Medicare Experts
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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: 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: M.P.A., M.S.N., R.N., P.H.N., C.E.N., N.E.-B.C., L.N.C.C., C.L.C.P., C.C.M., M.S.C.C. - Consulting expert specialized in Nursing and Life Care Planning. Experienced with acute care nursing services including triage, trauma, and primary emergency nursing services to patients of all ages. Also experienced with medical record analysis, case evaluation regarding adherence to or deviation from the standard of care, and estimating lifetime medical costs for catastrophic events and chronic conditions. Approved and... » Read Complete Profile
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Expertise Description: M.S.N, R.N. – Registered Nurse (R.N.) with expertise in Legal Nurse Consulting. Has owned her own medical-legal service since 1999. Expertise in individual and group health policies, long term care, life insurance, and Medicare health care plans. A Certified Legal Nurse Consultant (CLNC) is a nurse specialist who knows the standards of care. The CLNC can review, summarize and interpret the records, research the literature, and locate expert witnesses from... » Read Complete Profile
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Expertise Description: R.N., B.S., J.D., C.L.C.P, M.S.C.-C. – Consulting expert with more than 30 years combined medical and legal experience. Registered Nurse Attorney, Certified Life Care Planner (CLCP), and Certified Medicare Set-Aside Consultant (MSCC) with extensive Critical Care / Emergency Medicine background. Former Mobile Intensive Care Nurse. Experience includes development of comprehensive Life Care Plans and / or Opposing / Rebuttal Life Care Plan Critiques, as well as Preliminary Life Care Needs... » Read Complete Profile
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Expertise Description: M.D., J.D., F.A.P.A. - Experienced in forensic psychiatric issues including neuropsychiatry, forensic psychiatry, and legal medicine... » Read Complete Profile
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Expertise Description: Pharm.D. – Consulting expert with more than 35 years experience in pharmacy risk management, pharmacy- and pharmaceuticals-related litigation, third-party drug benefits, and freelance writing for the healthcare communications industry. Has been a practicing clinical pharmacist, a hospital pharmacy director, a regional hospital pharmacy administrator, and a consultant in private practice. Expertise includes medical and pharmaceutical writing and editing; drug information; pharmacy practice and operations; risk assessment and management; clinical pharmacy... » Read Complete Profile
