Herschel R. Lessin, MD, CMCE, has been a full-time practicing Pediatrician since 1982. Trained at Stanford and Yale, he the senior partner of one of the larger single specialty Pediatric practices in the United States, The Children's Medical Group, PLLC, with 9 offices and 24 clinicians in NY's Hudson Valley. His practice includes children from birth through the end of college.

Dr. Lessin see office based patients and rounds on newborns in the nursery. He takes call at nights and weekends as well. With 36 years of clinical practice, he is experiences in all aspects of general Pediatric care.

Dr. Lessin is active on a national policy level, having been co-lead author on several American Academy of Pediatrics policy statements and technical reports, as well as being a member of the authoring committee on several others. He has reviewed a majority of AAP policy statements during his 6 years on the nation Committee on Practice and Ambulatory Medicine, making comments for possible revision as needed. He is currently serving on the committee revising the national guidelines for the care of ADHD.

Dr. Lessin has had broad media experience, hosting medical spots on radio, TV, and online. He has authored a biweekly column for a regional newspaper on general pediatrics. He has appeared on regional radio providing advice, both prerecorded and live call in.

Litigation Support - Dr. Lessin has served as an expert witness in Pediatric Malpractice litigation for over 30 years, working for both plaintiff and defense. He has reviewed and provided opinions in hundreds of case and testified at deposition dozens of times. He has been qualified as an expert at trial on 16 cases to date (March 2018) He is willing to travel if required. Dr. Lessin provides honest opinions based solely on the facts of the case materials reviewed, without regard to the position of retaining counsel. He has lectured to physicians on medical liability issues at a national level as well as regional and local groups.

Elliott M. Stein, MD 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). Caring for the elderly for over 40 years, Dr. Stein has received numerous honors and awards for his contribution to his field. Dr. Stein is a Clinical Professor in the Department of Psychiatry at the University of California, San Francisco, School of Medicine. He is a Distinguished Life Fellow of the American Psychiatric Association and a Distinguished Fellow of the American Association for Geriatric Psychiatry.

For 33 years, Dr. Stein was in the Private Practice of Geriatric Psychiatry in Miami and Miami Beach, Florida. His experience includes working with the elderly in various settings, including having been Medical Director for the Community Mental Health Center of Miami Beach, Medical Director of an Inpatient Geriatric Psychiatry program, and Medical Director of an Inpatient Mood Disorder program, as well as consulting at Nursing Homes, Assisted Living and other facilities. Dr. Stein was the Director of Psychiatry at the Jewish Home of San Francisco from 2010-2020, and the Medical Director of their Geriatric Psychiatry Hospital. He has treated older individuals, typically people who have complex combination of psychiatric and medical problems.

Dr. Stein has been a Member of the Task Force on Testamentary Capacity and Undue Influence, for the International PsychoGeriatric Association.  He is also the author/co-author of teaching and professional materials, including books and book chapters, and articles in the professional literature.

Consulting Specialties:

• 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 Expert Witness Profile.

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2020 07 21 Michael F Arrigo Expert CV and Supplemental Material WATERMARK NOT RETAINED.pdf

I am the Managing Partner, Healthcare Practice for our firm, and I am a testifying expert witness.  I work 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.
• Medicare Local Coverage Determinations (LCDs) and National Coverage Determinations (NCDs)

M.K. Wickens, PLLC, is a Health Care Fraud and Compliance company. Principal, Mary Wickens, JD, CFE has over 35 years experience in the Healthcare Insurance, Managed Care, and Compliance Industry. Her experience includes advising and counseling health care providers, insurers, government contractors, and others in compliance, ethics, fraud and abuse, Medicare, Medicaid and Federal Employees Plan, managed care, and other matters.

Consulting Services:

• Internal Investigations - As a highly experienced investigator, Mary Wickens is available to provide swift and thorough review of potential compliance and ethics issues. She is seasoned at handling potential whistleblower concerns, C-suite investigations, and reporting for self-disclosures. She provides comprehensive, understandable reports and recommendations to executives, audit committees, and auditors.
• Compliance Consulting - Ms. Wickens is experienced in providing site reviews, red team reviews, and independent compliance reviews. She has in-depth knowledge developing and implementing effective corrective action plans and extensive experience in responding to government and commercial audits and investigations.

