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Richard K. Baer

Healthcare Consultant

Meet Your Expert

Dr. Baer provides consultant services on a wide variety of healthcare coverage, compliance, audit, coding, and billing services. Dr. Baer served over 20 years in medical director roles for the Medicare Administrative Contractor (MAC), the Recovery Auditor (RAC), and regional home health and hospice contractors. He most recently served as the Medical Director for the RAC, Region A, in the northeast US.

He’s located in Chicago, Illinois. Dr. Baer consults on medical coverage of devices, drugs, and other items and services. He also consults on health care compliance services, including RAC audits, Medicare appeals work, and state and federal audits. He provides analysis for clinical research billing compliance and development of medicare coverage analyses for research protocols.

During his tenure with the Medicare program, Dr. Baer authored several hundred Local Coverage Determinations (LCDs) and other medical review policy articles and documents for new technologies, pharmaceuticals, and highly utilized services covering millions of Medicare beneficiaries.

He has provided medical policy assistance to CMS on national coverage issues, and has been involved in federal investigations and audits of Medicare improper payments and fraud matters for a variety of health care providers. He has frequently served as an expert witness for the Department of Justice in Medicare civil and fraud cases.