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| MEDICAL RECORD REVIEW SPECIALISTS, EXPERTS WITNESSES & FORENSIC CONSULTANTS.
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| National Chairman, Ethics Committee of the American College of Medical Quality, Emergency Medicine and Medical Consulting Services.
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| Certified Fraud Examiner. Qualified to testify as an expert witness in Federal and State District Court.
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| A 20 year background in research, development, management, operations and clinical services. A prolific researcher, writer, speaker, and clinician in rehabilitation, health care operations, occupational therapy...
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| Over 30 years of continuous clinical practice as R.N.
Diverse practice includes: Intravenous Infusion, Home Care, Clinical Research Protocols,Adjunct Staff University and Medical Surgical Nursing. Standards of Care, Medical Records Review...
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| Over 30 years of continuous clinical practice as R.N.
Diverse practice includes: Intravenous Infusion, Home Care, Clinical Research Protocols,Adjunct Staff University and Medical Surgical Nursing. Standards of Care, Medical Records Review...
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| Recognized and powerful leader in the field of healthcare business services, advancing the industry with a focus on revenue enhancement, cost containment and financial benefits through education and improved methodology....
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| Expert witness testimony on ergonomic issues, hand injuries, return to work issues, insurance company fraud. Also provide occupational and job analyses.
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| CPA with over 35 years experience with litigation support matters
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| President and CEO for United Healthcare in Chicago, Partner at Ernst & Young and Director of Managed Care consulting, CEO Summit Insurance, CEO CNA Health plans,
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| Chartered Accountant, has gained experience in taxation, insolvency and mergers and takeovers.
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| 15 years as a forensic document examiner. Certified Document Examiner by National Association of Document Examiners, a Board Certified Forensic Document Examiner, Diplomate, Fellow of American College of Forensic Examiners....
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| Expertise in business valuation, quantification of damages, accountants negligence, and financial modelling. Insurance experience while working two years for KPMG, Bermuda.
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| Dr.3474 is New York State licensed and Nationally Board Certified in Acupuncture; Doctor of Acupuncture(RI); Nationally Board Certified in Clinical Chinese Herbal Medicine.
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| EW #13672 has 20+ years as a securities analyst / portfolio manager and a background in investment banking and accounting. Cases: investment suitability, stock fraud, research fraud, etc.
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| A team of experts (not a referral svc)doctors, administrators, reimb specialists, health org / health ins expertsmedical & admin malpractice, physician practice, hosp mgmt, Medicare, managed care
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| Medical Legal Consultants, Screening for Medical, Dental and Psychiatric Malpractice
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| Looking for a medical insurance fraud expert?
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Find Medical Insurance Fraud experts and consultants for Medical Insurance Fraud litigation support at www.expertwitness.com. Available to be Medical Insurance Fraud expert witnesses and provide Medical Insurance Fraud forensic consulting in Medical Insurance Fraud litigation, in addition prepare Medical Insurance Fraud expert witness reports for use in deposition and/or in-court trial testimony.
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Categories To Find "Medical Insurance Fraud" Experts:
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ARBITRATION / MEDIATION |
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Arbitration is a form of mediation or conciliation, where the mediating party is given power by the disputant parties to settle the dispute by making a finding. In practice arbitration is generally used as a substitute for judicial systems, particularly when the judicial processes are viewed as too slow, expensive or biased. Arbitration is also used by communities which lack formal law, as a substitute for formal law.
Mediation consists of a process of alternative dispute resolution in which a (generally) neutral third party, the mediator, using appropriate techniques, assists two or more parties to help them negotiate an agreement, with concrete effects, on a matter of common interest. More generally speaking, the term "mediation" covers any activity in which an impartial third party (often a professional) facilitates an agreement on any matter in the common interest of the parties involved.
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ASBESTOS |
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Asbestos (a misapplication of Latin: asbestos "quicklime" from Greek ἄσβεστος: a-, "not"; sbestos, "extinguishable") describes any of a group of fibrous metamorphic minerals of the hydrous magnesium silicate variety. The name is derived for its historical use in lamp wicks; the resistance of asbestos to fire has long been exploited for a variety of purposes. It was used in fabrics such as Egyptian burial cloths and Charlemagne's tablecloth, which, according to legend, he threw in a fire to clean. Asbestos occurs naturally in many forms (see below); it is mined from metamorphic deposits.
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CLAIMS |
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A claim is a legal action to obtain money, property or the enforcement of a right protected by law against another party.
Individuals and businesses purchase insurance policies to protect against monetary losses. In the event of a loss, policyholders submit claims, or requests for payment, seeking compensation for their loss. Adjusters, appraisers, examiners, and investigators work primarily for property and casualty insurance companies, for whom they handle a wide variety of claims alleging property damage, liability, or bodily injury. Their main role is to investigate the claims, negotiate settlements, and authorize payments to claimants, all the while mindful not to violate the claimants rights under Federal and State privacy laws. They must determine whether the customers insurance policy covers the loss and how much of the loss should be paid to the claimant. Although many adjusters, appraisers, examiners, and investigators have overlapping functions and may even perform the same job, the insurance industry generally assigns specific roles to each of these claims workers.