Background Experience - Ms. Wickens is a former compliance officer for a major health insurer and former legal and compliance specialist for a CMS Medicare Program Safeguard Contractor. Also a former operations director for government programs (Medicare Part C, Medi-gap, and FEHBP) for a major HMO, she is experienced with government audits and investigations, commercial audits, as well as self-reporting and internal investigations.

Ms. Wickens has decades of experience as in house counsel to HMOs and health insurers. She has drafted, developed, negotiated, and implemented numerous healthcare provider-payor contracts, and developed and implemented codes of conduct, ethics programs, compliance programs and numerous corrective action plans. Ms. Wickens has authored numerous professional publications and presentations on health care fraud and compliance, government and commercial audits, compliance programs, and healthcare contracting.

View Mary Wickens' Expert Witness Profile.

Kohler Healthcare Consulting, Inc., is an effective, cutting-edge Healthcare Consulting firm employing credentialed nurses, accountants, and coders since 1980. With clients across the United States and Virgin Islands, Kohler Healthcare Consulting has extensive relationships with healthcare organizations including academic medical centers, large and small hospitals, critical access hospitals, physician / medical practices, long term acute medical facilities skilled nursing facilities, and other healthcare providers.

Consulting Services:

Revenue Cycle Fiscal and Clinical Operational Improvement Financial Operations

Regulatory and Compliance Consulting Education and Training Due Diligence

Charlotte L. Kohler, [RN], CPA, CVA, CRCE-I , CPC, CHBC, President of Kohler HealthCare Consulting, Inc., specializes in litigation, investigation, accounting, auditing, and consulting. She has over 30 years of healthcare experience starting with the clinical side of nursing to the finance and compliance side of healthcare.

During her years at Kohler HealthCare Consulting, Ms. Kohler and her firm provided regulatory compliance services to over 60% of all hospitals in Maryland as well as hospitals and other health related organizations outside of Maryland. She continues to provide reimbursement regulatory support to attorneys regarding billing, coding, and documentation in the areas of home care, radiology, hospital billing, DME, Therapy, ASC, anesthesia, and physician practices. She also provides services as an independent review organization for providers under Integrity Agreements.

KBS Consulting and Expert Witness (KBS) is a privately owned Healthcare Compliance consulting firm serving the healthcare industry since 1996. Principal of KBS, Kimberly A. Baldwin-Stried-Reich, MBA, MJ, PBCI, CPHIMS, RHIA, CEDS, CPHQ, FAHIMA, is a Health Care Compliance consultant with over 30 year of experience in various healthcare settings. 

KBS Consulting services focus on:

Healthcare Regulatory Compliance (HIPAA) Operations Work Redesign Management Facilitation

Healthcare Contracts Medical Invoicing Medical Collections

Ms. Reich holds a Master’s of Business (MBA) from the Lake Forest Graduate School of Management, a Master’s of Jurisprudence (MJ) in Health Law and Policy from the Loyola School of Law - Beazley Institute for Health Law and Policy in Chicago, IL and a Post Baccalaureate in Clinical Informatics (PBCI) from the Johns Hopkins School of Medicine Clinical Informatics Certificate Program. 

Ms. Reich is the first Registered Health Information Administrator (RHIA) to complete the Johns Hopkins Division of Health Sciences Informatics Certificate Program and certification in EDiscovery. She is the lead author of the 2012 AHIMA publication "E-Discovery and Electronic Records" a first of its kind healthcare e-discovery resources. 

Ms. Reich is a national speaker and author on the topics of health information operations, e-discovery, information governance, and healthcare compliance. She is also the lead author on the first of its kind e-discovery healthcare resource guide, E-Discovery and Electronic Records, by AHIMA Press (May, 2012).

Background Experience:

• Assistance in development of policies and procedures for healthcare regulatory compliance programs
• Assistance in client preparation for Department of Insurance review and investigation
• Management of a large health information management work redesigns engagement for a 900-bed facility
• Information management planning and facilitation for executive management
• ICD-9-CM and CPT4 coding compliance and medical record documentation reviews, on both inpatient and outpatient medical records
• Medical records and quality management operations integration for a 350-bed Midwestern medical center

View Kimberly A. Reich's Expert Witness Profile.

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.

