UCR - Usual, Customary and Reasonable Fees Expert Witnesses

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.

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.

Jacqueline N. Bloink, MBA, RHIA, CHC, CFE, CPC, CPC-I, CPCO, CMRS has over 20 years of experience in the field of Healthcare Compliance and Medical Coding / Reimbursement.  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. Ms. Bloink is a Professor and Instructor in the area of Medical Coding, Billing, Health Information Management, and Healthcare Fraud. She also serves as a remote Compliance Officer for a Telehealth organization and works with healthcare providers of multispeciality departments assisting them to better understand medical coding and billing guidelines.  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. As a co-designer and presenter with CMS (MLN) and OIG in 2014 webinar - ACA Provider Compliance Program - she assisted in reaching thousands of healthcare providers learn more about healthcare compliance.  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 case allegations and calculating Usual, Reasonable and Customary charges. 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 Usual, Reasonable and Customary (UCR) calculations

View Jacqueline N. Bloink's Consulting 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.