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Medical Billing & Collections Expert Witnesses

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Patrice Morin-Resch (formerly Morin-Spatz)
CPC, CMCS, CHCI, CPMA
1300 Shamrock Lane
Plano TX 75093
USA
phone: 972-955-4855
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Patrice Morin-Resch (formerly Morin-Spatz), CPC, CMSCS, CHCI, is a professional Medical Coding and Reimbursement subject matter expert supporting clientele throughout the United States with more than 30 years of experience in her field.

Ms. Morin-Resch is a former editor of the American Medical Association’s (AMA) Current Procedural Terminology (CPT®) book, and a published author of more than 15 books on coding. Her legal and coding expertise has been utilized by the Department of Justice, Department of Defense, attorneys, insurance companies, clinics, medical associations, and organizations.

Whether testifying for medical fraud and abuse cases, assisting in the recouping of monies for physicians, providing medical coding seminars, audits, in-house consultations, superbill reviews or fee slip analysis for clients, her emphasis and expertise remains solely on medical coding and reimbursement. Ms. Morin-Resch services are available to attorneys representing both Plaintiff and Defense. She has testified in district, state, and federal court.

Areas of Expertise:
  • Usual, Customary & Reasonable(UCR) Fees
  • Medicare Standard Fees
  • Fraud & Abuse
  • Bundling / Unbundling
  • Medicare & 3rd Party Payments
  • Medicare Audits
  • Double Billing
  • RICO & Qui Tam Cases
  • View Patrice Morin-Resch's Consulting Profile.
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    L. Lamar Blount
    CPA/CFF, FHFMA
    P.O. Box 2166
    Atlanta GA 30077-2166
    USA
    phone: 770-645-5989
    fax: 770-282-8410
    During 30+ years of serving the Healthcare Industry, Mr. Blount has served more than 300 clients in 30 states in the areas of Reasonable Charges (UCR), Medical Billing; False Claims, Regulatory Compliance, Reimbursement, Damage Quantification, and Financial Management.

    Mr. Blount is a Fellow and Certified Financial Professional in HFMA, 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.
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    Stephen D. Chin, MD, FACEP
    Board Certified in Emergency Medicine
    Burlingame CA 94010
    USA
    phone: 650-224-7873
    fax: 650-228-7367
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    Stephen D. Chin, MD, FACEP, is an experienced Emergency Physician with over 20 years of clinical experience and an expertise in Documentation Quality Assurance and Risk Management through optimization of documentation and effecting behavioral change among providers.

    Dr. Chin currently is currently an Emergency Department Provider at Alta Bates Medical Center. He also serves as an Urgent Care Provider and Quality Assurance Consultant for the Medical Board of California.

    Dr. Chin is an award winning public speaker and is experienced in providing medical malpractice testimony. In addition, he is an instructor for the American Academy of Emergency Medicine Oral Board Review Course.

    Litigation Support - Dr. Chin provides Health, Life, and Disability File Reviews. His services include detailed forensic evaluation of the medical record and associated case files to determine merit and/or to find weaknesses or inconsistencies in documentation.

    View Dr. Chin's Consulting Profile.
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    Jacqueline N. Bloink, MBA, RHIA, CHC, CFE, CPC, CPC-I
    San Clemente CA USA
    phone: 970-560-1009
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    Jacqueline N. Bloink, MBA, RHIA, CHC, CFE, CPC, CPC-I, has over 20 years of experience in the field of Healthcare Compliance, with educational degrees, certifications and awards in healthcare management, coding, billing, reimbursement, compliance, education, and fraud prevention and identification.

    Background - Ms. Bloink served as the Director of Compliance for the largest provider group in Arizona. For several years she worked as a Medical Coding Manager, Reimbursement Manager, and Compliance Liaison for a University Physician Group - Department of Medicine, and as Corporate Responsibility Auditor for a large 3 Hospital network. Her work includes both medium and small practice administration.

    Ms. Bloink is a Professor and Instructor in the area of Medical Coding, Billing, Health Information Management, and Healthcare Fraud. She is a national, state and local speaker (author) for such groups as ACFE, HCCA, AAPC, American College of Physicians, CLM, Coalition Against Insurance Fraud, CA AHIMA, and others. In 2015, she was honored to be the recipient of the Arizona ACFE Sentinel Award “Truth Over Self” that acknowledged her assistance to the Office of Inspector General / Department of Justice with the largest Healthcare Fraud Case (FCA) in Arizona history.

