Richard K. Baer, M.D.
Medical Director, Emerson Consultants, former Lead Medical Director for National Government Services (NGS)
Richard K. Baer, M.D., is engaged in consulting for clients requiring expertise in medical policy, claims data analysis, claims coding and claims processing edits, Medicare audits, and clinical trials compliance. He recently served as Chief Medical Officer and Contract Medical Director for Performant Recovery, Inc., the Medicare Recovery Auditor for Region A in the northeast United States. Prior to that role, he was the Medical Director for the Medicare RAC Validation Contractor. He was formerly the Lead Medical Director for National Government Services (NGS), one of the nation’s largest Medicare administrative contractors (MAC). At NGS Dr. Baer had responsibilities for oversight of all medical policy activities for Medicare Parts A and B in all states in NGS’ jurisdictions. His duties included the development of medical policy, which defined Medicare coverage of items, devices, services and supplies, support of Medical Review and Fraud and Abuse activities, and to represent the Medicare contractor in local, regional, and national meetings and committees. Dr. Baer has been an AHIMA certified ICD-10 trainer since 2011.
Dr. Baer attended the University of Illinois, Abraham Lincoln School of Medicine in Chicago and completed residency training in psychiatry at the University of Illinois Hospitals. Dr. Baer practiced psychiatry for 12 years before joining Medicare in April 1994. As a Medicare Medical Director, Dr. Baer had been especially active in developing Medicare medical policies and performing medical review in the area of physician services, new technology, home health, hospice, and Part A services.