Erin O’Callaghan BS, MA, JD, LPC, CRC, NCC, CLCP, is a member of the International Association of Rehabilitation Professionals, International Academy of Life Care Planners, Michigan Rehabilitation Association, Michigan Bar Association and the American Board of Vocational Experts. Ms. O’Callaghan has worked diligently for 15 years as a rehabilitation professional providing the highest standards of professional ethics. She has extensive occupational knowledge of the current labor market and how limitations may impact employability and earnings capacity. She provides consultation services in the areas of: Life Care Planning - In depth analysis of medical records, injuries, relevant guidelines for case facts and future care. Application of standardized methodology in the preparation of a Life Care Plan. Written and /or verbal consultation with members of treatment team and evaluators for use in the development of a lifelong plan of care. Wage Earning Capacity - Evaluation of transferable skills, labor market information, and geographical employment opportunities subsequent to an injury or disability to determine employability and/or loss of earnings capacity. Vocational Rehabilitation - Full range of vocational rehabilitation services including vocational counseling, job seeking skills training, rehabilitation, and adjustment to disability counseling. Lien Dispute - Assessment of lien and costs assicated with litigated claims versus pre-existing medical conditions. View Erin O’Callaghan's Expert Witness Profile.

David Haass is the COO of Elite Insurance Partners & MedicareFAQ. A visionary with experience propelling innovation in the Insurance field, he is highly regarded for driving industry standards in client experience and cutting-edge technologies. Mr. Haass is an active contributor on the Forbes Financial Council, recognized for building brand trust and establishing strong customer relations, motivated by a genuine desire to demystify health insurance options. 

Mr. Haass and his team at EIP represent over 30 carriers throughout the nation. They work with clients nationally, helping them make educated decisions on all their healthcare insurance needs. EIP ranks in the top 5 Medicare brokerages in the nation and their licensed agents are considered to be the best in the Medicare insurance industry.

EIP's primary market is Medicare, but they also help with: 

Dental Insurance Vision Insurance Cancer Insurance Heart Attack insurance

Stroke Insurance Long-Term Care Insurance Disability Insurance  HMO / PPO Insurance

The Burroughs Healthcare Consulting Network specializes in all aspects of Physician, Medical Staff, Management, and Governance Challenges.

President and CEO, Jonathan H. Burroughs, MD, MBA, FACHE, FAAPL, works with some of the nation’s top healthcare consulting organizations to provide ‘best practice’ solutions and training to healthcare organizations throughout the country in the areas of:

Healthcare Governance Physician Engagement & Alignment Strategies Credentialing / Privileging Peer Review and Performance Improvement Patient Safety

Medical Staff Development Planning Physician Leadership Academies Physician Performance Management Physician Behavior Management Physician Operations Optimization

Dr. Burroughs serves on the national faculty of the American College of Healthcare Executives and the American Association for Physician Leadership (formerly the American College of Physician Executives), where he has been consistently rated as one of their top speakers and educators. He and Dr. David Nash were recently awarded a development grant by the American College of Healthcare Executives (ACHE) to develop a twelve hour national program to address population health and the disruptive innovative business models necessary to support it. He is the author or coauthor of the following books: Redesign the Medical Staff Model-A Collaborative Approach (published by Health Administration Press, January, 2015), The Complete Guide to FPPE (2012), Medical Staff Leadership Essentials (2011), Engage and Align the Medical Staff and Hospital Management: Expert Strategies and Field Tested Tools (2010), A Practical Guide to Managing Disruptive and Impaired Physicians (2010), The Top 40 Medical Staff Policies and Procedures, Fourth Edition (2010), Emergency Department On-Call Strategies: Solutions for Physician-Hospital Alignment (2009), and Peer Review Best Practices: Case Studies and Lessons Learned (2008).

Dr. Burroughs is a former Senior Consultant and Director of Education Services for The Greeley Company where he was rated as one of their top healthcare consultants and educators over an eight year period. He is also a past medical staff president, past president of the New Hampshire chapter of the American College of Emergency Physicians, and served as an emergency department medical director. As a member of the governing board of Memorial Hospital in New Hampshire, he chaired the ethics, succession planning, and bylaws committees and sat on the joint conference, strategic planning, and medical executive committees. He previously served as a member of the clinical faculty of Dartmouth Medical School, where his research interests included introducing EMT defibrillation and automatic defibrillation into the field.

View Dr. Burroughs' Expert Witness Profile.