    Litigation Support - Jacqueline N. Bloink is a knowledgeable expert witness with Healthcare Fraud litigation support history and proven experience with evaluating and investigating case allegations and, mitigating practice risk and liability, and reducing abuse potential. She offers services to expert witness firms, attorneys, health plans, providers, forensic consulting firms, governments, and IROs.

    Areas of Expertise:
    • Healthcare Compliance
    • Healthcare Management
    • Medical Coding
    • Medical Billing
    • Medical Reimbursement
  • Medical Fraud Prevention and Identification
  • False Claims Act
  • Reverse False Claims
  • Regulatory Health Information Admin. (RHIA)
  • Medical Documentation
  • View Jacqueline N. Bloink's Consulting Profile.
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    Elliott M. Stein, MD
    Chief of Psychiatry
    302 Silver Ave.
    San Francisco CA 94112
    USA
    phone: 415-672-9352
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    Elliott M. Stein, MD is a Geriatric Psychiatrist with over 40 years of experience caring for the elderly. Dr. Stein is Board Certified by the American Board of Psychiatry and Neurology in General Psychiatry (October, 1979), and in Geriatric Psychiatry (April, 1991; Re-Certified, December, 2001, and in April, 2011). He is licensed to practice in California and Florida.

    Dr. Stein is currently the Director of Psychiatry at the Jewish Home of San Francisco, and the Medical Director of their Geriatric Psychiatry Hospital. He treats older individuals from all over the San Francisco Bay area, typically people who have complex combination of psychiatric and medical problems.

    Dr. Stein is a Member of the Task Force on Testamentary Capacity and Undue Influence, for the International PsychoGeriatric Association. He is available to serve as an Expert Witness, do legal and forensic consultation, record review, and assessments concerning Psychiatric issues in older individuals. Dr. Stein offers his services to attorneys for both Plaintiff or Defense.

    Areas of Expertise:
    • Contested Wills and Trusts
    • Testamentary Capacity, Undue Influence, Insane Delusions
    • Geriatric Competence
    • Dementia and Delirium, Alzheimer’s Disease
    • Geriatric Psychiatry Evaluation and Treatment, Psychiatric Medication, Psychotherapeutic Issues
    • Depression and Anxiety Disorders
    • Relationship Problems between the Elderly and their Adult Children
    • Aging and Mental Disorders
    • Geriatric Psychiatry issues concerning Hospitals, Nursing Homes, Independent and Assisted Living Facilities
    • Medicare Psychiatric Services Coding and Documentation
    View Dr. Stein's Consulting Profile.
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    Beth Morgan, CPC, MCS-P
    376 Belden Hill Rd.
    Wilton CT USA
    phone: 203-807-4007
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    Beth Morgan, CPC, MCS-P, President & CEO, has served as a Certified Professional Coder (CPC) and Compliance Specialist (MCS-P) since 2004. She has over 25 years of experience in the Medical Billing and Coding field working with various types of providers during this time.

    Ms. Morgan's knowledge and expertise have enabled her to reduce providers' accounts receivables and medical bills by over 50%. She has access to a broad base of insurance company policy information, and is an information contributor to radio and TV shows as well as magazine articles.

    Litigation Support - Ms. Morgan provides expert witness services to insurance companies and attorneys for cases involving Abusive Medical Billing Practices. She offers expertise reviewing medical bills for errors and overcharges and reducing them down to Usual, Reasonable, and Customary Charges. The majority of these reviews are settled using her findings before they go to trial. She also negotiates discounts for the uninsured and underinsured.

    Areas of Expertise:
    • CPT Codes
    • Bill & Coding Review
    • Billing Compliance
    • Accounts Receivable Reduction
    • Personal Injury Bill Reduction
    • Workman Compensation Bill Review
    • Auto Accident Bill Review
  • Fall Accident Bill Review
  • UCR Pricing
  • Concealed Items/ Concealed Services
  • Services / Item Overcharges
  • Undocumented or Cancelled Items
  • Unbundled Code
  • Geographic Area Usual and Customary Charges
  • View Medical Bill Detectives' Consulting Profile.
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    Administrator
    6555 Coyle Avenue, Suite 235
    Carmichael CA 95608
    USA
    phone: 800-403-1647 or 916-863-7301
    fax: 916-863-7206
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    MRK Medical Consultants provides Medical-Legal Evaluations to help legal and insurance professionals reach appropriate conclusions about their client's situations. MRK provides a wide array of medical experts that offer objective review and analysis of personal injuries. Each stage of the process—research to review, analysis to opinion—is addressed in a comprehensive manner in order to help legal and insurance professionals reach appropriate conclusions about their client’s situations. MRK has over forty board certified physician specialists and many with subspecialty certifications. MRK provides physician experts to the entire State of California, the Reno/Lake Tahoe area and Las Vegas, and we travel to many areas of the United States. Physical therapy, registered nurses, physician assistant and billing review consultants are available services MRK provides. Oncall MD's in office daily to discuss your needs if you are unsure of what expert you need.

