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Expert Bio

Primary Area of Expertise
Medical Billing
Profile
HLN provides experts in: medical billing, reasonableness of charges, Medicare & Medicaid reimbursement and compliance, clinical documentation, medical record coding, economic damages, insurance disputes, lost profits and false claims. HLN's founder co-authored of the AMA's best selling Mastering the Reimbursement Process book.

HLN consultants have conducted audits and investigations and provided expert testimony for hundreds of hospitals, physicians and other healthcare providers nationwide, including administrative and regulatory proceedings, as well as in state and federal courts for civil and criminal cases.

Expertise includes: Reasonableness of medical charges, Business Damages, Contractual Disputes, Quantification of Medical Damages, UCR Fees, Compliance Assessments, Medicare & Medicaid Appeals, Statistical Sampling, Forensic Accounting, False Claims, Fraud, Self Disclosure, HIPAA, Cost Reports, DRGs, APCs, ICD & CPT Coding, ERISA, Insurance Disputes, Business & Practice Valuations
Education & Licenses
BBA Accounting; CPA; Certified in Financial Forensics; Fellow in HFMA; and Insurance Agent Licensed in Property, Casualty, Life & Health