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