Expert 454580 - AZ CA(N) CA(S) KY MA OR TX WA


Expertise Description

I have more than 40 years experience in the field of Healthcare with expertise in Healthcare Program Governance and Risk Management. I have experience with compliance, quality improvement, and designing, developing and managing medical programs. I have additional experience with quality assurance and monitoring, medical billing advocacy, health maintenance organizations, cost analysis and budget development, performance management, and information review. I have more than 25 years expert witness experience with consultations, deposition, and courtroom testimony.

Areas of Expertise


Expert Witness

My expert witness experience includes cases of patient injury from inadequate use of computer programs/EMR, hospital compliance with JACHO, Physician compliance with Knox-Keene Act in California, Systems failure resulting in death, health plan fraud, inadequate personnel screening, and billing upcoding. 


Consulting Experience

My consulting experience includes office patient monitoring, hospital and plan compliance, medical fraud, and root cause analysis in patient care setting.


Professional Experiences

My professional experience includes being the Chief Medical Officer and Senior Consultant of a consulting firm, as well as an Independent Consultant for quality assurance and risk management. I have prior experience as the Principal for a medical billing advocacy firm, a Chair on a Board of Directors, President for an insurance organization, and Interim Medical Director.


Education

DegreeSubjectInstitution
M.D.Loma Linda University School of Medicine
M.A.Psychology/EducationAndrews University
B.A.Psychology/ChemistryColumbia Union College

Licenses Certifications

Physician and Surgeons License
State of California
Diplomate of the National Board of Medical Examiners
Board Certified in Pediatrics by American Board of Pediatrics
Board Certified in Pediatric Hematology-Oncology

Awards & Affiliation

American College of Physician Executives
American College of Medical Quality
American College of Legal Medicine
American Academy of Pediatrics
American Medical Association

Primary Affiliation

American College of Physician Executives


Partial List of Consulting Expert Witness Cases



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