Healthcare Industry Expert Consultant
Medicare B, Coverage, Coding, and Reimbursement Expert
Gerald Rogan, MD, a family practice and emergency medicine physician has served as a Part B Medicare carrier medical director for National Heritage Insurance Company (NHIC) in California, a position he held for more than six years. There he helped practitioners understand, appreciate, and comply with Medicare billing rules. He created or edited about 200 Local Coverage Decisions. Dr. Rogan, who’s currently a Sacramento, CA-based consultant, has extensive experience with medical and medical-legal matters.
Dr. Rogan's clients include pharmaceutical and device manufacturers, clinical laboratories, health care attorneys, other health care consulting firms, venture capital firms, medical societies, physician practices, hospital systems, and publishers. Principal issues are coverage, coding, reimbursement, compliance, and claims processing for tests, treatments, and drugs that are new or controversial.
He has extensive experience interacting with CMS on various issues, including CMMI, HCPCS II, and CAG.