Expert 521681 - CA(S)

Expertise Description

I have over 30 years experience in Pharmacology with expertise in Pediatrics, Regulatory Compliance, Ambulatory Care, and Managed Care services. Additionally, I oversee the ambulatory clinical pharmacy services, which included the anticoagulation service, pediatric hematology/oncology clinic, and pharmacists who practiced in the HIV, Renal, Cholesterol, Hypertension and Investigational Drugs Clinics. I have also spent more than 15 years as a pharmacology expert witness by providing deposition, courtroom testimony, and consultations.

Expert 513062 - AK AZ AR CA(N) CA(S) CO CT DE DC FL GA HI IA ID IL IN KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WY WI

Expertise Description

I have more than 30 years of experience in Hospital and Health System Senior Management, including the last 15 years as CEO and Regional CEO of various hospitals in Southern California. I have extensive experience and expertise in the areas of hospital operations and finance, business contractual matters, physician and medical group operations, managed care and medical insurance issues, health care regulatory matters, and employment and union issues.

Expert 508410 - AL MI

Expertise Description

I have more than 15 years experience in the field of Podiatric Medicine with expertise in diabetic foot pathology. My research interests include strategies for healing neuropathic ulcerations in patients with diabetes mellitus and to manage diabetic foot pathology in managed care environments, treatment options for symptomatic diabetic neuropathy, and the epidemiology of lower extremity pathology in diabetes mellitus. I have served as a Principal Investigator on numerous multi-center clinical research trials involving new and emerging treatments for diabetic foot conditions. I have over 10 years expert witness experience with consultations and deposition.

Expert 507339 - FL

Expertise Description

I have more than 35 years experience as a Surgical Physician Assistant with expertise in Plastic and Reconstructive Surgery and General Surgery. My clinical experience includes: Orthopedics, Family Practice, general surgery, multi-organ transplantation, trauma and burn injuries, ENT, pulmonary/critical care, and acute and chronic wound care management. I also have over 25 years experience with Coding, Billing, Compliance and Reimbursement issues. My areas of coding and reimbursement expertise includes: physician CPT-4 and ICD-9 coding, compliance chart analysis and auditing, and Medicare HCC audits. I have over 15 years expert witness experience with consultation, deposition, and courtroom testimony.

Expert 507332 - FL

Expertise Description

I have more than 25 years experience in the field of Medical Coding and Billing with expertise in ICD-9, ICD-10, and CPT coding. I have a comprehensive knowledge of the processing of medical insurance claims in a physician's office, to include the posting of payments, claims management as well as collection and tracking of revenue received from patients and third party payers including Medicare, Medicaid and various others. I am certified as a Reimbursement specialist, with training and experience in electronic billing to Medicare, Medicaid, and various insurance plans through several clearinghouses. I am also certified in Medical Chart Auditing, and as a Professional Coder and Instructor, and also as a Medical Billing Specialist.

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.

Expert 55216 - CA(S)

Expertise Description

I have over 35 years experience in the field of Managed Care in the Healthcare industry with expertise in HMOs, PPOs, physician contracts, and other managed care arrangements. I have experience with health care delivery networks, payor and provider contract negotiation, relationships between physicians and hospitals, enrollment, health care delivery education programs, regulatory health care issues, and health care legislation. I have prior expert witness experience with consultations and deposition.

Expert 503284 - CA(N)

Expertise Description

I have more than 30 years experience in the Retail Pharmacy field. My expertise includes store operations, corporate compliance, government relations, finance, marketing, and enabling technology solutions. I have consulting experience in working with manufacturers, wholesalers, retailers, and others as a subject matter expert in retail pharmacy, workflow insight, and practice evaluations. I formerly served on various advisory boards for manufacturers, academia, and pharmacy practitioners. I have prior expert witness experience with consultations and deposition.

