Expertise DescriptionI 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.
Areas of Expertise
Retained expert in matters in both Federal and State Court including and not limited to the following areas: healthcare financial expenditures, usual and customary analysis, life expense analysis, electronic data analysis, medical record analysis, internal controls, relator issues, revenue cycle issues, EDA claims, EDA employment data, healthcare benefit plans, internal controls, provider software, damages, and other general reimbursement issues.
I maintain academic and professional development through various credentials and certifications and often participate as a professional mentor. I have several patents, authorship of over 200 articles, books, and presentations to consumers, government, corporate, and professional entities. Multimedia experiences include telephonic, radio, television, Podcasts, Webinar, and live presentations to both domestic and international audiences.
|CCM Masters Certificate||Case Management||DePaul University|
Certified Homeland Protection Associate IV (CHPA-IV) Global Society of Homeland and National Security Professional (GSHNSP)
Certified Home Land Security (CHS-IV) American College of Forensic Examiners (ACFEI)
Registered Nurse, State of Florida
Certified Controls Audito (CICA), The Institute of Internal Controls
Certification in Risk Management Assurance (CRMA) The Institute of Internal Auditors
Awards & Affiliation
“Educator of the Year Award” Association of Government Accountants, AGA Chicago Chapter
Women of Influence Recipient, Chicago Business Journal
Chicago United’s Business Leaders of Color Recipient
Finalist for the Enterprising Women of the Year Award
Influential Women in Business Award Recipient sponsored by the Business Ledger in partnership with the National Association of Women Business Owners (NAWBO)