What is Promoting Interoperability? Promoting interoperability was formerly known as "Meaningful Use" under the ARRA HITECH Act of 2009. Promoting interoperability promotes patient engagement and electronic exchange of information using…
In October 2020 and April 2021, the U.S. National Security Administration posted advisories regarding known vulnerabilities that Chinese and Russian hackers use to breach U.S. and other networks. Our Observations:…
Integrated Medical Bill Review and Subrogation Integrated medical bill review combines silos into one solution. This article provides a summary of various strategies to determine the value of medical bills. Plaintiffs in…
Medicare LCDs Medicare Local Coverage Determinations (LCDs) are inconsistent and cause uneven access to care for Medicare beneficiaries based on arbitrarily geographic boundaries and jurisdictions, rather than on medical necessity.…
Expert witness Michael Arrigo was affirmed as an expert by U.S. District Judge Lew. To view the ruling click here: United States and State of California v Pacific Health Corporation. Excerpt:…
Expert witness ambulatory surgery center billing Expert witness ambulatory surgery center billing quoted in allergy test overbilling investigation. Michael Arrigo interviewed by journalists at National Public Radio (NPR) for broadcast…
Medical Billing Expert Witness California Medical billing expert witness California requires rendering opinions on the Usual Customary and Reasonable cost of care. I receive questions on the difference between…
Medical billing expert witness Howell specials work in California in matters involving personal injury, medical malpractice, and payor provider disputes. Experts should have an understanding of the collateral source rule.…
Cybersecurity Expert WitnessWhen WannaCry ransomeware harms the patients of health care providers or members of a health plan, litigation raises questions. Were all measures taken to protect the plaintiff's information? Either…
In our experience, one strategy is to work within the Superior Court or State Court level and then appeal to a higher court perhaps at the Federal level. Some courts have elected not to hear testimony regarding future care costs under the Affordable Care Act, only to find that it is the law of the land and now has an impact. There are also unintended consequences in product liability cases. Third party liability and subrogation may also be affected.
As an expert witness I am regularly requested to provide opinions regarding the value of medical care under the Affordable Care Act. A misunderstood and often overlooked centerpiece of the Patient Protection and Affordable Care Act—often referred to as “Obamacare” or "ACA"—is the expansion of Medicaid eligibility to people with annual incomes below 138 percent of the federal poverty level.
In my work as an expert witness regarding the Patient Protection and Affordable Care Act (also known as the "ACA" or "Obamacare"), I find that more medical malpractice and personal industry cases as well as cases involving requirements for insurance coverage for self-insured employer's employees encompass ACA in their scope. The ACA may change the economics of healthcare as they apply to a legal matter involving damages, value of care, or insurance coverage and benefits.