Expert 96813 - CA(S)

Expertise Description

I have over 30 years experience in Industrial Medicine and Managed Care. My expertise includes physician recruitment and contracts negotiation for primary care and specialists; partnership agreements for primary care and specialists; physical therapy services; billing and collection services; development and maintenance of mini computer based proprietary practice management software; MIS support; marketing; strategic planning; and acquisition and growth strategies.

Expert 20388 - CA(S)

Expertise Description

I have over 25 years experience in emergency medicine, pre-hospital care, emergency medical care, experimental and investigational therapy, triage, EMS, medical trauma, first aid, head injuries, hospital liability, nurse liability, paramedic, paramedic liability, HMO and managed care liability, health care regulations, medical malpractice, elderly care, elder abuse, medical standards of care, medical necessity determinations, benefit determinations, quality assurance, nursing home quality assurance, utilization review, peer review, risk management, case management, JCAHO credentialing, informed consent, ethics, arbitrations, EMTALA, and medical insurance reimbursement / bad faith. I have more than 15 years expert witness experience with consultations, deposition, and courtroom testimony.

Expert 368132 - MA NJ NY PA

Expertise Description

I have more than 35 years experience in the fields of Mental Health, Community Mental Health, Behavioral Health, Managed Care, Mental Retardation, Inpatient Mental Health and Developmental Disabilities. I am highly experienced as a manager of large systems of Metal Health and Mental Retardation care in New York and Massachusetts. My expertise includes areas of Inpatient and Outpatient treatment and all forms of Mental Health treatment in Community settings, including standards of practice in Group Homes, health maintenance organizations, Community Residences, Halfway Houses, Emergency Services, Case Management, Psychiatric Rehabilitation, Social / Vocational, Behavioral Health Managed Care (HMOs), Record Review, Developmentally Disabled, Vocational Services, Accreditation Standards, Quality Assurance, and Management / Fiscal, System Design and Community Support. I have prior expert witness experience with consultations, depositions, and courtroom testimony.

Expert 40536 - CA(S)

Expertise Description

I have 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. I have experience as a practicing clinical pharmacist, a hospital pharmacy director, a regional hospital pharmacy administrator, and a consultant in private practice. My expertise includes medical and pharmaceutical writing and editing; drug information; pharmacy practice and operations; risk assessment and management; clinical pharmacy services; standards of care for pharmacy practice; pharmacy law; managed care pharmacy services; long-term care pharmacy services; pharmaceutical care in correctional facilities; and pharmaceutical care in industrial clinics. I have additional experience with community pharmacy practice, community pharmacy law, and business practices pertaining to pharmacies. I have over 20 years expert witness experience with consultations, deposition, and courtroom testimony.

Expert 351822 - CA(S)

Expertise Description

I have over 15 years experience in the field of Orthopedic Surgery, with subspecialty in surgery of the hand. I also treat wrist / forearm / elbow disorders, and upper extremity conditions such as arthritis, complex trauma, fractures, nerve compression, elbow fractures, hand/wrist deformities, infections / tumors, occupational / sports / fingertip injuries, and revision of previous hand surgeries. I complementarily practice with managed care for patients through splinting, therapy, injections, arthritis surgery, and medications. I have more than 10 years expert witness experience with consultations, deposition, and courtroom testimony.

Expert 321751 - CA(N) CA(S) CO CT DE FL MI NJ NY PA TX WV

Expertise Description

I have more than 35 years experience in Healthcare Management Consulting, Litigation Support, & Hospital Operations. I have extensive experience with 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, JCAHO credentialing, negligent hiring, managed care contracting, administrative and billing compliance, economic analysis related to enterprise value, and fair market value compensation. My regional and national consultations include market planning, product line initiatives, operations improvement, business valuations, medical staff development, hospital-physical joint ventures, healthcare system reorganization, group practice formation, third party contract review and negotiation, and physician and hospital business office issues. I have over 10 years expert witness experience with consultations, deposition, and courtroom testimony.

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.

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.