105 Utilization Reviews Expert Witnesses Found

Addiction Medicine, Correctional Healthcare - Carceral medicine, Controlled substances, Deliberate indifference, Detoxification, Drug testing and toxicology, Drug withdrawal, Fentanyl, Intoxication, Jail and prison medicine, Medical marijuana and cannabis, Methadone, Opioid use disorder, Overdose, Substance use and abuse, Utilization managment

...As a certified medical review officer (MRO) by the Medical Review Officer Certification Council, Dr. Stacy has in-depth knowledge of interpreting urine drug screens and drug confirmatory testing, including nuances surrounding false-positives, false-negatives, and drug test interpretation. A significant portion of Dr. Stacy's career has been devoted to utilization management. For jails and prisons, this has encompassed the review of medical necessity for offsite medical services, assessment of appropriateness for length-of-stay and level-of-care during offsite hospitalizations, and evaluation of medical necessity for emergency department referrals. In the community setting, her utilization management activities have centered around medical necessity of inpatient detox, residential treatments, and other addiction treatment services, focused on adherence to American Society of Addiction Medicine (ASAM) level-of-care criteria. Dr....

Internal Medicine, Hospitalist - Primary care, primary care provider, PCP, medical, outpatient medicine, hospital medicine, hospitalist, internal medicine, internist, inpatient medicine

...I have served in different areas of physician leadership, including medical executive committee member, medical director of skilled nursing facility, and utilization review medical director. In my professional perspective, I uphold high ethical standards and render objective and evidence-based assessments. I am very efficient in reviewing medical records, available to provide objective and professional opinions for expert witness consultations to both defense and plaintiff attorneys.

Pain Management - Medicine, Physical Medicine & Rehab - Pain (spine, nerve, joint, soft tissue), Interventional pain management (epidural steroid/other injections, nerve blocks), Opioids/pain medications, Second opinion, Ineffective/failed spine/other surgeries, Complex/catastrophic cases, CRPS/RSD, Back pain, Motor vehicle accidents, chronic pain

...He has achieved numerous awards for clinical excellence and research, a top score in California medical-legal evaluators' qualifying exam, and the highest quality standards in Utilization Review. As an award-winning teacher and a skillful presenter, Dr. Baroumand has delivered engaging and informative presentations to various audiences, including attorneys, claims examiners, patients, and the general public. Dr....

Internal Medicine, Addiction Medicine - Opiod Overdose and Abuse, Hospitalist,Opiates, Independent Medical Exam, Medication Errors, Nursing home failure,Cancer Screening, Missed Diagnosis, Internal Medicine, Heart Disease, Chronic Lung Disease, Drug Detoxification, Preventive Medicine, Elder Abuse, Wrongful Death

...Dennis has performed chart and utilization reviews for large organizations.

Forensic Psychology, Psychology - Criminal Forensic Evaluations, Correctional Suicide Prevention, Violation of Correctional Standards, Psychological Autopsy, Violence Risk Assessment, Psychosexual Risk Assessment, Psychopathy, Court Involved Treatment, Anger Management, Correctional Healthcare

...She has over twenty years of experience in correctional health care, having provided training on suicide prevention in custody, correctional standards and correctional programs review. She has conducted numerous psychological autopsies, civil commitment and risk of violence evaluations, sexual violence and recidivism assessments for the correctional community. Dr. Loftis became Designated Forensic Psychologist in Massachusetts, having trained at state hospitals, correctional institutions and rural clinics. She has provided the courts with Competency to Stand Trial, Criminal Responsibility and Drug and Alcohol Evaluations. Dr. Loftis has evaluated several thousands of persons convicted of sex offenses and violent offenders seeking parole or pardons in the state of Nevada. She has also consulted on topics such as rapist typologies, psychopathy, violent crime and addiction. Dr....

Pain Management - Medicine, Anesthesiology - Low back pain, neck pain, personal injury, facet syndrome, discogenic disease, radiculopathy, CRPS, electromedicine, neuropathic pain, interventional pain management; medication management, including malpractice & DEA defense; over billing in pain management, over utilization in pain management

...He has done multiple reviews for plaintiff and defense medical-legal cases, including hundreds of medical records reviews. He has been deposed as an expert on over 60 occasions and has appeared in both state and federal court. He has assisted the DEA in cases involving trafficking, and also defended doctors against DEA allegations of narcotic overutilization in cases across the US. Types of cases in which he has been involved include DEA (drug) defense, malpractice (plaintiff and defense), interventional pain management malpractice, overbilling & overutilization, and anesthesia plaintiff and defense. Since 2005 Dr. Odell has done research utilizing CET to treat a variety of conditions, especially neuropathic pain. He strives to provide alternatives to the current dependence on drugs of neuropathy, which is inadequate, expensive and causes side effects in a majority of patients....

Wound Care, Medical Management - bedsores, skin injuries, surgical wounds, burns, pressure ulcers, venous ulcers, hyperbaric oxygen, infections, nursing home, medical devices, telemedicine, scar, qui tam, medical necessity, fraud, patents, medical devices, medical director, decubitus ulcers, diabetic ulcers, regenerative medicine

...Over twenty years of medical necessity/utilization review and expert witness experience. Midwestern University Medical School faculty. Significant private equity, medical device, startup, and consulting experience. Undergraduate degree in aeronautical engineering, Rensselaer Polytechnic Institute. Deposition and trial experience in multiple states. Over 85,000 wound encounters. Key roles have included medical director oversight of several level 1 hospital trauma wound programs, 5 community hospital wound programs, and over 15 SNF/LTACHs. Co-implemented one of the largest wound care/hyperbaric clinical delivery models in the U.S. and worked in several advisory roles for hospitals, startups, pharmaceutical/medical device companies, California workman’s compensation, and utilization review panels (over 6,000 chart reviews). Licensed in CA, AZ, TX, & OH. Voted Top Wound Doctor, Phoenix Magazine.

