Expert Details

Podiatric Medicine and Medical Coding

ID: 728400 Ohio, USA

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Expert is a board-certified podiatrist and certified professional coder with nearly 50 years in podiatric medicine. He earned his Doctor of Podiatric Medicine from the Ohio College of Podiatric Medicine in 1977 and completed his residency at Coney Island Hospital in New York.

He practiced in New York and Cleveland before running two Ohio practices, Portage Foot Health and Trumbull Foot Health, for 28 years, with staff privileges at four area hospitals. He then practiced for a decade at Tri-County Foot and Ankle in Florida. He's a Diplomate of both the American Board of Podiatric Medicine and the American Board of Multiple Specialties in Podiatry (Surgery), and a Fellow of the American College of Podiatric Medicine.

Coding is the other half of his career, and it's where he stands apart from most clinicians. Expert holds five coding certifications, including the CPC. He served four terms on the American Podiatric Medical Association's Coding Committee and spent ten years as North Dakota's Medicaid peer reviewer for podiatry. He has written an annually updated podiatry coding manual since 2013 and lectures nationally on coding for McVey Associates.

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/ Expert Witness/ Seminar Leader/ Physician Department:
Responsibilities:
Serving as a consultant and 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. National lecturer. Recently retired podiatric medicine physician and surgeon.
Years Employer Title Department
Years: 2015 to 2025 Employer: Tri-County Foot and Ankle Title: Podiatrist Department:
Responsibilities:
Practiced podiatric medicine and surgery for 10 years in central Florida.
Years Employer Title Department
Years: 2013 to 2023 Employer: North Dakota Medicaid Title: Peer Reviewer for Podiatry Department:
Responsibilities:
Reviewed podiatry services for the state's Medicaid program under ten consecutive annual appointments.
Years Employer Title Department
Years: 2011 to 2015 Employer: American Podiatric Medical Association Title: Committee Member Department: Coding Committee
Responsibilities:
Served four consecutive one-year terms on the national association's coding committee.
Years Employer Title Department
Years: 1987 to 2015 Employer: Portage Foot Health, Inc. and Trumbull Foot Health, Inc. Title: Podiatrist Department:
Responsibilities:
Ran podiatric medical and surgical practices at two Ohio locations for 28 years. Held hospital staff appointments at St. Joseph Health Center, Western Reserve Care System, Barberton Citizens Hospital, and Trumbull Memorial Hospital.
Years Employer Title Department
Years: 1978 to 1987 Employer: Private Practice Title: Podiatrist Department:
Responsibilities:
Practiced podiatric medicine in Buffalo (1978 to 1980), New York City (1980 to 1982 and 1984 to 1987), and Cleveland (1982 to 1984).

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.

Career Accomplishments

Associations / Societies
• Fellow, American College of Podiatric Medicine
• Member, American Podiatric Medical Association
• Member, Florida Podiatric Medical Association
• Fellow, Academy of Minimally Invasive Foot and Ankle Surgery
• Member, Professional Association of Healthcare Coding Specialists
• Member, American Academy of Professional Coders
• Member, Alliance of Healthcare Consultants
• Medical Reviewer, National Medical Reviews, Inc.
• Medical Reviewer, National IME Network
Licenses / Certifications
• Podiatric medical licensure: Ohio, Florida, and Wisconsin
• National Board of Podiatry Examiners
• Diplomate, American Board of Podiatric Medicine
• Diplomate, American Board of Multiple Specialties in Podiatry (Surgery)
• Certified Professional Coder (CPC)
• Certified Podiatry Coding Specialist (CPODCS)
• Certified Orthopedic Coding Specialist (COCS)
• Certified Surgical Foot and Ankle Coder (CSFAC)
• Certified Multispecialty Coding Specialist (CMSCS)
Publications and Patents Summary
Author of a podiatry coding manual that has been updated annually since 2013, with 14 editions through 2026. He's also a national lecturer and seminar leader on podiatry coding.

Fields of Expertise

Current Procedural Terminology, Department of Health and Social Security standard, health care plan, home health care, medical billing, medical lexicon, medical record, preferred provider organization, primary care, medical coding, medical documentation, podiatrist, podiatric, minimally invasive foot surgery, foot and ankle standard of care, CPT coding, billing fraud, upcoding, Medicare audit, Medicaid audit, payer recoupment, CPC, Certified Professional Coder, ABMSP, APMA Coding, healthcare compliance, podiatry, podiatry malpractice, ICD-10

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