HIPAA expert witness candidates typically have a background in healthcare administration, health law and policy, HIPAA compliance, 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 Healthcare Information and Management Systems Society (HIMSS), or the Workgroup for Electronic Data Interchange (WEDI). In a high-profile case, or litigation involving a significant financial stake, the lead attorney may request a HIPAA professional with prior expert witness testimony experience.
The Health Insurance Portability and Accountability Act of 1996 (HIPAA) is a federal law mandating standards to protect patient health information (known as Protected Health Information, or PHI). The HIPAA Privacy Rule addresses the disclosure of health information (“protected health information”), while still allowing for the flow of health information needed to provide quality care. The Department of Health and Human Services (HHS) Office for Civil Rights (OCR) enforces Health Insurance Portability and Accountability Act (HIPAA) Privacy compliance, as well as the Patient Safety Act and Rule. The following individuals/organizations are considered a covered entity under the Privacy Rule:
Expert witness services by a subject matter expert in HIPAA could include an expert report, expert opinion, deposition testimony, and testimony in court. In addition, a law firm may request a HIPAA expert for pre-litigation consulting services. Exemplary cases requiring a HIPAA specialist have involved electronic health records (EHR), clinical documentation, Medicare and Medicaid regulatory compliance, HIPAA security informatics, medical billing / medical coding, the Health Information Technology for Economic and Clinical Health Act (Hitech Act), and healthcare fraud. On behalf of the plaintiff or defendant, Cahn Litigation Services has the experience required to turn a search for a HIPAA 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 HIPAA experts known by Cahn Litigation Services. These bios are provided to give attorneys a sense of the HIPAA 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.