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 Expert  728400

Expert in Medical Coding, Subspecialty in Podiatry and DME for Consults and Expert Testimony


Available for your Consulting and Expert Witness Needs

Ohio (OH)
USA
Education Work History Career Accomplishments Consulting Services Expert Witness

Summary of Expertise:

Listed with other top experts in: 

Expert is a practicing podiatrist and a certified professional coder with over 25 years of successful coding, management, and training experience for podiatric practices.

His local and national views come from active participation as a practicing podiatrist, having the distinction of being a certified professional coder, and years of serving as a national lecturer concerning coding issues.

Expert's experience is unique and comprehensive. He has had the additional advantage of being an 'Expert Witness' in all facets of the Medicare Appeal Process, having participated in 'Fair Hearings', 'redeterminations', 'reconsiderations', 'Administrative Law Judge Hearings' and the actual court system, both in civil and criminal trials.

This unique prospective provides Expert with the ability to provide solutions to insurance and coding problems from 'real world' experience.

Expert is committed to assist practices in learning to code appropriately, obtain the proper reimbursement, and to avoid the wrath of the carriers by coding and billing in an appropriate fashion.

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Current Procedural Terminology

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Department of Health and Social Security standard

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health care plan

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home health care

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medical billing

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medical lexicon

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medical record

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preferred provider organization

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primary care

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medical coding

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medical documentation


Show Secondary and Basic Areas of Expertise
Localities:
Expert may consult nationally and internationally, and is also local to the following cities: Cleveland, Ohio;  Toledo, Ohio;  Akron, Ohio;  Youngstown, Ohio;  Canton, Ohio;  Lorain, Ohio;  Lakewood, Ohio;  Elyria, Ohio;  Pittsburgh, Pennsylvania;  and Erie, Pennsylvania.

Education:
Year   Degree   Subject   Institution  
1977   Doctor of Podiatric Medicine   Podiatric Medicine and Surgery   Ohio College of Podiatric Medicine  
1973   Bachelor of Arts   Biology   Herbert H. Lehman College of the City University of New York  

Work History:
Years   Employer   Title   Responsibilities

2001 to

 

(Undisclosed)

 

Consultant/seminar leader

 

Serving as a National coding consultant and lecturer.

2001 to

 

(Undisclosed)

 

Forensic medical coder, consultant, and expert witness

 

Serving as a consultant and an expert witness in all phases of the appeals process from audits through civil and criminal trials for commercial insurance, Medicaid, and Medicare issues, with sub-specialties in podiatry and DME.

1987 to

 

(Undisclosed)

 

Physician/owner

 

Currently practicing podiatric medicine and surgery.

1987 to

 

(Undisclosed)

 

Physician/owner

 

Currently practicing podiatric medicine and surgery.


Career Accomplishments:
Associations/Societies

Fellow, American College of Foot and Ankle Orthopedics and Medicine; Fellow, Academy of Ambulatory Foot and Ankle Surgeons; Member, American Podiatric Medical Association; Member, Ohio Podiatric Medical Association; Member, American Academy of Professional Coders; Member, Professional Association of Healthcare Coding Specialists; Member, Alliance of Healthcare Consultants

Licenses/Certifications

Diplomate, American Board of Podiatric Orthopedics and Primary Podiatric Medicine; Diplomate, American Board of Multiple Specialties in Podiatry; Diplomate, American Board of Lower Extremity Surgery; Certified Professional Coder (CPC); Certified Podiatry Coding Specialist (CPODCS); Certified Orthopedic Coding Specialist (COCS);

Medical/Professional Internships

First year residency in podiatric medicine and surgery, Coney Island Hospital, New York, NY (7/1/77 - 6/30/78)


Consulting Services:
Selected Consulting Examples:
  • Audits.Review of audits performed by Medicare, CERT, RAC's, Medicaid, 3rd Party Insurers Compliance audits performed "Self" audits performed ComplianceReview of Compliance Plans Custom tailored Compliance Plans created ConsultationConsultation and assistance provided for Medicare, Medicaid, and Commercial/3rd Party Insurance Appeals and Civil/Criminal IssuesForensic Medical CodingEducationCoding seminars provided for small practices, groups, organizations
Recent Client Requests:
  • Certified coder expert for consulting on Require Certified Coding for a Medicare Audit.
Click the green button above to contact Expert for a free initial screening call regarding your expert consulting needs.  Expert is available for consulting to corporate, legal and government clients.  Remember, your initial screening call to speak with Expert is free.

Expert Witness:
Expert Witness Experience Summary:
He has served as an expert witness in all facets of the Medicare appeals process. This includes fair hearings (in the old system), redeterminations, reconsiderations, Administrative Law Judge hearings, actual court system. He has also served as an expert in the appeals process for both commercial insurance issues and Medicaid, nationally. His main areas of expertise are in the fields of podiatry coding and DME.
Recent Litigation Client Requests:
  • Podiatry coding expert for consulting on ZPIC Audit Chart Review.
  • Expert for consulting on medical billing.
Click the green button above to contact Expert for a free initial screening call regarding expert testimony, litigation consulting and support, forensic services, or any related expert witness services.  A few litigation needs include product liability, personal injury, economic loss, intellectual property (patent, trademark, trade secret, copyright), and insurance matters.  Remember, your initial screening call to speak with Expert is free.

Additional Skills and Services:
Training/Seminars

For the past ten years, he has served as a consultant and a seminar leader/lecturer for McVey Seminars, the leading medical coding seminar company in the United States. His seminars are podiatry specific. He has literally given over 200 seminars for McVey Seminars alone. Additionally, he has lectured all over the country to small groups and state organizations on medical coding and documentation, specifically for podiatry.

Other Skills and Services

Due to the fact that he is also a double board certified podiatrist, he is generally able to serve two purposes as an expert, both as a triple certified medical coder and as a physician.


 

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