Expert 522345 - CA(N) CA(S)

Expertise Description

I have more than 30 years experience in the healthcare/health insurance industry. My experience includes, but is not limited to, sales, sales management, sales distribution channels (including internal sales and outside broker/agents/consultants, operations (billing, claims, customer service), underwriting, product, compensation plans, and profit and loss management. My indirect responsibilities included, but not limited to, actuarial, finance, network development and contracting, compliance, and marketing. My experience includes Individual and Group products/business in commercial and government (Medicare) lines of business. I am offering my services as a healthcare expert witness.

Expert 511150 - AL AK AZ AR BC CA(N) CA(S) CO CT DE DC FL GA HI IA ID IL IN KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA QC RI SC SD TN TX UT VT VA WA WV WY WI

Expertise Description

I have more than two decades of experience in the field of Emergency Medicine and Hospital Negligence with a particular expertise in Internal Medicine. I have also spent time working to improve the distribution of medical resources, as well as advocating for better healthcare insurance policies. I have also spent time working as an emergency medicine expert witness in Indiana by providing clients with consultations, deposition, and courtroom testimony.

Expert 513062 - AK AZ AR CA(N) CA(S) CO CT DE DC FL GA HI IA ID IL IN KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WY WI

Expertise Description

I have more than 30 years of experience in Hospital and Health System Senior Management, including the last 15 years as CEO and Regional CEO of various hospitals in Southern California. I have extensive experience and expertise in the areas of hospital operations and finance, business contractual matters, physician and medical group operations, managed care and medical insurance issues, health care regulatory matters, and employment and union issues.

Expert 508368 - AL AK AZ AR CA(N) CA(S) CO CT DE DC FL GA HI IA ID IL IN KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WY WI

Expertise Description

I have more than 20 years experience in the Healthcare system with expertise providing opinions in civil and criminal matters of health care claims reimbursement, billing and coding, fraud, ICD-10, HIPAA Privacy and Security, Meaningful Use, the Affordable Care Act, and usual customary and reasonable medical costs. I have experience with electronic health records, medical and dental claims, and patient’s duty to mitigate costs. My work involves self-insured employers, hospital systems, health plans (insurance) and healthcare IT firms. My education includes: USC – business, UCI – computer science & economics, Stanford Medical School in bioinformatics, computational biology and biomathematics. I have prior expert witness experience with consultation, deposition, and courtroom testimony.

Expert 389033 - TN

Expertise Description

I have more than 40 years experience in the field of Health Care Administration with expertise in providing legal advisory services and expert testimony in litigation. I have experience with directing day to day operations in facilities, establishing policies and procedures as well as standards and practices focused on patient safety, physician credentialing, labor relations practices, and compliance with Joint Commission Standards for Accreditation. I have over 5 years expert witness experience with consultations, deposition, and courtroom testimony.

Expert 135059 - TX

Expertise Description

I have over 25 years experience in Human Resources Management. My expertise includes: defined benefit plans, early retirement programs, voluntary severance programs, severance plans, pension plan conversions, consolidations, life plans, health plans, Pension Benefit Guaranty Corporation (PBGC), pensions, 401(k) plans, medical plans, Employee Retirement Income Security Act (E.R.I.S.A.) claims and appeals process, benefit claims and appeals, cash balance plans, and labor arbitration. I have more than 10 years expert witness experience.

Expert 55215 - CA(S)

Expertise Description

I have over 15 years experience as healthcare administrator, CEO, and former COO of national healthcare and physician management companies. I have experience with health administration issues, including: project management, staff development, practice analysis, expansion, and operational and financial management. My expertise includes A / R and collections, revenue enhancement, claims processing, acquisitions, mergers, investments, human resources, training, staff development, contracting, marketing, and product line management. I have prior expert witness experience.

Expert 43013 - CA(S)

Expertise Description

I have over 35 years experience with healthcare administration and management specializing in the operation of acute hospitals and their various subdivisions, JCAHO credentialing, and facility strategic planning. I have more than 10 years of expert witness experience with consultations, deposition, and courtroom testimony.

Expert 321751 - CA(N) CA(S) CO CT DE FL MI NJ NY PA TX WV

Expertise Description

I have more than 35 years experience in Healthcare Management Consulting, Litigation Support, & Hospital Operations. I have extensive experience with complex healthcare-related litigation pertaining to third party billing disputes, identification of breach of standards of care in the operation of hospitals, nursing homes and ambulatory care environments, physician credentialing in both hospital and managed care organizations, hospital and medical staff bylaws, interpretation of JCAHO standards, JCAHO credentialing, negligent hiring, managed care contracting, administrative and billing compliance, economic analysis related to enterprise value, and fair market value compensation. My regional and national consultations include market planning, product line initiatives, operations improvement, business valuations, medical staff development, hospital-physical joint ventures, healthcare system reorganization, group practice formation, third party contract review and negotiation, and physician and hospital business office issues. I have over 10 years expert witness experience with consultations, deposition, and courtroom testimony.

Expert 345655 - CA(S)

Expertise Description

I have over 30 years experience in the healthcare industry. I have experience as a hospital administrator, medical group administrator, and health plan CEO. I am an expert in the negotiation and administration of contracts between physicians, hospitals, and health plans; HMO contracting and operations; the healthcare industry; Medicare Advantage programs; physician practice acquisition; medical group partnerships; and payer / provider ventures (ACOs). I am also experienced in operations, finance, and marketing for hospitals, physician groups, and health plans. I have more than 10 years expert witness experience.

Expert 340483 - CA(S)

Expertise Description

I have more than 25 years experience in the field of hospital management and the healthcare industry. My expertise includes: hospital operations; labor management; managed care; case management; hospital finance and budgeting; business office operations; and strategic planning.