Pain Management - Medicine, Physical Medicine & Rehab - Pain (spine, nerve, joint, soft tissue), Interventional pain management (epidural steroid/other injections, nerve blocks), Opioids/pain medications, Second opinion, Ineffective/failed spine/other surgeries, Complex/catastrophic cases, CRPS/RSD, Back pain, Motor vehicle accidents, chronic pain

...He has achieved numerous awards for clinical excellence and research, a top score in California medical-legal evaluators' qualifying exam, and the highest quality standards in Utilization Review. As an award-winning teacher and a skillful presenter, Dr. Baroumand has delivered engaging and informative presentations to various audiences, including attorneys, claims examiners, patients, and the general public. Dr....

Occupational Medicine, Toxicology - Independent Medical Examiner, IME, Internal Medicine, Lung, Cancer, Sleep Apnea, Solvents, Chemical Exposures, Mold, Workers' Compensation, Bauxite, Toxicology, Diabetes, Stroke, Rheumatological Disorders, Osteoarthritis, Pulmonary Disease, Fit-For-Duty, Chronic Pain, Gastrointestinal Issues

Board Certified by the American Board of Internal Medicine, American Board of Toxicology, American Board of Independent Medical Evaluators, American Board of Quality Assurance Utilization Review Physicians, Board Certified Physician Advisor, Medical Review Officer, Certified Department of Transportation Medical Examiner, and certified in the use of the AMA Guides, for impairment determinations. Dr. Betancourt has numerous years of experience performing Independent Medical Evaluations (IME) within the scope of his credentials. His in-depth knowledge of Internal Medicine, Occupational Medicine, Biochemistry and Toxicology, provide a solid framework to thoroughly investigate and determine causation and/or formulate recommendations, for return to work, FMLA issues, or long/short term disability benefits. Dr....

Vocational Rehabilitation, Employment - Forensic Employability Evaluations, Long Term Disability, Long Term Disability Denials, Employment Law, Workers’ Compensation, Sexual Abuse, Wrongful Termination, Earning Capacity Evaluations, ERISA, FEHA, Divorce, Job Placement, Job Analysis, Human Resources, Marriage Dissolution

...Performs One-on-One Vocational Counseling and Planning utilizing transferable skills. Performs Direct Job Seeking Skills as well as Vocational Placement. Administers and interprets vocational aptitude, interest and achievement testing. Provides Job Analyses, Labor Market Surveys and Job Seeking Skills Training. Independent Vocational Evaluator State of CA Rehab Unit, Division of Industrial Accidents. Provides Testimony as a Vocational Rehabilitation and Employability Consultant in Personal Injury, Third Party Litigation, Wrongful Termination, Harassment, Abuse, ERISA as well as Federal Railroad matters. Performs Earning Capacity Evaluations. Vocational Consultant involved in Employability Assessments for Marriage Dissolution matters. Testifies as Vocational Expert for the Social Security Administration, Office of Disability Adjudication and Review.

Psychiatry - Standard of Care, Traumatic Injury, PTSD, Sexual Offender Risk Assessment, Testamentary Capacity, Intentional Infliction of Emotional Distress, Mental Impairment, Disability, Adjustment Disorder, Depression, Psychosis, Personality Disorders, Anxiety, Inpatient Care, Institutional Care, Suicide Risk

...While conducting onsite reviews of clinical services, COAC gathers data to design data collection methodologies. These methodologies are used to better understand our patients, identify patterns and trends and create tools for mentoring clinical staff. The process supports the Clinical Operations Division’s “ground up” change model where executive level decision making is based on input from unit staff at each facility. It also assists the department in identifying, designing and developing training programs based on the facilities’ needs. Prior to joining COAC, Dr. Heckman was a Senior Psychiatrist, Supervisor, for Coalinga State Hospital (DSH-Coalinga) and continues to provide direct patient care at DSH-Coalinga. He was also a staff psychiatrist prior to his senior role and part of the telepsychiatry program. He provided forensic services and expert testimony. Dr....

Emergency Medicine, Nurse - Emergency Medicine, Emergency Department Nurse, Legal Nurse Consulting, Nurse Expert, Medical Chronology, Wrongful Death, Medical Records Review, Medication Errors, Trauma, Stroke, STEMI, Pediatric Emergency Nursing, COVID-19, Standards of Care, HIPPA, Sepsis, GSW, Festivals, Cosmetic, Aesthetic.

...Nurse April utilizes her experience as a bedside and charge nurse to review medical records and create chronologies for ease of medical record review. Meticulous and detail oriented, she will analyze and identify breaches in nursing standards of care and regulatory compliance. She will provide her expert opinion efficiently and accurately to help the legal team develop an informed understanding of the facts of the healthcare provided in medical cases. April has experience in all roles of an emergency department nurse including Charge Nurse, Mobile Intensive Care Nurse, Preceptor and Resource Nurse. Ms. Hernandez is also a highly skilled Aesthetic Nurse with 16 years of experience at a Medical Cosmetic Spa. She specializes in Filler and Neurotoxin Injections, as well as Laser Treatments, IV hydration Therapy and IV Vitamin Therapy. She has Advanced Training and Education in multiple Cosmetic and Aesthetic procedures including Sculptra....

