Medicaid - Medicare Expert Witnesses

Kimberly A. Baldwin-Stried-Reich, MBA, MJ, PBCI, CPHIMS, RHIA, CEDS, CPHQ, FAHIMA, has over 30 years of experience in a variety of healthcare settings. She specializes in Healthcare Informatics and HIPAA Compliance.

Ms. Reich holds a Master’s of Business (MBA) from the Lake Forest Graduate School of Management, a Master’s of Jurisprudence (MJ) in Health Law and Policy from the Loyola School of Law - Beazley Institute for Health Law and Policy in Chicago, IL and a Post Baccalaureate in Clinical Informatics (PBCI) from the Johns Hopkins School of Medicine Clinical Informatics Certificate Program.  She is the first Registered Health Information Administrator (RHIA) to complete the Johns Hopkins Division of Health Sciences Informatics Certificate Program and certification in EDiscovery. She is the lead author of the 2012 AHIMA publication E-Discovery and Electronic Records, a first of its kind healthcare e-discovery resources. 

Ms. Reich maintains active membership and participates in The Sedona Conference® for Privacy & Security & Electronic Records Production, American Health Information Management Association (AHIMA), American Medical Informatics (AMIA), Healthcare Compliance Association (HCCA), Society for Corporate Compliance & Ethics (SCCE), Society for Participatory Medicine (SPM), American Society for Healthcare Risk Management (ASHRM), Information Governance Initiative (IGI) and Greater Chicago Health Information Management Systems Society (GCCHIMSS).

Litigation Support - Ms. Reich is an expert witness for both defense and plaintiff legal counsel in matters involving HIPAA, e-discovery, and Electronic Health Records Systems fraud and abuse. Her services include thorough report preparation, depositions, and trial testimony. 

Areas of Expertise:

View Kimberly Reich's Consulting Profile.

Health Law Network (HLN) brings together the range of special talent needed to address most cases involving concerns about the reasonableness of medical billing charges, proper reimbursement, adequacy of clinical documentation, insurance disputes, accuracy of coding and quality of care, as well as allegations of false claims, Medicare or Medicaid fraud, antitrust violations and more.

HLN's mission is to assist attorneys and those involved in the healthcare industry in their search for experienced professionals qualified to serve as Independent Investigators, Compliance Consultants, Expert Witnesses, or Litigation Support Professionals

Litigation Support - HLN's experts have provided expert testimony in administrative and regulatory proceedings, as well as in state and federal courts for civil and criminal cases, for plaintiffs and defendants. HLN offers Peer-reviewed methodologies and Appellate court proven testimony by experienced professionals who have provided consulting services and conducted audits and investigations for hundreds of hospitals, physicians, and other healthcare providers nationwide.

HLN's Consultants: Certified Coding Specialists (CCS and CCS-P); Certified Financial Forensics (CFF); Certified in Healthcare Compliance (CHC); Certified Fraud Examiner (CFE); Certified Healthcare Chart Auditor (CHCA); Certified Professional Coder (CPC and CPC-H); Financial Analysts; Statisticians, See Full List.

L. Lamar Blount, CPA - During 30+ years in serving the healthcare industry, Lamar has provided consulting services for hundreds of clients in over 40 states. Lamar co-authored two editions of books on Billing and Reimbursement for the AMA. 

Lamar has served as an expert in over 300 cases and has been admitted in multiple US District Courts, State Courts and Administrative Hearings. He has testified for and served plaintiffs and defendants, as well as for providers, payors and government clients. He is the president of HLN and provides quality reviews on all of our expert reports. 

Prior to creating Health Law Network in 2003, Lamar was founder and chairman of Healthcare Management Advisors (HMA) from 1990 to 2002. HMA provided compliance, reimbursement, coding, managed care, clinical data and financial management expertise to over 1,600 hospitals and hundreds of other healthcare providers nationwide and internationally. He sold his equity interest in HMA privately in 2002. 

From 1981 to 1990, he was a co-founder and the Audit and Healthcare Consulting Partner for Hyatt, Imler, Ott & Blount (HIOB), which became the 10th largest CPA firm in Atlanta. Lamar was also President of HOSPLAN Micro Systems (an affiliate), which developed and marketed microcomputer-based software for medical records, budgeting, and rate setting to over 600 hospitals nationwide. 3M Health Information Systems purchased HIOB & HOSPLAN.

From 1974 to 1981, Lamar was with the international Big-8 CPA firm of Ernst & Young, where he became a Manager, supervising healthcare audits, Medicare & Medicaid cost reports, rate-setting projects, and financial feasibility studies.

