Have you been searching for experts in medical billing, Medicare or Medicaid
compliance, reasonableness of medical charges, ICD or CPT coding, facility
or professional fee billing, clinical documentation, statistical sampling, medical
or economic damages, health insurance or forensic accounting?
Health Law Network may be your solution.
Health Law Network professionals have conducted hundreds of audits and investigations, and we have provided expert testimony involving medical claims by hospitals, physicians and other healthcare providers nationwide, for attorneys representing plaintiffs, defendants and government agencies. We have served in over 400 cases covering 43 states, and have testified as experts in federal and state courts in civil and criminal trials.
Health Law Network provides experienced Medical Billing Experts, Reimbursement Experts, Certified Public Accountants, Certified Fraud Examiners, Forensic Accountants, Registered Nurses, Certified Valuation Analysts, Board Certified Physicians, Statisticians, Credentialed Coding Experts, and Medical Record & Health Information Management Professionals. We work with Healthcare Providers and Attorneys nationwide seeking independent investigations, advice by industry professionals, or expert reports and testimony.
HLN's founder, Lamar Blount, CPA/CFF, FHFMA, is the co-author of the American Medical Association's second and third edition Mastering the Reimbursement Processbooks. He has served as independent arbitrator for the AHLA Alternative Dispute Resolution Service and has 30+ years of nationwide consulting experience in healthcare financial management, medical billing and reimbursement.
The United States 11th Circuit Court of Appeals opinion in Showan v. Krispy Kreme personal injury case (No. 17-15547 issued April 29, 2019) stated,
U.S. District Court (CA) Judge Christina Snyder's opinion stated, "The Court finds that Blount is qualified to testify as an expert in this case. Blount has served as an expert in the medical billing field and has testified regarding medical billing issues in state and federal courts.... The Court also concludes that Blount’s methodology...is a sound analytical method that will assist the jury in understanding the relatively complex issue of medical billing practices." (Glenwood v. Augment, Civil No. 10-8910)
"Mr. Blount is qualified to testify as an expert on Medicare reimbursement and billing issues. He possesses specialized knowledge, based on his over thirty years extensive experience as a healthcare auditor addressing Medicare reimbursement concerns and through his published works."
Call HLN to confidentially discuss your potential case or project needs.
U.S. District Court (IL) Judge Amy J. St. Eve's opinion stated, "Mr. Blount's testimony is relevant under Daubert because it helps the trier of fact determine whether Chaudhry should be entitled to a benefit under the Policy—a benefit that is calculated based, in part, on Chaudhry's income prior to his disability."(Chaudhry vs. Provident Life, Civil No. 12-cv-5838)
“In this case, Blount testified that there is a standard method among hospitals for calculating the reasonable amount of billed charges, and, according to his research, TMC charged rates that were higher than comparable hospitals…. Considering the testimony presented, we conclude that Blount's opinion was both reliable and relevant…. Moreover, the trial court properly concluded that Blount's testimony was relevant. Our Supreme Court has already held that a comparison of charges is relevant to the issue of reasonableness. See Bowden II, supra, 297 Ga. at 296. Thus, Blount's opinions as to the reasonableness of the chargemaster rates are helpful to the trier of fact.”
The Court of Appeals of Georgia decision in THE MEDICAL CENTER, INC. v. BOWDEN class action case (A18A1249 issued November 1, 2018) stated,
United States District Court (New Jersey) Judge Jerome Simandle's opinion in the Landau v. Lucasti false claims act case stated,
"Blount’s and Schmor’s testimony did not violate the collateral source rule. Their testimony addressed the reasonableness and necessity of what Showan had paid for her discectomy. Whether the expenses were “reasonable and necessary” is a critical inquiry under Georgia law. ...Accordingly, the district court did not abuse its discretion in admitting the testimony of Blount and Schmor."
State Court of Chatham County (GA) Judge Gregory Sapp's opinion stated, "the Court DENIES the Plaintiffs motion to exclude Mr. Blount's testimony regarding the reasonableness of her medical expenses. The Court finds this testimony might be helpful to the jury and the comparison of charges would be relevant to the jury's determination of reasonableness. Bowden v. The Medical Ctr.. Inc. ,297 Ga.285 (2015); The Medical Ctr.. Inc. v. Bowden, 348 Ga. App. 165 (201 8) (physical precedent)." (Miller vs. HFW, Civil No. STCV1702110SA)