Experienced Healthcare Claims, Payments, Audits,
Fraud and Compliance Expert
Over thirty-five years experience in health insurance, managed care and compliance industry.
- Experienced testifying and consulting expert in cases involving healthcare payments, claims and audits, False Claims Act cases, and other healthcare cases and arbitrations.
- Former compliance officer for major healthcare insurer and managed care organization.
- Extensive experience working with providers, insurers, and government programs, especially managed care, Medicare and Medicaid and FEHBP audits and investigations.
- Decades of experience working with providers and payers in payment policy, contract development, joint ventures, audits and dispute resolution.
- Subject matter expert to CMS contractors in development of compliance requirements for Medicare Part C and Part D.