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Expert Bio

Primary Area of Expertise

Medical Billing

Expert Witness Profile

HLN offers Peer-reviewed methodologies and Appellate court proven testimony by experienced professionals who have provided consulting services and conducted audits and investigations for hundreds of hospitals, physicians and other healthcare providers nationwide. HLN's experts have provided expert testimony in administrative and regulatory proceedings, as well as in state and federal courts for civil and criminal cases, for plaintiffs and defendants nationwide.

HLN provides experts in: medical billing, reasonableness of charges, reasonable value of medical services, Medicare & Medicaid reimbursement and compliance, clinical documentation, medical record coding, economic damages, insurance disputes, lost profits and false claims.

HLN's consultants' expertise includes: Reasonableness of Medical Charges, Reasonable Value of Medical Services, Quantification of Business Damages, Managed Care/Payor/Provider Contractual Disputes, Quantification of Medical Damages, UCR Fees, Compliance Assessments, Medicare & Medicaid Appeals, Statistical Sampling, Forensic Accounting, False Claims, Fraud, DRGs, ASCs, APCs, ICD & CPT Coding, ERISA, and Insurance Disputes.

Certifications & Specialties held by HLN's consultants include:

* Certified Public Accountants (CPA)
* Advanced Coding Specialists – Anesthesia (ACS-AN)
* Certified Coding Specialists (CCS and CCS-P)
* Certified in Financial Forensics (CFF)
* Certified in Healthcare Compliance (CHC)
* Certified Evaluation and Management Coder (CEMC)
* Certified Forensic Interviewer (CFI)
* Certified Fraud Examiner (CFE)
* Certified Healthcare Chart Auditor (CHCA)
* Certified Healthcare Risk Auditor (CHCRA)
* Certified Healthcare Chart Auditor - Facility (CHCAF)
* Certified Healthcare Chart Auditor - Surgical (CHCAS)
* Certified Insolvency and Restructuring Advisor (CIRA)
* Certified Legal Nurse Consultant (CLNC)
* Certified Manager of Patient Accounts (CMPA)
* Certified Managed Care Professional (CMCP)
* Certified Medical Practice Analyst (CMPA)
* Certified Patient Accounts Representative (CPAR)
* Certified Professional Coder (CPC and CPC-H)
* Certified Professional Medical Auditor (CPMA)
* Certified Valuation Analyst (CVA)
* Credentialed Coding Experts (CCS, CPC-H and CPC-P)
* Dental Practice Management Consultants
* Emergency Medical Technician (EMT)
* Facility Coding Specialist (FCS)
* Forensic Accountants
* Home Health and Hospice Management Consultants
* Hospital, SNF & Clinic CEO, CFO and PFS Managers
* Licensed Insurance Agents and Counselors
* Masters in Health Administration (MHA)
* Medical Professionals (MD, DO and DC)
* Medical Technologist (MT - ACSP)
* Physician Practice Management Consultants
* Registered Health Information Administrator (RHIA)
* Registered Nurses (RN)
* Professional Coding Specialist (PCS)
* Radiology Certified Coder (RCC)
* Statisticians

Education & Licenses

BBA Accounting; Certified Public Accountant; Certified in Financial Forensics; Fellow in HFMA; and Insurance Agent Licensed in Property, Casualty, Life & Health