HLN's Experts
State Court of Gwinnett Judge Veronica Cope's opinion stated "The testimony of forensic accountants as expert witnesses on the reasonableness of medical expenses has been repeatedly upheld by Georgia courts. See, e.g. Bowden v. The Medical Center, Inc., 297 Ga. 285 (2015), where the Supreme Court of Georgia noted that the trial court correctly acknowledged that "expert testimony [regarding] how much other patients are charged for the same services in the same market is relevant to the issue of reasonableness." Furthermore, the mere fact that Ulbrandt and Blount based their opinions on a proprietary data set (which persons must pay to access) does not require that their testimony be excluded. The Court finds that Ulbrandt and Blount are qualified to offer their proposed testimony, which involves complex accounting matters beyond the ken of the average layperson."
(THOM VAN LE and TRUC CHU v. ROBERT BERRY, et al., Civil No. 20-C-08055-S6)
State Court of Douglas County (GA) Judge Eddie Barker's opinion stated, "This Court therefore finds that Mr. Ulbrandt is a competent expert. His methodology is sufficiently reliable and through the application of his scientific and specialized expertise, his testimony will assist the trier of fact to understand the evidence. Therefore, based on the foregoing, Plaintiff's Motion to Exclude the Testimony of Mr. Tony Ulbrandt is DENIED.
(Jackson v. Sargent, Civil No. Case No.19SV0056)
State Court of Chatham County (GA) Judge Gregory Sapp's opinion stated, "the Court DENIES the Plaintiffs motion to exclude Mr. Blount's testimony regarding the reasonableness of her medical expenses. The Court finds this testimony might be helpful to the jury and the comparison of charges would be relevant to the jury's determination of reasonableness.
(Miller vs. HFW, Civil No. STCV1702110SA)
U.S. District Court (IL) Judge Amy J. St. Eve's opinion stated, "Mr. Blount's testimony is relevant under Daubert because it helps the trier of fact determine whether Chaudhry should be entitled to a benefit under the Policy—a benefit that is calculated based, in part, on Chaudhry's income prior to his disability."
(Chaudhry vs. Provident Life, Civil No. 12-cv-5838)
U.S. District Court (CO) Judge Michael Hegarty's opinion stated, "I view Mr. Blount has provided statistical data and demonstrating that, in comparison with other local hospitals, Sky Ridge is out of sync. For the foregoing reasons, Plaintiffs’ [sic] Opposed Motion to Exclude the Opinions of Defendant’s Expert, L. Lamar Blount ... is denied without prejudice."
(Chapman v. Target, 19-cv-03240)
State Court of DeKalb County (GA) Judge Kimberly Anderson's opinion stated, "Plaintiff argues that Mr. Blount’s opinion in this case does not rely on accepted methodology, and therefore the Court cannot deem it sufficiently reliable under Daubert and O.C.G.A. § 24-7-702... Here, the Court finds that Mr. Blount’s testimony satisfies the reliability requirement as his methodology has a sufficient factual basis... Moreover, the Court finds Mr. Blount’s testimony about the reasonableness of Plaintiff’s medical bills is relevant."
(Hassan v Kroger, Civil No. 18A68687)
U.S. 11th Circuit Court of Appeals opinion stated, "Blount’s and Schmor’s testimony did not violate the collateral source rule. Their testimony addressed the reasonableness and necessity of what Showan had paid for her discectomy. Whether the expenses were “reasonable and necessary” is a critical inquiry under Georgia law. ...Accordingly, the district court did not abuse its discretion in admitting the testimony of Blount and Schmor."
(Showan v. Krispy Kreme, No. 17-15547)
U.S. District Court (NJ) Judge Jerome Simandle's opinion stated, "Mr. Blount is qualified to testify as an expert on Medicare reimbursement and billing issues. He possesses specialized knowledge, based on his over thirty years extensive experience as a healthcare auditor addressing Medicare reimbursement concerns and through his published works."