    Dr. Edward YoungerEdward W. Younger, III, M.D., Medical Director of MRK Medical Consultants, specializes in Orthopedic Surgery. He has extensive experience in total joint replacement, as well as reconstructive surgery of the knee, hip and shoulder. He was instrumental in bringing computer navigation technology to his hospital. He has served on the orthopedic trauma staff at Mercy San Juan Medical Center and serves on the Medical Executive Committee at Mercy San Juan. He is a member of Alpha Omega Alpha National Honor Society and is a Diplomate of the American Board of Orthopedic Surgery, a member of the American Medical Association, the American Academy of Orthopedic Surgeons and the California Orthopedic Association.


    Dr. Michael KleinDr. Michael R. Klein, Jr., M.D., specializes in Orthopedic Surgery and is a founding member and the first Medical Director of Northern California Orthopedic Centers. He is a senior member of the medical staff at Mercy San Juan Medical Center and was involved with the development of the orthopedic section of the Level II Trauma Center.

    Dr. Klein is a clinical instructor at University of California, Davis, Medical Center, a Fellow of the American College of Surgeons and American Academy of Orthopedic Surgeons and a member of the American Medical Association and the California Medical Association.

    MRK's Areas of Expertise:
  • Orthopedics
  • Neurosurgery / Neurology
  • Rheumatology
  • General surgery / trauma
  • Emergency Medicine
  • Internal Medicine
  • Cardiology
  • Geriatrics
  • Sports Medicine
  • RN
  • Physical Therapy
  • Chiropractic Orthopedics
  • Neuropsychology
  • Podiatry
  • Vascular Surgery
  • Family Practice Anesthesiology
  • Ophthalmology
  • Optometry
  • Urology
  • Gastroenterology
  • Infectious Disease
  • Pulmonary Medicine
  • Critical care
  • Otolaryngology
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    Michael F. Arrigo
    620 Newport Center Drive
    Suite 1100
    Newport Beach CA 92662
    USA
    phone: 949-335-5580 x101
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    Managing Partner, Healthcare Practice works with health systems, health IT companies, and health plans. Recent retentions by the U.S. Department of Justice (DOJ). Drug pricing, patent infringement, medical coding and billing and Qui Tam False Claims Act and fraud case specialties.

    He has in-depth experience in HIPAA mandates, the HITECH Act and Patient Protection and Affordable Care Act (PPACA) and is a published author and regular speaker. He consults to clients including Health IT investors, Health IT companies, and health plans and hospital systems in matters regarding:HIPAA Privacy Rule, HIPAA Security Rule, HIPAA Breaches, Revenue Cycle Management
  • Meaningful Use of Electronic Health Care Records
  • Quality Measures for Medicare Advantage Hospital Value Based Purchasing
  • Medicare Advantage HEDIS 5-Star Ratings for Health Plans Mr. Arrigo was recently quoted in the Wall Street Journal Venture Capital Dispatch regarding medical coding standards and Wall Street Journal Health Blog regarding venture-backed information-technology companies that serve hospitals and health insurers.
  • 4/3/2018 · Healthcare
    Clinical documentation improvement (CDI) initiatives are underway in healthcare organizations across the country, with the aims of improving care and reducing costs. Are they working? At least one such initiative, at Baptist Health South Florida, is providing solid return on investment.

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    Richard K. Baer, MD
    2727 N Lakewood Ave
    Chicago IL 60614
    USA
    phone: 773-477-0201
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    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.

    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.

    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.

    Litigation Support - Dr. Baer has extensive experience consulting and testifying for the United States Department of Justice in Medicare criminal and civil fraud trials and other civil proceedings. He provides expert medical consultation on Payer Coverage Requirements for the Medical Device Industry.

    Areas of Expertise:
    • Medical Devices
    • Medical Device Design
    • Medicare Rules
    • Medicare Regulation Compliance
  • RAC Audits
  • Medical Billing
  • Medical Coding
  • Pharmaceutical Compliance
  • View Dr. Baer's Consulting Profile.
    Richard Baer, MD
    A Doctor’s Harrowing Story of Treating a Woman with 17 personalities.