Healthcare Expert Witnesses

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What is a healthcare expert witness?

Healthcare expert witness candidates typically have extensive experience as physicians, legal nurse consultants, specialized medical experts, nurse practitioners, and may have experience in the healthcare insurance industry, or health law. Healthcare patents expert witnesses can support matters related to development of new medical devices.  If a project involves a medical device, an expert with a background in mechanical engineering or biomedical engineering may be called in. Healthcare damages expert witnesses and healthcare damages valuation expert witnesses are in high demand to support cases related to personal injury and/or malpractice.

What types of cases require a healthcare expert witness?

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. The broad term covers healthcare providers in a plethora of fields including internal medicine, dentistry, emergency medicine, pharmacy, pediatrics, nursing, optometry, audiology, psychology, physical therapy, mental health, and athletic training – to name just a few medical specialties.

Example litigation support matters requiring a medical expert witness include medical malpractice, medical maloccurrence, personal injury, managed care health plan disputes, breach of contract, public health policies, standards of care, medical negligence, product liability (i.e, medical device failure), HIPAA issues, and health insurance. Intellectual property issues, such as patent infringement and trade secret suits, can also utilize the expertise of healthcare professionals.

Healthcare expert witness case examples

Example matters that Cahn Litigation Services has placed experts for have involved:

• biologics,
• contract disputes,
• copyright infringement,
• health plan pricing,
• pharmaceutical U.S. patent litigation,
• Inter partes reviews (IPR),
• healthcare information technology,
• life sciences patent damages,
• therapeutics,
• medical product patent cases,
• valuation and damages,
• failure analysis,
• medical device FDA approval, and
• medical product labeling.

What litigation support work might a healthcare expert witness be expected to perform?

Expert witness services by a subject matter expert in health care could include medical records reviews, research, literature review, authoring expert reports, providing expert opinions, deposition testimony, and courtroom testimony. In addition, a law firm may utilize a healthcare professional for pre-litigation consulting services. In a high-profile case, or litigation involving a significant financial stake, the lead attorney may request a health care professional with prior expert witness testimony experience.

Representing the plaintiff or defendant, Cahn Litigation Services has the experience required to turn a search for a healthcare industry expert witness around quickly and provide the right balance of expertise and testimony experience.

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Healthcare 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.

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The below expert witness bios represent a small fraction of those Healthcare experts known by Cahn Litigation Services. These bios are provided to give lawyers a sense of the Healthcare landscape.

• Expert Witness #234755

  This expert is a consultant in physician pro fee medical coding, billing and compliance. This expert is President & CEO of a firm where this expert performs audits for practices in many specialties, including Urology. This expert has spent an entire career in the medical field, and has consulted for many organizations including the American Medical Association (AMA), and the Center for Medicare & Medicaid Services (CMS).

  This expert is a seasoned expert witness for Healthcare Attorneys in need of coding, reimbursement or process review, audit, opinion and testimony. This expert has testified in federal court for physicians accused of criminal fraud and has defended physicians in civil cases, which involved writing reports and giving depositions.

  This expert is on the Editorial Advisory Boards of multiple specialty newsletters, and is a frequent speaker for many organizations including the American Academy of Professional Coders (AAPC), Medical Group Management Organization (MGMA), AudioEducator, CodingConferences.com, The Coding Institute, and Ingenix. Current certifications include: Certified Professional Coder (CPC) - AAPC; Certified Professional Coder for Hospital Outpatient Services (COC) - AAPC; Certified Professional Coder for Third Party Payers (CPC-P) - AAPC; Certified Professional Coder Instructor (CPC-I) - AAPC; and Certified Professional Compliance Officer (CPCO) - AAPC. This expert holds a BS in Industrial Engineering and an MBA.

  
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• Expert Witness #250310

  This expert is a Medicaid Fraud, medical billing, and hospitals best practices expert. This expert is the managing partner of a healthcare compliance and process consultancy which focuses on healthcare regulations, and medical coding and billing. This expert has served as an advisor to healthcare providers on hospital and practice management, and has thorough understanding of treatment plans, and their importance in the admission process. This expert was selected as an expert for a landmark Federal Trade Commission case regarding healthcare data, regulations and economics. This expert has also served as an expert witness for the United States Department of Justice in a federal investigation into medical data, Health IT / E.H.R. stimulus funds and False Claims Act. This expert has also been involved in Medicare and Medicaid fraud matters. This expert has dozens of publications and is a frequent lecturer at industry conferences

  
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• Expert Witness #250672

  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.

  
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• Expert Witness #262476

  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.

  
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• Expert Witness #262614

  This expert has worked on more than 185 cases regarding fraud and abuse matters, medical coding, billing, and usual customary and reasonable charges. Each case required a review of medical records to determine the correct level of coding and medical necessity based on documentation, in addition to the audit of many other aspects. Past projects involved Medicare, Medicaid, and Joint Commission on Accreditation of Healthcare Organizations (JCAHO) documentation standards. This expert has provided consultation services on auditing and compliance matters, and has provided testimony via deposition, reports, and affidavits for both Plaintiffs and Defendants. This expert has provided seminars and audits for physicians, office personal, and government agencies.

  This expert is a Certified Fraud Examiner (CFE), Certified Professional Medical Auditor (CPMA), Certified Medical Coding Specialist (CMCS), Qualified Medical Coder (QMC), and is a member of the National Health Care Anti-Fraud Association (NHCAA).

  
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