Timothy N. Henry, CPA is Vice President of Consulting Services, managing our team of multi-disciplinary consultants. He has served as a consulting or testifying expert on 200+ cases for Health Law Network since 2012, representing plaintiffs and defendants in Medical Billing and Reimbursement Disputes in multiple U.S. district and State Courts. He has also served in cases involving Medicare and Medicaid reimbursement issues, Medicare fraud, managed care contract payment disputes, life care plan projections, and lost profit and economic damage claims.

Since 1978, Tim has served the healthcare industry as an auditor, consultant, and financial executive. He has served multiple hospitals and multi-provider healthcare systems as Chief Accountant, Internal Auditor, Vice President for Finance, and Chief Financial Officer. These hospitals and healthcare systems included Emory University/Emory Healthcare System, Gwinnett Hospital System, Wesley Woods Center, and Union General Health System. Tim's healthcare provider experience includes responsibility for financial statements, managed care contracts, and the business office, including the chargemaster, facility and professional fee billing, and collections. 

Prior to HLN, Tim worked with founder Lamar Blount in two other healthcare businesses. Tim was a Healthcare Audit Partner at Hyatt, Imler, Ott & Blount (HIOB), which became the 10th largest CPA firm in Atlanta; and he was Vice President of Compliance Services at Healthcare Management Advisors (HMA), Alpharetta, Georgia, which served more than 1,500 hospitals and hundreds of other healthcare providers and organizations nationwide. At HMA, Tim served as the Compliance Officer for multi-campus healthcare providers and directed the firm’s Medicare and Medicaid risk assessment and compliance program engagements.

Tony W. Ulbrandt, MAcc, CFE, is HLN’s Executive Vice President and helps set the firm’s strategic direction. Tony previously served as a Consulting Manager with HLN and has served as a consulting or testifying expert on 200+ cases for Health Law Network since 2013, serving plaintiffs and defendants in medical billing and reimbursement disputes in multiple US District and State Courts. He has also served in cases involving medical malpractice, healthcare fraud, Medicare fraud, Qui Tam lawsuits, criminal sentencing hearings, and lost profit and economic damage claims.

Before HLN, Tony served as a Forensic Accountant with Assurance Forensic Accounting CPAs, where he worked on multiple cases calculating economic damages involving retail/wholesale, manufacturing, food processing, real estate, restaurants, tourism, professional/consulting firms, distribution, and construction. He was also a Senior Accountant with Credo Financial Services, where he performed business valuations and worked on litigation support cases, including lost profit analysis and forensic reconstruction of financial statements. Tony also served as Senior Forensic Accountant at DDS Financial, where he performed on-site forensic analyses and audits. Tony passed the Certified Fraud Examiner (CFE) exam in 2017 and obtained a BBA in Economics from the University of Georgia and a Master of Accounting from Florida Atlantic University.

View Health Law Network's Consulting Profile.

David Martinez has over 35 years of experience in the field of Medical Billing. His expertise covers all facets of the revenue cycle, and he possesses a comprehensive understanding of relevant laws, regulations, and statutes, especially those applicable in California. 

Accurate Medical Billing are among the most sought-after expert witnesses. Accurate the only billing service to earn Preferred Partner status with the San Bernardino County Medical Society and the only billing service authorized in California to perform CEUs for doctors. They possess extensive knowledge and experience in insurance billing, claims, and collections. Accurate is the recommended billing service by and for CCA members and endorsed and recommended by ICAC. Co-Chair of the Insurance and Managed Care Committee – California Chiropractic Association. 

 Mr. Martinez is the administrator of the largest medical billing group on Facebook, which boasts over 6,000 members. This role entails significant responsibility and trust. He has curated a highly qualified team of experts in the field, which includes Certified Coders, Auditors, and Medical Reimbursement Specialists. His team comprises former claims examiners for insurance companies, as well as auditors, billers, coders, and compliance specialists, giving them deep insights into insurance companies' strategies.

Areas of Expertise:

Partial Background Experience:

• Consolidated Healthcare Services - Director of Billing and Collections for 54 current and past, state-of-the-art Open MRI, primarily in the Southeast United States. Mentored training developed a direct staff of 24 and an indirect staff of 72.
• Prime Healthcare Hospital - Business Office Manager Incorporated fully managed care training and collections. Collaborated with legal counsel in the interpretation of medical records.

 Education / Training:

• Certified Professional Coder
• Certified CE Educator (California Board of Chiropractic Examiners)
• Certified Medical Reimbursement Billing Specialist
• Certified Claims Auditor
• Certified Claims Examiner
• Certified HIPAA Professional
• Certified Medical Claims Biller
• Certified Compliance Officer (9 others) Certifications)