Expert Details
Medical Coding, Subspecialty in Podiatry and DME for Consults and Expert Testimony
ID: 728400
Ohio, USA
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.
BOARD CERTIFICATION - MEDICAL
Diplomate, American Board of Podiatric Medicine
Diplomate, American Board of Multiple Specialties in Podiatry
ADDITIONAL QUALIFICATIONS - CODING AND CONSULTING
Member, Professional Association of Healthcare Coding Specialists
Member, American Academy of Professional Coders
Member, Alliance of Healthcare Consultants
National Lecturer and Seminar Leader - McVey Associates, Inc.
Audits.
Review of audits performed by Medicare, CERT, RAC's, Medicaid, 3rd Party Insurers
Compliance audits performed
"Self" audits performed
Compliance
Review of Compliance Plans
Custom tailored Compliance Plans created
Consultation
Consultation and assistance provided for Medicare, Medicaid, and Commercial/3rd Party Insurance Appeals and Civil/Criminal Issues
Forensic Medical Coding
Education
Coding seminars provided for small practices, groups, organizations
Education
| Year | Degree | Subject | Institution |
|---|---|---|---|
| Year: 1977 | Degree: Doctor of Podiatric Medicine | Subject: Podiatric Medicine and Surgery | Institution: Ohio College of Podiatric Medicine |
| Year: 1973 | Degree: Bachelor of Arts | Subject: Biology | Institution: Herbert H. Lehman College of the City University of New York |
Work History
| Years | Employer | Title | Department |
|---|---|---|---|
| Years: 2001 to Present | Employer: Undisclosed | Title: Consultant/seminar leader | Department: |
Responsibilities:Serving as a National coding consultant and lecturer. |
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| Years | Employer | Title | Department |
| Years: 2001 to Present | Employer: Undisclosed | Title: Forensic medical coder, consultant, and expert witness | Department: |
Responsibilities: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. |
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| Years | Employer | Title | Department |
| Years: 1987 to Present | Employer: Undisclosed | Title: Physician/owner | Department: |
Responsibilities:Currently practicing podiatric medicine and surgery. |
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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); |
| Professional Appointments |
|---|
| PROFESSIONAL ORGANIZATIONS - MEDICAL Fellow, American College of Foot and Ankle Orthopedics and Medicine Member, American Podiatric Medical Association Member, Florida Podiatric Medical Association Fellow, Academy of Ambulatory Foot and Ankle Surgery |
| Awards / Recognition |
|---|
| MEDICAL REVIEWER National Medical Reviews, Inc. National IME Network |
| Medical / Professional |
|---|
| First year residency in podiatric medicine and surgery, Coney Island Hospital, New York, NY HOSPITAL STAFF APPOINTMENTS St. Joseph Health Center, Warren, Ohio Western Reserve Care System, Youngstown, Ohio Barberton Citizens Hospital, Akron, Ohio Trumbull Memorial Hospital, Warren, Ohio |
Additional Experience
| Expert Witness Experience |
|---|
| 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. |
| Training / Seminars |
|---|
| For the past 10 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 Relevant Experience |
|---|
| 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. STATE LICENSURE - MEDICAL National Board of Podiatry Examiners Ohio Florida Wisconsin |