Actuarial, Statistics - Actuary, Pension Plans, retirement plans, 401k plans, ERISA, IRS compliance, audits, pension consulting, life expectancy calculations, marital dissolution, employee benefits, personal injury, wrongful death, disability, loss of income, life estate values, insurance, annuities, executive plans

...Worked closely with ERISA and client attorneys on client issues; frequently utilized research service of ERISA attorney firm. Presented many seminars on recent developments in pension plan industry and creative plan design to Desert Estate Planning Council, California CPA Society, AXA Advisors and various financial advisory and CPA firms. Presented seminar on Life Insurance in Qualified Retirement Plans to Financial Planning Association of Los Angeles. President and sole owner of third party administration (TPA) and actuarial consulting firm for 26 years serving 650 plans; President and partner of prior TPA and actuarial firm serving 1400 plans....

Family Medicine, Geriatrics - family medicine, primary care, general medicine, general medicine, urgent care, managed care, utilization management

...I have vast experience in managed care, providing utilization review for health plan beneficiaries under HMO insurance. My clinical practice includes pediatrics, adult medicine, and geriatric medicine, and includes office gynecology, sports medicine, office surgical procedures, chronic care management. I am medical director for a community hospice, providing home hospice care to patients at end of life. In addition, I have experience with occupational health and have been a medical review officer from 2018-2023. I also have a radiology supervisor's license for in-office radiographs.

Pharmacology- Clinical, Pharmacist - Toxicology, Pharmacist Standard of Care (Critical Care, Emergency Medicine, Geriatrics), Adverse Drug Events, Drug-Drug Interactions, Medication Safety and Errors, Pharmacogenomics, Anticoagulation, Antiarrhythmics, Antibiotic Stewardship, Medication-Related Surgical Complications, Opioid Safety

...I have clinical research experience in healthcare institutions and the pharmaceutical industry, having collaborated to conduct phase 2, 3, and 4 clinical trials and retrospective chart review. I currently serve as a clinical pharmacy preceptor and have spent a significant portion of my career over the past 10 years teaching doctorate and postdoctorate candidates through experiential training. I spearheaded the creation of two advanced pharmacy practice experience (APPE) rotations, critical care and emergency medicine, at two different healthcare institutions. Furthermore, my experience as a medical scientist has enhanced my ability to communicate scientific and clinical data accurately and concisely as I provide didactic medical lectures to healthcare providers and nursing staff several times each month. I am an active member of the American Society of Health-System Pharmacists (ASHP) and the American Society for Pharmacy Law (ASPL)....

Emergency Medicine, Nursing Administration - Clinical Nurse Manager, Regulatory Guidelines, Nursing Standards of Care, Medication Safety, Fall Prevention/Management, Hospital Policy and Procedure, Triage, CMS Standards, Emergency Medicine, Emergency Department Nurse, Emergency Room Nurse, Legal Nurse Consultant, ED Nurse Expert, COVID-19

...Kimberly utilizes her experience as a bedside nurse and clinical manager to review medical records for merit and create chronologies/summaries for ease of medical record review. In addition, she will analyze and identify breaches in nursing standards of care and regulatory compliance. She is an effective communicator, both written and oral. Kimberly will provide her expert opinion efficiently and accurately to ensure a quality final product. She is an active member in the Emergency Nurse's Association and holds a Certification in Emergency Nursing (CEN). Kimberly is also a member of the American Nurse's Association (ANA) and American Association of Legal Nurse Consultants (AALNC). She holds current certifications in American Heart Association Basic Life Support (BLS), Pediatric Advanced Life Support (PALS), Advanced Cardiac Life Support (ACLS), and Stroke Certification. Ms....

Neuropsychology, Psychology - Disability Rating, Cognitive Testing, Geriatric Psychology, Standard of Care, Capacity Evaluation, Memory Care, PTSD, Anxiety, Depression, VA treatment, Functional Capacity, Executive Functioning, Prognosis, Concussion, IME

...Memel earned her doctoral degree in clinical psychology with an emphasis in neuropsychology at the University of Arizona where she utilized multiple neuroimaging techniques to study the impact of age-related changes in brain structure and function on memory. She completed a neuropsychology focused internship at the Boston VA Healthcare system and a post-doctoral residency at the San Francisco VA and UCSF. Dr. Memel is currently a clinical neuropsychologist at the Ray Dolby Brain Health Center at CPMC in San Francisco. Dr. Memel has published multiple peer-reviewed manuscripts and book chapters on cognition and aging (see below) and currently serves as a research analyst at the UCSF Memory and Aging Center. Her primary research interest involves identifying ways in which physical activity confers positive effects on cognition, brain health, and emotional function during aging. Dr....

