Healthcare Fraud Investigation Expert 535720

Expertise Description

I have over 25 years experience in Healthcare Fraud Investigations with expertise in conducting comprehensive audits and investigations for fraud, waste, abuse, and error (erroneous coding) for Medicaid, Medicare Advantage, and commercial products. I have prior expert witness experience.

Healthcare Management Expert Witness IL 533318

Expertise Description

I am an experienced healthcare management expert witness. I have specialized for over 35 years in general medical data audit support services, data analytics (predictive), data assessments and strategy support, internal control audits, compliance, risk, and vulnerability assessments for patients, providers, payers, plan sponsors and other indirect and direct support vendors within the healthcare industry. I have additional experience in denial management services, third party audits, metrics, medical software architecture and integration analysis and health record integrity that are essential to sustain revenue, billing and clinical integrity. I have prior experience offering consultations, deposition, and courtroom testimony as a healthcare management expert witness.

health care administration 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.

Pharmacy Expert 502271 MI

Expertise Description

I have more than 50 years experience in the field of Pharmaceuticals with expertise in leading pharmacy and managing care organizations. I have experience with pharmaceutical care and delivery, pricing strategies, audit and recovery of billing and processing discrepancies, and giving counsel to governmental and commercial health plans. I have over 10 years expert witness experience with consultation and deposition.

Healthcare And Hospital 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.

Hospital Management 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.