AAPC - Advancing the Business of Healthcare

AAPC Healthcare Expert Witness

Rely on the leaders in medical coding and billing to provide expertise in your litigation.

Medical Coding and Billing Support Services

AAPC specializes in healthcare reimbursement. We know the regulations and guidelines governing medical billing and coding. We also know the cost of error, which can exceed tens of millions of dollars. As the leading credentialing organization of healthcare information management professionals, we set the standards for expertise. Should you need that expertise in relation to litigation of alleged improper billing and coding, we can ensure you receive accurate and trustworthy litigation support.

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2023 Auditing and Coding Survey

AAPC's Areas of Expertise

With extended experience across multiple places of service, our medical billing experts possess master-level proficiency in ICD-10-CM and -PCS, CPT, and HCPCS Level II — as well as the methodologies that link these code sets to APCs, MS-DRGs, and MS-LTC-DRGs. Their medical specialty experience is equally diverse, ranging from pediatrics and behavioral health to anesthesiology and level 2 trauma. Cases in which they’ve provided litigation support include:

  • Medical necessity (based on chart review)

  • Healthcare fraud

  • Qui tam actions

  • Overbilling and concealment

  • Payer/provider disputes

Medical Coding Expert Witness Credentials

In meeting trial evidentiary standards, our expert witnesses have been qualified through knowledge, skill, practical experience, training, and education. Below is a partial list of credentials held by our three litigation support experts.

  • CPC — Certified Professional Coder

  • CPC-I — Certified Professional Coder, Instructor

  • CIC — Certified Inpatient Coder

  • CCS — Certified Coding Specialist

  • CCS-P — Certified Coding Specialist, Physician

  • CICA — Inpatient Coding Auditor, HFMA

  • COC — Certified Outpatient Coder

  • Approved ICD-10-CM/PCS Trainer

  • CEMC — Certified Evaluation and Management Coder

  • CFPC — Certified Family Practice Coder

  • CDIP — Certified Documentation Improvement Practitioner

  • RCC — Radiology Coding Certification Board

  • CPC-H  Certified Professional Coder, Hospital

  • CPCO — Certified Professional Compliance Officer

  • CHCO — Certified Healthcare Compliance Officer, Healthcare Compliance Resources

  • CPAR — Certified Patient Account Representative

  • CRCR — Certified Revenue Cycle Representative

  • CPHM — Certified Professional Healthcare Management

  • ACS-OP — Ambulatory Care Center, Outpatient

  • FCS — Flexible Compensation Specialist

  • CPMA — Certified Professional Medical Auditor

  • RMC — Association of Registered Healthcare Professionals