Medical Billing, Medical Coding - Medical Billing Expert, Medical Cost Expert, Healthcare Finance, Revenue Cycle Management

...Facility uses both EPIC Hospital Billing (HB) and EPIC Physician Billing (PB) Abacus Analytics: Revenue Analyst/Expert Witness: June 2017 to Present Working as in independent reviewer / expert witness on 3rd party liability medical cases. Principal, Independent Revenue Cycle Consultant: 1991 - Present Consulting projects involve interacting with internal staff in all facets of the revenue cycle. Typical projects include focusing on operational assessments and issues involving staff. Emphasis tends to involve compliance issues starting with Intake / Patient Access and continuing to the charge capture process (including the Charge Description Master), billing, follow-up and collections; ensuring best practices are utilized by staff as they complete their daily duties. Projects typically involve operational assessments and interim management in addition to back filling daily operational jobs when staff are not available....

Architecture, Construction - Healthcare Architecture, OSHPD, BIM, Integrated Project Delivery, Lean Construction, Construction Defects, Construction Claims, Quality Control/Quality Assurance, Hospitals, Schools, Slip and Fall, ADA, Contractor Non-Conformance, NAVFAC, Change Orders, Owner Payment Claims.

...PUBLICATIONS- “BIM in Construction,” chapter of Quality Management in Construction Projects, Routledge, 2016/2024 “Architecture 3.0: The Disruptive Design Practice Handbook,” Taylor & Francis, 2014 “Making Quality the Bottom Line for Your Distributed Teams,” Business Excellence Magazine, 2009 “Quality Systems in Architecture Practice,” in Handbook of Professional Practice, American Institute of Architects (AIA), 2008/2015 “Using RFIs to Calculate Quality Costs to Improve Your Firm’s Deliverables,” AIA PMKC Digest, 2006 “TWI (Training Within Industry)—How a WWII Training Program Created Lean,” AIA PMKC Digest, 2006 “Utilizing Balanced Scorecards to Leverage Quality and Performance in Design,” AIA PMKC Digest, 2006 “Six Degrees of Separation: Using Social Networks in Business Development,” AIA PMKC Digest, 2005 PRESENTATIONS & SPEAKING ENGAGEMENTS- “Future of Design and Construction Complexity,” Keynote Speaker, Lean Design Forum, Lean Construction Institute, Chicago, Illinois, May 2019...

Internal Medicine, Occupational Medicine - Correctional Healthcare, Independent Medical Examination, Worker's Compensation, Medical necessity determinations, Disability assessments, Medical file chart review, and utilization management,

...She performs medical necessity determinations for Independent Review Organizations. for medical necessity determinations and appropriateness of care. She is knowledgeable in the National Commission of Correctional Healthcare Standards.

Urology & Urological Surgery, Sexual Health - Standard of Care, Traumatic Injury, Iatrogenic Ureteral Injury, Incontinence, Erectile Dysfunction, Prostate Cancer, Testicular Cancer, Bladder Cancer, Treatment of Infections, Vasectomy, Kidney Injury and Disease, Circumcision, Perforation, Kidney Stones, Loss of Function

...He is Medical Director for Optum-Surgical Care Associates, Expert Medical Reviewer and Utilization Reviewer for multiple medical groups, Medical Executive Board Member, and Medical Credentialing Member. He is a former Clinical Assistant Professor of Urology at UCLA's David Geffen School of Medicine. Dr. Nowfar brings an extensive background in general urology combined with specialized training in urologic surgical oncology, advanced endoscopic, laparoscopic and robotic surgery. He has been instrumental in the development of the robotics programs at Lakewood Regional Medical Center and Los Alamitos Medical Center. He has started "meshless" surgery for female incontinence. He also brings special expertise in men’s health and management of Peyronie’s disease with new, innovative, and minimally invasive techniques. In his free time, Dr Nowfar enjoys traveling with his family, surfing, water skiing and snowboarding.

Pain Management - Medicine, Anesthesiology - Low back pain, neck pain, personal injury, facet syndrome, discogenic disease, radiculopathy, CRPS, electromedicine, neuropathic pain, interventional pain management; medication management, including malpractice & DEA defense; over billing in pain management, over utilization in pain management

...He has done multiple reviews for plaintiff and defense medical-legal cases, including hundreds of medical records reviews. He has been deposed as an expert on over 60 occasions and has appeared in both state and federal court. He has assisted the DEA in cases involving trafficking, and also defended doctors against DEA allegations of narcotic overutilization in cases across the US. Types of cases in which he has been involved include DEA (drug) defense, malpractice (plaintiff and defense), interventional pain management malpractice, overbilling & overutilization, and anesthesia plaintiff and defense. Since 2005 Dr. Odell has done research utilizing CET to treat a variety of conditions, especially neuropathic pain. He strives to provide alternatives to the current dependence on drugs of neuropathy, which is inadequate, expensive and causes side effects in a majority of patients....

Failure Analysis, Risk Management - Power Grid, Energy Infrastructures, Marine Industry, Accident Investigation, Power Tools, Patent Litigation, Construction Safety, Utilities, Oil & Gas, Wildfire, Public Safety, Root Cause Analysis, Failure, Accident, Energy, Climate Change, Renewable Energy, Disaster, Catastrophic Injury, Safety.

...She possesses a distinguished record including the publication of a book and multiple book chapters, as well as authorship of over 30 peer-reviewed journal publications. Furthermore, her contributions extend to active participation in numerous conferences, where she has served in roles such as presenter, conference organizer, and committee member....