(Landau v. Lucasti, Civil No. 06-1229)
Muscogee County (GA) Superior Court Judge Maureen Gottrieds opinion stated, "“After hearing Mr. Blount's qualifications and testimony at the June 5, 2017 hearing on class certification, this Court finds that Mr. Blount is qualified to render an opinion as an expert in this case and therefore denies TMC's motion to exclude Mr. Blount's testimony.”
(Enterprise Leasing and Danielle Bowden, et al v. The Medical Center, Civil Action File No. SU12CV2676)
Cobb County (GA) State Court Judge John Morgan's opinion stated, " The Court finds that based on Blount's testimony is reliable... The Court finds that Blount's testimony would assist the trier of fact. Blount's testimony may give jurors more detailed information in assessing whether Plaintiff's medical bills are reasonable when compared to other similar charges across the spectrum of hospitals and government care in the metro Atlanta area."
(Bedgood v. Dunn, Civil File No. 17-A1576-3)
State Court of Barrow County (GA) Judge Currie Mingldorff's opinion stated, "The Court finds that Lamar Blount's anticipated testimony is based upon sufficient facts or data that is expected to be admitted at trial, that it is the product of reliable principles and methods, and that he has applied the principles and methods reliably to the facts of this case... The Court finds that the anticipated testimony does not violate the collateral
source rule, and is instead offered to demonstrate whether medical bills were reasonable."."
(Diaz vs. Nicole Aten, Civil No. 19-CV-000151)
Administrative Law Judges Sarah G. Ramos and Paul D. Keeper's opinion stated, “Evidence provided by … Mr. Blount persuasively established that Dr. Campbell unbundled the billing for services and, therefore, billed for services he did not provide. Although several charges were at issue, the May 30, 2001, charges for TA adequately demonstrated the unbundling.“
(Texas State Board of Medical Examiners v. Andrew William Campbell, M.D., Docket No. 503-04-5717)
U.S. District Court (CA) Judge Christina Snyder's opinion stated, "The Court finds that Blount is qualified to testify as an expert in this case. Blount has served as an expert in the medical billing field and has testified regarding medical billing issues in state and federal courts.... The Court also concludes that Blount’s methodology...is a sound analytical method that will assist the jury in understanding the relatively complex issue of medical billing practices."
(Glenwood v. Augment, Civil No. 10-8910)
State Court of Gwinnett County (GA) Judge Carla Brown's opinion stated, "The Court finds further that whether Mr. Blount's opinions are based on reliable principles and methods... Therefore, the Court finds that the content of these resources is not the type information an average juror would have knowledge of and Mr. Blount's opinions thereon would assist a jury."
(Jacobi vs. Doe, Civil No. 15-C-00359-3)
“During negotiations, nobody (on the defense) ever questioned the amount of medical billing we were claiming.”
(Kenneth H. Stalter, Esq. with Stalter Law in a personal injury plaintiff case where HLN evaluated the reasonableness of $200,000 in medical claims)
Among the numerous HLN Consultants who have provided expert testimony, three of our most experienced Medical Billing Experts are described here. CVs and Testimony lists are available by request.
Tony is HLN’s Executive Vice President and is involved in helping to 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.
Prior to HLN, Tony served as a Forensic Accountant with Assurance Forensic Accounting CPAs where worked on multiple cases to calculate economic damages involving retail/wholesale, manufacturing, food processing, real estate, restaurants, tourism, professional/consulting firms, distribution, and construction. He also was 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 University of Georgia and a Master of Accounting from Florida Atlantic University.
Tim is HLN's 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, serving plaintiffs and defendants in medical billing and reimbursement disputes in multiple US 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 the financial statements, managed care contracts, 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.
Tim passed the CPA exam in 1984 and obtained a BBA in Accounting in 1978 at Georgia State University.
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. His equity interest in HMA was privately sold 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.
Lamar passed the CPA exam in 1973, while attending Georgia Southern University, where he obtained a BBA in Accounting in 1974.
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