Dr. Rogan has been consulting about Medicare and medical care delivery for a variety of companies beginning 2003, having served over 100 clients, some for a short term need and some over several years. Clients include publicly traded medical device and pharmaceutical companies, solo and physician group practices, start-up companies, diagnostic service providers, medical investment firms, law firms, other advisory firms, formal advisory panels, and law enforcement.

For six years (1997-2003) Dr. Rogan served the Medicare Program as a Carrier Medical Director for part B Medicare for the California jurisdiction (EDS/HP) and for 1 year (2011-2012) for California Medicaid (Medi-Cal) as the Medical Director for its claims processing administrative contractor (Xerox LLC).  For 18 years Dr. Rogan ran a “private” family and urgent care practice open every day serving 10,000 regular patients and thousands of others. For 7 years, Dr. Rogan practiced emergency medicine full time, starting at a County Hospital in the California central valley.


  • Created or revised more than 100 Local Coverage Decisions (LCD)- medical necessity decisions including coverage, coding, reimbursement, and compliance.
  • Co-chaired the California Medicare Contractor Advisory Committee (CAC).
  • Participated with CMS with National Rule making.
  • Consulted to the Office of the Inspector General (OIG HHS), the FBI, and the Department of Justice (DOJ) regarding alleged fraud cases.
  • Testified at Medicare Administrative Law Judge hearings on behalf of Medicare and Providers, before a Federal Grand Jury, and in State Superior Court.
  • Advised law firms on Medicare and Medical quality issues.
  • Published articles about Medicare in the official Medicare Bulletin and business magazines, including articles about correcting coding and billing.
  • Assisted Start-up companies sponsored through the National Institute of Health.
  • Testified before the California State Legislature regarding hospital based medical peer review (2009).
  • Obtained CPT and HCPCS codes for clients.
  • Commented to Rule Making and testified before CMS in Baltimore.
  • Practiced Emergency Medicine and Family and Urgent Care for a total of 24 years full time (1973-1997).
  • PPO Medical Director part-time 1992-1993.
  • Diagnosed and treated most diseases that occur in the U.S. and some from other countries.
  • Operated as an assistant surgeon for more than 1000 patients.
  • Trained paramedics and physicians in Advanced Cardiac Life Support and (unexpectedly) helped start Trauma Centers nationwide.


Bachelors of Literature, Science, and the Art, Major in philosophy, University of Michigan: 1964-1968

University of Michigan Medical School, 1968-1972: Doctor of Medicine

Paramedic and advanced cardiac life support instructor and instructor trainer, 1975-1980

Board Certified in Emergency Medicine, 1980, recertified 1993.

Member of the University of Michigan Marching Band, 1964

Graduate of the Interlochen Academy for the Performing Arts, 1964.

Have Medicare Billing Questions? Contact Gerald Rogan, MD