Independent Medical Necessity Determinations
MedNessity’s founder, Gregory Palega MD JD, has a decade of experience as a medical expert in the following arenas:
-
Federal False Claims Act: US Department of Justice investigations
-
Federal False Claims Act: Trial and deposition testimony
-
US Department of Health and Human Services (HHS): OIG investigations
-
State Medicaid Actions
-
Medicare and Medicaid Provider Appeals: Medical Necessity, Coding, and Documentation disputes
-
United States HHS OIG Corporate Integrity Agreements (CIA): Independent medical record review
-
Medicare Fraud & False Claims Act Cases: Settlement conference expert witness testimony
-
Private Healthcare Provider-Payer Lawsuits: Testimony regarding the medical necessity of services and emergency medical care
-
Medical Staff and Compliance Officer Education: Medicare documentation and medical necessity requirements (i.e. coverage requirements)

See CV or contact Greg Palega for further details and attorney references