U.S. District Judge Lew Affirms Michael F Arrigo as Expert Witness in Medical Coding, Medical Billing, Medicare Fraud, Fraud Damages, Electronic Health Records

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: “Currently before the Court is Defendant Farhad Khossoussi, M.D.’s (“Dr. Khossoussi”) Motion for Summary Judgment and Motion to Exclude Expert Testimony of Michael Arrigo (“Motion to Exclude”), and Relator Julie Macias’ (“Relator”) Motion for Partial Summary Judgment as to Affirmative Defenses (“Motion for Partial Summary Judgment”).

Continuing, here is another excerpt from the ruling by U.S. District Judge Lew regarding Michael F Arrigo as an expert witness:

“…Mr. Arrigo clearly has the relevant qualifications necessary to provide an opinion regarding the potential damages from submission of allegedly false claims. Mr. Arrigo has experience in both state and federal court providing expert opinions that involved medical billing, coding, Medicare, and Medi–Cal. See Arrigo Report, Ex. F. Mr. Arrigo also has training in medical coding and billing reimbursement, and he has spoken on the topic of electronic health records. See Grover Mot. to Exclude Opp’n Decl., Ex. 2. Accordingly, the Court finds that Mr. Arrigo has sufficient specialized knowledge to provide an opinion on the potential Medicare damages. See United States v. Abonce– Barrera, 257 F.3d 959, 964 (9th Cir. 2001)(“n considering the admissibility of testimony based on some ‘other specialized knowledge,’ Rule 702 generally is construed liberally.” (internal quotations omitted)).”

“…Accordingly, the Court finds that Mr. Arrigo’s opinions regarding the potential damages attributable to the alleged kickback scheme and Triggiani’s provision of services in violation of her Medicare exclusion are admissible.”

Related Posts:

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Michael F. Arrigo

Michael is Managing Partner & CEO of No World Borders, a leading healthcare management and IT consulting firm. He serves as an expert witness in Federal and State Court and was recently ruled as an expert by a 9th Circuit Federal Judge. He serves as a patent expert witness on intellectual property disputes, both as a Technical Expert and a Damages expert. His vision for the firm is to continue acquisition of skills and technology that support the intersection of clinical data and administrative health data where the eligibility for medically necessary care is determined. He leads a team that provides litigation consulting as well as advisory regarding medical coding, medical billing, medical bill review and HIPAA Privacy and Security best practices for healthcare clients, Meaningful Use of Electronic Health Records. He advises legal teams as an expert witness in HIPAA Privacy and Security, medical coding and billing and usual and customary cost of care, the Affordable Care Act and benefits enrollment, white collar crime, False Claims Act, Anti-Kickback, Stark Law, physician compensation, Insurance bad faith, payor-provider disputes, ERISA plan-third-party administrator disputes, third-party liability, and the Medicare Secondary Payer Act (MSPA) MMSEA Section 111 reporting. He uses these skills in disputes regarding the valuation of pharmaceuticals and drug costs and in the review and audit of pain management and opioid prescribers under state Standards and the Controlled Substances Act. He consults to venture capital and private equity firms on mHealth, Cloud Computing in Healthcare, and Software as a Service. He advises ERISA self-insured employers on cost of care and regulations. Arrigo was recently retained by the U.S. Department of Justice (DOJ) regarding a significant false claims act investigation. He has provided opinions on over $1 billion in health care claims and due diligence on over $8 billion in healthcare mergers and acquisitions. Education: UC Irvine - Economics and Computer Science, University of Southern California - Business, studies at Stanford Medical School - Biomedical Informatics, studies at Harvard Medical School - Bioethics. Trained in over 10 medical specialties in medical billing and coding. Trained by U.S. Patent and Trademark Office (USPTO) and PTAB Judges on patent statutes, rules and case law (as a non-attorney to better advise clients on Technical and Damages aspects of patent construction and claims). Mr. Arrigo has been interviewed quoted in the Wall Street Journal, New York Times, and National Public Radio, Fortune, KNX 1070 Radio, Kaiser Health News, NBC Television News, The Capitol Forum and other media outlets. See https://www.noworldborders.com/news/ and https://www.noworldborders.com/clients/ for more about the company.

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