Healthcare Executive Experts
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Healthcare Facility Accreditation, Forest Health, Healthcare Insurance, Human Health, Healthcare Practices, Healthcare Law, Occupational and Environmental Health, JCAHO Credentialing, Healthcare Products, Home Health Nursing, Animal Health, Mental Health, Environmental Health and Safety, Healthcare Industry, Health Information Management
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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... » Read Complete Profile
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Expertise Description: PhD, NE-BC, RN – Doctorate prepared professional Registered Nurse (RN) licensed in the States of New Jersey, New York, and Pennsylvania. Board certified as a Nurse Executive (NE-BC). Has a more than 25 year career in nursing that includes expertise and certifications in emergency nursing, trauma, and critical care. Additional clinical experience in ambulatory care, medical-surgical nursing, and healthcare management / administration. Holds a clinical faculty professorship and holds several... » Read Complete Profile
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Expertise Description: Consulting expert in healthcare with over 30 years in the industry. Includes experience as hospital administrator, medical group administrator, and heathplan CEO. Expert in the negotiation and administration of contracts between physicians, hospitals, and health plans; HMO contracting and operations; Medicare Advantage programs; physician practice acquisition; medical group partnerships; and payer / provider ventures (ACOs). Also experienced in operations, finance, and marketing for hospitals, physician groups, and health plans. More... » Read Complete Profile
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Expertise Description: C.F.E., F.A.C.F.E.I., D.A.B.F.E., C.M.I.-II, F.H.F.M.A. - Expert in health care consulting with more than 40 years experience in the health care industry. Experience includes: medicare and other regulatory compliance audits, medical necessity and documentation audits, audit protocol, and patient accounting systems and billing activities. Additional experience performing valuation analyses and risk assessments. Certified Fraud Examiner (C.F.E.). Fellow, American College of Forensic Examiners (F.A.C.F.E.I.). Diplomate of American Board of Forensic Examiners... » Read Complete Profile
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Expertise Description: C.P.A., M.B.A. - Owner of freelance forensic accounting business and contract Associate of civil litigation expert firm in Los Angeles. Expertise in Forensic / Investigative Accounting. Civil case exposure includes breach of contract, negligence, intellectual property, wrongful termination, and personal injury / accident, within sectors such as government agency, defense, manufacturing and distribution, healthcare, insurance, and real estate. Family law knowledge includes determination / tracing of assets, debts and income... » Read Complete Profile
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Expertise Description: Ph.D., J.D. - Experienced in Human Resources Management. Has managed seven pension plans with 100,000 participants and billions of dollars in assets. Expertise includes: benefit plans, early retirement programs, voluntary severance programs, pension plan conversions, consolidations, life plans, health plans, pension, 401(k) plans, medical plans, Employee Retirement Income Security Act (E.R.I.S.A.) claims and appeals process, and labor arbitration. Member of negotiation / implementation teams for mergers, acquisitions, and divestitures. Fiduciary... » Read Complete Profile
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Expertise Description: MPA, CHBC, CPC, CHCC, CHCO - Chief Executive Officer with a Masters of Public Administration in Healthcare and Bachelor of Business Administration. Currently working on PhD in Business Management. College instructor in Healthcare Administration and accounting. In-demand speaker and writer for national healthcare industry conventions and publications. Conducts client assessments throughout the country offering compliance guidance in the areas of billing and reimbursement, HIPAA, OSHA, CLIA, and employment requirements and... » Read Complete Profile
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Expertise Description: J.D., M.P.H. - Healthcare Executive experienced in community standards of administrative practice, accreditation and licensing and regulatory compliance, medical staff and allied health professionals credentialing including ELAM issues, medical staff bylaws, rules and regulations, provider-based physician contracting including MEJIA and ostensible agency issues, administrative policies and procedures, labor and employee relations including wrongful and constructive termination issues, professional liability, as well as other critical needs areas involving healthcare delivery... » Read Complete Profile