Neurology, Occupational Medicine - Neurotoxicology, Metals, Aluminum, Arsenic, Lead, Mercury, Manganese, Thallium, Tin, Zinc, Solvents, Pesticides, gases/ asphyxiants, Carbon Monoxide, Electromyography, Environmental, Chemical Exposures, Toxic Neuropathy, Mold, Head trauma, concussion, CRPS, RSD, electricution, product liability

...Other services include independent medical examinations, medical record review, utilization review and consulting to industrial, legal, government, pharmaceutical and academic institutions equally for plaintiff and defense matters. Dr....

Addiction Medicine, Family Medicine - Opioids, opiate, methamphetamine, overdose, alcohol, hallucinogens, cocaine, cannabis, club, drugs, illicit, drug rehabilitation, utilization management, drug policy, alcohol and drug treatment, drug intoxication, drug withdrawal, detoxification, drug testing appropriateness, pain

...San Bartolome has been involved in policy making, setting protocols, utilization management and direct patient care in addiction medicine. Due to the nature of addiction, Dr. San Bartolome is experienced in pain management, mental health and use of psychotropic medications, and in other co-morbidities involving addiction. Dr. San Bartolome is a national expert, serving on committees for the American Society of Addiction Medicine and on the board of the California Society of Addiction Medicine. His experience in addiction medicine spans settings like hospitals, psychiatric units, emergency departments, outpatient clinics and as an administrative medical director of substance use disorders for a large health plan. In all of these settings and at various medical residencies and universities, Dr. San Bartolome has served as a faculty and has exceptional communication and teaching skills. In addition to clinical experience, Dr....

Education & Schools, School Safety - Education, Discrimination, Employment, Unfair Labor & Wrongful Termination, Special Education, IEP, IDEA, ADA, Section 504, Student Support Services, Accommodations, School Safety & Security, Student Safety, Standard & Duty of Care, Bullying, Mandated Reporting, School Comparisons and Evaluations.

...Sand is qualified to provide evaluative consultations and reviews of public and private schools. This stems from his tenure in K-12 education in completing accurate assessments of a students' educational needs, evaluating K-12 instructional and operation programs, and providing extensive staff development opportunities and programs. Effective student learning and school operations are not mutually exclusive and must be considered in terms of their alignment with local, state, and federal standards, codes, and accountability requirements. Collaborative efforts coupled with effective communication strategies enhance outcomes for all stakeholders. Clients continue to call upon Dr. Sand to support research-based classroom best practices and educational leadership. As a consultant, he provides comprehensive expertise, including forensic reviews in standard of care, student support services, a broad array of safety and supervision practices, and in district operations....

Real Estate, Management - Land Use, Entitlements, Due Diligence, Contracts, General Real Estate, Mixed-Use, Urban Infill, Subdivisions, Development, Real Estate Acquisition, Partnerships, Project Management, Disposition, Brokerage, Consulting.

...Regularly provide pre-litigation consultation services, utilizing experience as development executive, land use attorney, and real estate broker in helping retaining counsel to evaluate claims and craft arguments. Offers assistance to companies and legal counsel in leading complex negotiations, managing development teams, reviewing and implementing ordinances, drafting agreements, structuring compliance, and directing teams of outside counsel.

Psychiatry - Disability, IME, Personality Disorders, Depression, Anxiety, PTSD, Work injury, causation, medical board, standard of care

...I am available to conduct file reviews and have experience in utilization review in the Worker's Compensation and commercial insurance environments. I have also served as an expert evaluator for the Medical Board of California, assessing impaired physicians, provided written opinions on standard of care matters, and served as a practice monitor for physicians on probationary status. I am currently licensed in California and Texas.

Diagnostic Radiology, Ultrasound - Abdominal imaging, general radiology, breat imaging, mammography, body imaging, ultrasound, obstetric ultrasound, CT, MRI, gastrointestinal imaging, biopsy and drainage, case review, peer review, file review, case merit evaluation

...Actively involved in hospital quality, utilization review and peer review activities.

Energy, Engineering - Solar,PV,Photovoltaics,Energy,Batteries,Construction,Electric Utility,Intellectual Property,Patent,Project Development,Electrical Engineering,Asset Management,Contracts,Electricity,Generation,Renewable Energy,Solar Energy,Solar Power,Solar Installation

...Areas of Expertise: Energy Technologies Solar Batteries & Energy Storage Microgrids Markets Utility-Scale Commercial & Industrial Agricultural Residential Policy Tariff Rates Net Energy Metering (NEM) Interconnection Agreements Finance Incentive Programs & Structures Financing Programs & Structures Project Development Performance Modeling & Simulation Financial Modeling Contract Structures Ownership Models Project Planning & Execution Construction Management Sales Proposals, Pro Formas & Cash Flow Statements Technical Design Project Engineering Owner’s Engineering Independent Engineering System Design & Architecture Control Strategies & Microgrid Operations Project Management Technology Due Diligence Product & Vendor Selection Product Warranties, Guarantees & Liabilities Operations & Maintenance Data Acquisition & Monitoring Codes & Standards Health & Safety National Electrical Code UL Municipal Permits Industry Codes & Standards Solar Rights Act Expert Witness experience: In addition...