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DISABILITIES |
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The term "disability", as it is applied to humans, refers to any condition that impedes the completion of daily tasks using traditional methods. National governments and global humanitarian agencies have narrowed this definition for their own purposes.
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DISABILITY |
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The term "disability", as it is applied to humans, refers to any condition that impedes the completion of daily tasks using traditional methods. National governments and global humanitarian agencies have narrowed this definition for their own purposes.
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ELDER CARE / ABUSE |
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Elder abuse is a single or repeated act or lack of appropriate action, occurring within any relationship where there is an expectation of trust, which causes harm or distress to an older person.
Elderly care or elder care is a broad term encompassing such services as assisted living, adult day care, long term care, nursing homes, hospice care, and Alzheimer's care.
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INSURANCE FRAUD |
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Insurance fraud or false insurance claims are insurance claims filed with the intent to defraud an insurance provider.
In the United States insurance fraud is estimated to cost US$875 per person per year with The Coalition Against Insurance Fraud estimating the loss to be $80 billion per year and Medicare estimating fraud in its system costs the government $179 billion per year.
Insurance fraud hurts the average person in two ways. First, all fraud costs, including losses, investigations, etc., are paid for by the insured through higher premiums, or, in the case of government insurance like Medicare, in higher taxes. Second, if a particular individual is the target for the fraud, they have costs such as deductible payments, loss of property use, etc., as well as higher premiums from the claim loss and the potential for denial of future coverage.
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INSURANCE - GENERAL |
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General insurance policies, including automobile and homeowners policies, provide payments depending on the loss from a particular financial event. General insurance typically comprises any insurance that is not determined to be life insurance, and is called property and casualty insurance in the U.S..
In the UK, General insurance is broadly divided into three areas; personal lines, commercial lines and London market.
The London market insures with large commercial risks, for example insuring supermarkets, football players and other very specific risks.
Commercial lines products are usually designed for relatively small legal entities. These would include workers comp (employers liability), public liability, product liability, commercial fleet and other general insurance products sold in a relatively standard fashion to many organisations.
Personal lines products are designed to be sold in large quantities. This would include autos (private car), homeowners (household), pet insurance, creditor insurance and others.
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INSURANCE - LIFE |
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Life insurance (Life Assurance in British English) is a type of insurance. As in all insurance, the insured transfers a risk to the insurer, receiving a policy and paying a premium in exchange. The risk assumed by the insurer is the risk of death of the insured.
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INVESTIGATION |
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Find INVESTIGATION experts and consultants for INVESTIGATION litigation support. Available to be INVESTIGATION expert witnesses and provide INVESTIGATION forensic consulting in INVESTIGATION litigation, in addition prepare INVESTIGATION expert witness reports for use in deposition and/or in-court trial testimony.
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MALPRACTICE, MEDICAL |
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The basic definition of medical malpractice is an act or omission by a health care provider which deviates from accepted standards of practice in the medical community and causes injury to the patient. The word malpractice has a connotation of greater culpability than negligence. In the United States and other countries, a specific medical malpractice law has developed. In English law, the issue of liability is a subset of professional negligence where, under the Bolam Test, a doctor will be liable unless shown to have acted in accordance with a reasonable body of medical opinion.
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MEDICAL INSURANCE |
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Medical Health insurance is a type of insurance whereby the insurer pays the medical costs of the insured if the insured becomes sick due to covered causes, or due to accidents. The insurer may be a private organization or a government agency. Market-based health care systems such as that in the United States rely primarily on private health insurance.
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MEDICARE |
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Medicare is a health insurance program administered by the United States government, covering people who are either age 65 and over, or who meet other special criteria. It was first passed on July 30, 1965 by President Lyndon B. Johnson as amendments to Social Security legislation.
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REINSURANCE |
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Reinsurance is a means by which an insurance company (called the reinsured, ceding company or cedant) shares the risk of loss with another insurance company (called the reinsurer).
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RISK MANAGEMENT |
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Risk Management is the process of measuring, or assessing risk and then developing strategies to manage the risk.
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WORKERS COMPENSATION |
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Workers compensation systems (workers comp or compo) provide for financial compensation for work-related injuries of employees, in particular compensation of loss of wages, sometimes also for medical costs. These laws are usually a feature of highly developed industrial societies. Employees compensation laws are often only implemented after long and hard fought struggles by trade unions, particularly in early industrialisation. There are often benefits available to dependents of workers killed on the job as well.
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Medical Insurance Fraud Experts Witnesses - Medical Insurance Fraud Forensic Consultants.
Find Medical Insurance Fraud experts and consultants for Medical Insurance Fraud litigation support. Available to be Medical Insurance Fraud expert witnesses and provide Medical Insurance Fraud forensic consulting in Medical Insurance Fraud litigation, in addition prepare Medical Insurance Fraud expert witness reports for use in deposition and/or in-court trial testimony.
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Medical Insurance Fraud
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