Expertise DescriptionI 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
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.
My consulting experience includes office patient monitoring, hospital and plan compliance, medical fraud, and root cause analysis in patient care setting.
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.
|M.D.||Loma Linda University School of Medicine|
|B.A.||Psychology/Chemistry||Columbia Union College|
|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|
American College of Physician Executives
Partial List of Consulting Expert Witness Cases