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Medicaid - Medicare
There are 4 expert witnesses in this category

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Britton & Associates, LLC
Wendy Britton Knau
RN, CPC
1239 NE Milan Ave.
Ankeny IA 50021
USA
phone: 515-229-3318
Wendy Britton Knau, RN, CPC is a Certified Professional Coder and Nursing Expert Witness with over 26 years of experience in the health care field. Her expertise has been utilitzed in both civil (plaintiff and defense) and criminal cases.

Ms. Britton Knau has served as an expert and an investigator for Medicare and Medicaid audits and consulted with the US Department of Justice on various criminal matters. She has given lectures to many organizations throughout the country on topics including Coding, Medical Record Documentation, Government Compliance, and HIPAA Regulations.

Areas of Expertise:
  • Medicare & Medicaid Fraud
  • Medicare & Medicaid Regulation Compliance
  • HIPAA Compliance
  • Coding & Billing
  • Medical Record Documentation & Review
  • Renal Dialysis Nursing
View Consultant Profile.
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Gregory G. Wimmer
3400 Pembrooke Parkway South
Colleyville TX 76034
USA
phone: 817-540-3141
fax: 817-540-3795
Gregory G. Wimmer is a veteran of the Life, Health and Annuity Business. Mr. Wimmer has been retained over 100 times in both federal and state courts in 33 states. He has the requisite background to render opinions in:

  • Life Insurance Underwriting
  • Agent and Broker Standard of Care
  • Life Insurance
  • Health Insurance
  • Annuities, Disability Income and related areas.

    Other areas of expertise include:

  • Health insurance
  • Equity Indexed Annuities
  • Variable Annuities
  • Disability Income Insurance
  • Long Term Care Insurance
  • Life Insurance Claims
  • Health Insurance Claims
  • Health Insurance Underwriting
  • Structured Settlements
  • Agents Duties and Standards of Care
  • Company Practices and Training
  • Agent and Agency Practices
  • ERISA plans

    View Expert Cases.
  • 3/21/2012 · Insurance
    Life Insurance: Term, Permanent, Universal and Variable
    Over the years the life insurance industry has been slow to develop new and consumer driven product. Instead carriers chose to offer their own version of a product all other carriers offered and simply compete at price or benefit with competitors.

    Insurance: Structured Settlements
    Structured Settlements are a unique and specific product used in the settlement of claims and lawsuits where there is either a large amount of money and/or a need for the management of funds. The basis of a structured settlement is contained in Section 104 (a)(2) of the IRC. They are simply a means for qualified settlements, usually in personal injury cases, whereby the recipient of a settlement receives their funds in a more flexible and tax advantaged way, rather than in a single lump sum settlement.

    7/27/2011 · Insurance
    Insurance: ERISA, NASD (FINRA) and Variable Contracts
    ERISA has many very specific requirements as it relates to product and producer relationships. If a case involves an ERISA plan, duties of the producer and the carrier can be elevated simply because it is covered under ERISA.

    5/26/2011 · Insurance
    Insurance: Agency And Company Operations
    Every carrier has some system of product distribution. Some have employees; others have career agents who are technically not employees, while still others use a system of independent brokers.

    4/2/2011 · Insurance
    Agent And Broker Standards And Practices
    This category of case is the most common area of consultation. Since the agent, broker or registered representative is the only constant throughout the entire process of soliciting, procuring and completing the application, forwarding it to a carrier for an underwriting decision and servicing the owner of the policy after purchase, he/she is the one participant familiar with the client and the process from start to finish.

    2/22/2011 · Insurance
    Life, Health And Disability Claims
    Most disputes arise in the area of claims. This results because for whatever reason, some sound and others speculative, the claim is denied at the death , disability or sickness of the insured.

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    Peter F. George
    Principal

    P.O. Box 833
    Petersham MA 01366
    USA
    phone: 978-724-0299
    Peter F.
    Healthcare Litigation Support is a team of experts - physicians, healthcare administrators, reimbursement specialists, health organization experts, health insurance experts, and other healthcare personnel - with broad, extensive experience and expertise in medical and administrative malpractice issues, physician practice operations, hospital management, health insurance and TPA issues, Medicare and Medicaid, medical billing and collections, fraud and abuse, managed care and other areas.

    Healthcare Litigation Support is a team of experienced healthcare experts who consult on litigation issues and testify as needed. In addition to the four Principals, there is a larger group of Associates, individuals with specific expertise and areas of knowledge, we include in order to fully serve the needs of the legal community.

    Areas of Expertise:
  • Audit
  • Medical Standards of Care
  • Dental Standards of Care
  • Geriatrics and Nursing Home Care Standards
  • Long Term Care Standards
  • Health Insurance
  • Health Insurer-Provider Relations
  • Managed Healthcare (HMO, PPO)
  • TPA (Third Party Administrator
  • National Accreditation Guidelines
  • Medicare / Medicaid
  • Federal Employees Health Benefits Program
  • CDH (Consumer Driven Health Plans)
  • ERISA, COBRA, EMTALA, HIPAA
  • Physician / Hospital Joint Ventures
  • Qui Tam and False Claims Act


  • Representing Both Plaintiff and Defense, Our Services Include:
  • Review Case for Merit
  • Analyze Medical and Administrative Events
  • Identify Causation
  • Address Standards of Care
  • Research Relevant Literature
  • Interpret Contracts in Light of Industry Standards
  • Evaluate Case Strengths and Weaknesses
  • Develop Deposition Strategy
  • Prepare a Defensible Report
  • Articulate Complex Issues to Triers of Fact
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    L. Lamar Blount
    CPA, FHFMA, CFF
    P.O. Box 2166
    Atlanta GA 30077-2166
    USA
    phone: 770-645-5989
    fax: 404-759-2114
    During 30+ years of serving the Healthcare Industry, Mr. Blount has served more than 300 clients in 30 states in the areas of False Claims, Regulatory Compliance, Reimbursement, Damage Quantification, and Financial Management.

    Mr. Blount is a Fellow and Certified Financial Professional in the Healthcare Financial Management Association, member of the American Institute & Georgia Society of CPAs, and National Association of Health Underwriters, and has been an Arbitrator for American Health Lawyers Association. He has been admitted as an expert in multiple US District and State Courts and Administrative Hearings, and has testified for plaintiffs and defendants, providers, payors and government clients.

    A nationally recognized author, Mr. Blount has co-authored AMA’s best selling "Mastering the Reimbursement Process" book.

    Expertise Includes:
  • Accounting
  • APCs
  • Business Damages
  • Contractual Disputes
  • Cost Reports
  • DRGs
  • ERISA
  • False Claims - Fraud
  • HIPAA
  • ICD & CPT Coding
  • Insurance
  • Rate Setting
  • Self Disclosure
  • Valuations
  • CV and Legal references provided upon request.