Critical Care Medicine, Emergency Medicine - Quality Assurance, Staff Development, Trauma Nursing, Critical Care Nursing, Critical Care Transport, Trauma Transport, Nursing Administration, Sepsis, Core Measures

...I have always had a fascination with puzzles and connections, review and investigation are a source for me to utilize my intellect and experience in the field of nursing to solve a problem or discover an error that by being identified, need never happen again. I am nationally certified in Critical Care and Flight Nursing. I have practiced in large, metropolitan facilities, teaching facilities and small rural facilities with a distinct lack of resources. I have flown for hospital based and private entities. I have been associate faculty at a junior college and precepted in major teaching facilities. I have also completed a preceptorship in mechanical assist devices for the cardiovascular system. I look forward to the opportunity to use my years of experience and knowledge base in a setting where it will be valued.

Hospitalist, Nursing Homes - Board Certified Internal Medicine, Clinical Instructor, Hospital Medicine, SNFs, Nursing Homes, Long-term Care, Hospitalist, Internist, Inpatient Medicine, Primary Care, PCP, DVT, PE, Decubitus Ulcers.

Expert in peer review—Assistant Medical Director, Morbidity/Mortality Chair, Professional Performance Review, IM Peer Review, Utilization Review, and Medicine Supervisory Committee. Involved in 100+ malpractice cases, 60% plaintiff and 40% defense. Experienced Board-Certified Internal Medicine Physician with 10 years of clinical and teaching experience. Graduated from Rush University Medical School in the top 50% of my class with board scores in the top national quartile. Internal Medicine clinical instructor at Scripps for 10 years and staff physician with San Diego SNF Hospitalists (servicing various local nursing homes) for 6 years. Available for internal medicine, nursing home, and hospitalist case reviews. Quick responses—texts, calls, and emails returned within 1 hour. CV, fee schedule, attorney references, and redacted medical reports available on request. 847.830.3636 [email protected]

Anesthesiology, Pain Management - Medicine - Facet, MBB/RFA, epidural SI, major/minor joints and bursae, paravertebrals, peripheral nerve blocks, RFA, SCS, pumps

...Intrathecal Pump trials, insertion and management (although I prefer not to utilize this modality). Minimally invasive Interspinous fixation and Sacroiliac Joint Fusion. Medication Management. Clear communication and coordination of care between surgical specialties, physical therapy, behavioral medicine and myself. Impairment evaluations using AMA Guides to the Evaluation of Permanent Impairment 3rd and 6th edition. Chart Review, utilization management, disability review and pain-relate future needs. IME provided to 3rd edition (for CO WC) and 6th edition

Emergency Medicine, Emergency Medical Services - Emergency Medicine,EMS,Paramedic,Emergency Physician,ER,ED,Urgent Care,Cardiac,Heart Attack, Stroke,Sepsis,Motor Vehicle Accident,EMT,Trauma, Fracture,Injury,Pneumonia,Dissection,Embolism, Seizure,Gun Shot Wound,Appendicitis,Torsion,Triage, Quality Assurance,Guidelines,Utilization Review

Board Certified Emergency Medicine Physician with extensive experience working in Emergency Departments of various size and degree of specialization (Rural to Urban, Community to Tertiary) including specialized trauma, stroke and cardiac centers, nationwide. Prior experience as a Paramedic in a busy and high acuity 911 system. EMS Liaison Physician. Developed systems and guidelines for hypothermia and STEMI care with extensive knowledge of guidelines dictating appropriate care. Expertise in Health Care Improvement, Health Policy, Telemedicine, and Patient Decision Making. Actively licensed in CA, CO, OK, WY, PA, NE, NM, TX, ND, ID, FL, AL, MO, and LA.

Slip Trip & Fall, Premises Liability - Snow and Ice Management, Snow Removal Operations, Snow Removal Contract, Property Management, Operations Management, Snowplow, ice control, slip and fall, slip and fall injury, contract performance, service performance, service communication, fleet management, fleet safety, management, duty of care.

...In addition to these responsibilities, Michael Wagner has extensive experience in reviewing fleet accidents and collisions, investigating and reporting incidents, and utilizing root-cause analyses to determine potential consequences and outcomes. Michael Wagner is familiar with contract, tort, and negligence issues in fleet management, as well as having strong experience in the regulatory environment of fleets at the federal, state, and local level. Previous Case Experience Michael Wagner has been retained by counsel as a plaintiff and defendant expert witness and has worked in four cases as an expert witness in premises liability, snow and ice management, and transportation/fleet management....

Urology & Urological Surgery - Urologic Oncology (Bladder, Testis, Kidney and Prostate Cancer), Urinary Incontinence, Kidney stones, BPH, Erectile Dysfunction, Peyronie's disease, Urethral Stricture, HOLEP, Urolift, Bladder and ureteral injury, Sling procedure, Urinary sphincter, robotic surgery, TURP, Penile implant, Mesh, laser

...He has published several book chapters and peer-reviewed articles and in various medical journals. He is a diplomate of the American Board of Urology and a member of the American Urological Association and Endourologic Society. He serves as an Associate Professor in the Department of Urology at Georgetown University and has been chosen as a "Top Doctor" by Washingtonian magazine. He has performed thousands of utilization reviews and routinely provides his services as an expert witness in medical malpractice cases. He is licensed in DC, MD and VA.

Radiation Oncology, Oncology - Chemotherapy, Cancer Treatment, Standard of Care, Complications, Radiation Injury, Side Effects, Risk Factors, Misdiagnosis, Delayed Diagnosis, Internal Radiation, Prostate Cancer, Cervical Cancer, Uterine Cancer, Breast Cancer, Lung Cancer, Rectal Cancer, Eye Cancer, Skin Cancer

...He has experience in utilization review, case management, medical necessity and standard of care reviews, chart reviews, and expert witnessing in all facets of oncologic care. He holds medical licenses in California and New York.

