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Deposition Designation Station
 

UCR - Usual, Customary and Reasonable Fees Expert Witnesses

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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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    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.