.
Urology is an area this expert is well-acquainted with, both from the standpoint of in-office procedures and surgical interventions. This expert's firm conducted a very large external audit for a multi-state provider, and also worked on a matter with the Department of Justice. Both cases included an analysis of studies routinely performed to address urinary retention, incontinence, and other types of studies and procedures. Multiple times this expert has worked in collaboration with a well-regarded urologist. This expert holds a BS in Health Information Management, is a Registered Health Information Administrator, a Certified Fraud Examiner, and an Accredited Healthcare Fraud Investigator.
This expert has extensive experience in auditing, coding, and billing for many practice areas, including urology, oncology, hematology, internal medicine, endocrinology, neurology, hospital medicine, critical care and other practice areas. This expert is a nationally known speaker and educator with credentials from the two most recognized organizations in the field of medical coding training and certification: the American Health Information Management Association (AHIMA) and the American Academy of Professional Coders (AAPC). In addition to being a Certified Professional Coder, this expert is also a Certified Risk Adjustment Coder, a Certified Coding Specialist, and an approved Coding Trainer for AHIMA. This expert has been published in the national publication AAPC Healthcare Business Monthly Magazine and is a frequent expert contributor to industry publications.
This expert founded a national consulting firm specializing in coding and compliance advisory solutions. This expert has developed and designed instructor-led and web-based training in medical coding, billing, and compliance. This expert has served as an expert witness and has worked on many litigation matters.