Neurology, Brain Injury Medicine - Hyperbaric and Diving Medicine, Maritime Injury, Decompression Sickness, Arterial Gas Embolism, Diving Injury, Decompression Illness, Dysbaric Osteonecrosis, Undersea Medicine, Hyperbaric Oxygen, Spinal cord, Diving Accidents, Traumatic Brain Injury TBI, Concussion, SCUBA, Saturation, barotrauma

...Barratt is a reviewer for Neurology, the most widely read and highly cited neurology journal. Dr. Barratt completed a two-year fellowship in hyperbaric and diving medicine at LSU in New Orleans; she joined the faculty after graduation. She received injured saturation divers from the Gulf of Mexico and sport divers from Divers Alert Network. She performed fitness to dive evaluations and cared for patients with chronic non-healing wounds, invasive fungal infections, and carbon monoxide poisoning. Dr. Barratt trained residents and fellows in hyperbaric medicine and lectured in Fitness to Dive Courses. Dr. Barratt's series of 229 cases of severe decompression Illness in Miskito Indian Lobster Divers was published in Aviation, Space, and Environmental Medicine. Her review of the literature on Neurologic Decompression Illness was published in the Neurologist....

Otolaryngology, Sleep Medicine - Sinus Surgery, Traumatic Hearing Loss/Vertigo, Defense Base Act, DBA, Mold Exposure, Sleep Apnea, insomnia, sleep deprivation, sleep medications, sinusitis, balloon sinus dilation, Balloon Sinuplasty, ENT, snoring, tonsils, CPAP, driver fatigue, ear nose and throat, hearing loss, tinnitus, VA NEXUS.

...Brodner also performs VA Nexus letters, utilization and disability review, IMEs (in-person and Zoom - Domestic and International), and Industry clinical research/R&D. National thought leader on Balloon Sinus surgery. Served on the Medical Advisory Board for Entellus Medical charged with developing and implementing a physician education program for teaching balloon sinus surgery to other ENT surgeons. Duties included lectures, small-group conferences, live demonstrations during surgery, webinars, and hands-on cadaver labs. Published original research on the safety and efficacy of balloon sinus surgery and presented data at numerous national meetings. Continued this work as a certified Key Opinion Leader (KOL) with MedTronic, IntersectENT, Sprirox, Arrinex, Physicians Seal, Signifier Technologies, Nestle Health, and Stryker ENT. Affiliate Assistant Clinical Professor, Florida Atlantic University College of Medicine, 2005-present....

Forensic Psychology, Substance Abuse - Forensic Psychological Evaluations, Parenting, Parental Alienation, Diagnosis, Competency to Proceed, Miranda Waiver, Coerced Confession, Mitigation, Psychosexual, MDSO, Physical/Sexual Abuse, False allegations, Trauma, PTSD, Schizophrenia, Bipolar Disorder, Substance Abuse, Addiction, Malingering

...I utilize a combination of actuarial risk assessment instruments, psychodiagnostic tests, record review, and clinical judgment to form such opinions. I conduct a good number of evaluations for accused sex offenders, including MDSO (Mentally Disordered Sex Offender) and psychosexual evaluations. I incorporate all available collateral data, and I use instruments such as the Static-99-R and the Hare Psychopathy Checklist in order to bring the best in hard test data into the clinical opinions that I offer to the court. I will accept child abuse cases and I will accept child pornography cases. I will not accept Involuntary Civil Commitment for Sexually Violent Offenders cases (here in Florida they are called Jimmy Rice cases). I would explain my rationale for not doing so upon request. I have been found an expert in Dependency Court (Child Protective Services cases) hundreds of times over the years. I have testified for the prosecution and for the defense....

Neurological Surgery, Neuroradiology - Whiplash Injuries, CranioCervical Syndrome, Arnold-Chiari Syndrome, Cranio-Cervical-C1-C2 Instability, Migraine Headaches, Cervical Herniated Disc Disease, Brain Fog, Cervical Instability, Cervical Myelopathy, Vertebral Artery Injury, Cervical Spine Fracture, Post-Traumatic Neuro-cognitive Deficits

...I am a superb teacher and prepare comprehensive reviews of all patient records resulting in bullet-proof reports and testimony utilizing PowerPoint and models. Experientially focused on Plaintiff work, I am in an excellent intellectual position to perform Defense analysis testimony as well. My record at deposition and trial is near-pristine: Over 95% of cases I am involved with result in excellent verdicts and settlements. Examples include the largest North American automotive product liability settlement to that date; largest Malpractice award in New England Federal Court to that date; and largest Railroad Worker's Compensation verdict to that date. My understanding of high technology, stemming from my work in scientific intelligence at the CIA, 14 Medical Patents, over 80 publications, 2 National Gold Medals in Technology, and lectures to legal meetings optimizes my utility as a Medical - Expert.

Oncology, Hematology - Oncology Hematology

...I am actively involved in my clinical practice, utilization management review and expert witness. I have been told that I am easy to work with, available and provide timely report.

