Expert No. 321751 – CA(N) / CA(S) / CO / CT / DE / FL / MI / NJ / NY / PA / TX / WV
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Expertise Description: MBA / MHA – Consulting expert with more than 35 years experience in Healthcare Management Consulting, Litigation Support, & Hospital Operations. Extensive involvement in 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, negligent hiring, managed care contracting, administrative and billing compliance, economic analysis related to enterprise value, and fair market value compensation. 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. Over 10 years of expert witness experience. Consultations, depositions, and courtroom testimony.
Areas of Expertise:
Representative Litigation Experience:
- Standards of Care in the Operation of Hospitals, Nursing Homes, & Ambulatory Care Facilities
- Physician Credentialing
- Negligent Hiring
- Administrative and Billing Compliance
- Interpretation of Joint Commission Standards
- Hospital Policies and Procedures
- Billing and Coding Disputes
- Fair Market Value Compensation Analysis
Representative Consulting Services and/or Projects:
- Performance of Joint Commission Mock Survey
- Reviews of Physician Practice Billing Operations
- Hospital Operations Improvement Projects
- Negotiation of Physician Contracts
- Preparation of Practice Reviews and Valuations
- Strategic Planning for Specific Hospital Services
Education:
| Degree | Subject | Institution | |
|---|---|---|---|
| Masters oF Business Administration | Northwestern University | ||
| Masters of Hospital and Health Services Management |
Professional Appointment/Association Affiliations:
- Medical Group Management Association
- Healthcare Financial Management Association
- American College of Healthcare Executives
- Society of Healthcare Planning of the American Hospital Association
Other Career Highlights:
| "Life After PHOs"; Hospital Planning and Marketing Society |
| "Ensuring the Adequacy of the Delivery System"; Medical Group Management Association |
| "Integrating Strategic and Capital Planning"; Health Care Marketing Consortium |
