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Expert Witness Case Study: Finding a Medical Billing and Coding Expert

Medical billing and coding experts are individuals who review medical billing and coding to ensure claims submitted for payment by the provider are usual, customary, and reasonable (UCR). Oftentimes, these specialized experts are hired by the client to offer an opposing viewpoint to the original billing affidavit by signing a counter affidavit. Juris Medicus was tasked with identifying and vetting a medical billing and coding expert who could provide a counter-affidavit in a personal injury case. 

Primary Case Issue 

Our client represented a defendant in a personal injury lawsuit involving a slip and fall incident. The client hired Juris Medicus to provide a medical billing and coding expert to controvert medical bills from two providers. 

Expert Witness Requirements 

  • Certified by the American Academy of Professional Coders (AAPC) 
  • Comprehensive knowledge in determining UCR fees 
  • Prior testimony experience preferred 

Expert Witness Search 

A Juris Medicus case manager identified two in-house billing experts who fit the client’s requirements. The case manager sent the experts’ credentials, certifications, testifying experience, and background to the client.  

Expert Witness Placement 

The selected expert had 20 years of experience in medical billing, inpatient coding, and outpatient coding as well as comprehensive knowledge of and familiarity with determining usual, customary, and reasonable (UCR) fees for medical services. Once selected, the expert provided a powerful counter affidavit to oppose the original affidavit. 

Case Results 

This case was settled. 

Learn More 

Let Juris Medicus help you find the best medical expert for your case. 

https://www.jurismedicus.net/expert-panel       

 

 

 

 

 

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