ForensisGroup Managed Care Liability Expert Witnesses work with all aspects of this form of liability coverage written to cover organizations engaged in delivering medical services on a managed-care basis, like health maintenance organizations (HMOs).
Our experts have years of experience in hospital liability, HMO and managed care liability, health care regulations, medical malpractice, medical standards of care, medical necessity determinations, benefit determinations, quality assurance, utilization review, peer review, risk management, case management, credentialing, and medical insurance reimbursement.
Their consulting services include drafting national standards in medical quality management, advising on medical malpractice regarding managed care systems and impact on physicians’ performance, creating certification standards for new Health Care Organizations (HCOs), and reviewing the Department of Managed Health Care which regulated Health Maintenance Organizations (HMOs).
Our experts are asked to opine in cases with issues concerning provider selection, provider “pay for performance,” regulatory actions, physician or provider panel administration, credentialing and peer review, HIPAA and privacy issues, administration of health care plans, denial of benefits, and delays in authorization of medical care .
For more than 20 years, ForensisGroup has been the single most trusted name in expert witness referral. We can help you find the perfect Managed Care Liability expert for your case. We will research and recruit additional experts, for your review, at no cost or obligation. Our experienced staff will provide you with the experts’ resumes and fee schedules. Your initial case consultations with select expert witnesses are complimentary prior to retention.