Richard K. Baer, MD, is a Healthcare Coverage consultant with over 20 years of experience in medical director roles for the Medicare Administrative Contractor (MAC), the Recovery Auditor (RAC), and regional home health and hospice contractors. He most recently served as the Medical Director for the RAC, Region A, in the northeast US.

During his tenure with the Medicare program, Dr. Baer authored several hundred Local Coverage Determinations (LCDs) and other medical review policy articles and documents for new technologies, pharmaceuticals, and highly utilized services covering millions of Medicare beneficiaries. He has provided medical policy assistance to CMS on national coverage issues, and has been involved in federal investigations and audits of Medicare improper payments and fraud matters for a variety of health care providers. Originally trained in psychiatry, Dr. Baer is a Distinguished Life Fellow of the American Psychiatric Association, and a member of numerous state and national medical societies. He served as President of the Illinois Psychiatric Society, Editor of its newsletter, and Chairman of its Ethics Committee. Dr. Baer provides Consulting Services on Medical Policy, Compliance, Billing, and Documentation and ICD-10 for Government and private payers, industry and providers. This includes:

Clinical Trials Medical Billing Compliance Medical Documentation Compliance Medical Device and Drug Marketing

Coverage Expertise ICD-10 Readiness Medical Claims Processing Automation Medical Claims Data Analysis

Dr. Baer also provides expert medical consultation on payer coverage requirements for the Medical Device Industry. His services include:

• Review of new technologies to propose clinical study design to ensure post-approval coverage
• Strategy to seek specific device coverage or overturn non-coverage decisions for government and commercial payers
• Review of clinical data to make recommendations to strengthen coverage and payment positions

View Dr. Baer's Expert Witness Profile.