Building Inspection, Appraisal & Valuation - General contractor, roofing contractor, plumbing contractor, mold assessor, mold remediator, insurance adjuster, wind damage, hurricane damage, tile roof, plumbing, cause & origin, water intrusion, storm created openings, residential, commercial, industrial, mitigation, estimating, scope & pricing

...Prepare thorough and professional itemized estimates utilizing the Xactimate Estimating System, XactAnalysis, Symbility, and/or MSB Integri-claim DDS. Proficient with CMS, CTS, iLogs, and ImageRight systems - claims management software. Review policy and applicable forms to determine coverage and also review any prior claims history. Continually interact with insured(s), public adjuster(s), consultant(s), engineer(s) and attorney(s). Promptly submit completed claim with coverage analysis and recommendations. Maintained business relationships with upper management and in-house staff. Inspect residential and commercial structures to prepare an expert opinion regarding causation and origin of damage. Prepare detailed estimates reflecting a proper scope based on damages that structures sustained. Provide expert testimony at depositions and at trial.

Physical Medicine & Rehab, Pain Management - Medicine - Nursing Homes, Life care planning, Physical medicine and rehabilitation, Pain management, Traumatic brain injury, TBI, Spinal cord injury, amputations, complex regional pain syndrome, CRPS, IME, Pharmaceutical review, Herniated discs

...Medical malpractice, Utilization Reviews, Health Insurance Claims, Workers Compensation, Independent Medical Exams, Peer Reviews, Pharmaceutical Reviews.

Ophthalmology - Glaucoma, Cataract Surgery, Trauma, Intraocular Lens

...Medical/Surgical Director, East Bay Eye Centers, San Ramon, California Director/Co-Founder University of California, Berkeley Glaucoma Day Annual Conference Advisory Panel, University of California, Berkeley Clinical Research Center Medical Director University of California Glaucoma Certification Program Medical Reviewer for Medicare Utilization Expert Witness Testimony/Chart Review

Occupational Medicine, Internal Medicine - workplace exposure,work injury,environmental,allergy,asthma,mold,indoor air quality,chemicals,drugs,toxins,multiple chemical sensitivity,musculoskeletal,orthopedic rehab,chronic pain,traumatic brain injury,TBI,long Covid,catastrophic,physical impairment,long term disability,fitness for duty,accident

...Over 30 years of clinical and administrative experience and providing expert opinion in occupational medicine, internal medicine, rehabilitation, quality assurance, utilization review, medical policy, level of care, standards of care, causation, physical impairment, social security, and disability. Expertise in workplace exposures/injuries, musculoskeletal rehab problems, environmental, allergies, asthma, mold, indoor air quality, pain management, traumatic brain injury, long Covid, and catastrophic cases. Expert review, opinion, and testimony provided on behalf of individuals, employers, insurance carriers, defense and plaintiff attorneys, local, state, federal authorities, schools, and universities.

Banking - Bank Analysis, Banking Law & Regulation, Banking Industry Standards, Board & Management Responsibilities, Bank Policy & Procedures, Regulation & Supervision, BSA/AML, Fraud, Ponzi Scheme, Elder Financial Abuse

...He has a successful track record as Expert Witness utilizing strong Expert Analysis, Witten Reports, and effective oral Depositions. Bill has worked with both Plaintiffs & Defendants in Federal & State Courts with NO Daubert Issues. Bill has a long (50 years) and varied career as a National Bank Examiner, federal bank regulator, senior-level banker (EVP & SVP), and bank consultant. He served in six different District Senior Management positions with the Office of Comptroller of the Currency (OCC). His OCC Roles included serving as Assistant Deputy Comptroller (#2 Executive for the 9 Southeastern states); and within that district he led supervision of the 15 largest National Banks & problem banks; served as Director for Compliance & Bank Analysis; and led supervision of 100 community banks in GA, NC & SC....

Internal Medicine, Addiction Medicine - Opiod Overdose and Abuse, Hospitalist,Opiates, Independent Medical Exam, Medication Errors, Nursing home failure,Cancer Screening, Missed Diagnosis, Internal Medicine, Heart Disease, Chronic Lung Disease, Drug Detoxification, Preventive Medicine, Elder Abuse, Wrongful Death

...Dennis has performed chart and utilization reviews for large organizations.

Chemistry & Chemicals, Chemical Engineering - Polymer Chemistry, Photopolymers, Graphic Arts (Printing), Flexographic Printing, Screen Printing, UV Cure Technologies, Elastomers, Water-borne Coatings, UV Cure Coatings, Solvent-borne Coatings, Antimicrobial Coatings, 3D Additive manufacturing, Smart Coatings

...Kanga also has experience in Utility Patent Application Projects with US PTO. He has a working knowledge of Inter Partes Review (IPR) and Post Grant Review (PGR) as it pertains to challenging the validity of issued patents. Specific Expert Witness/Consultant Projects • Arkansas Labeling Inc. v. Tim Proctor, Gary Parr, et al: United States Eastern District Court. Case# 4:19-cv-00773-KGB. Expert Consultant and Expert Witness for the Defendant (Tim Proctor, Gary Parr et al). February 2022 (Active), Zoom Videotape Deposition: April 2022 • Aquasyn LLC v. Joseph Peter Marcilese et al: Superior Court of the State of California for the County of Los Angeles. Case No. 21STCV19760. Expert Consultant and Expert Witness for the Defendant (Marcilese et al). November 2021 (Active) • E. I. du Pont de Nemours & Company v. Agfa NV and Agfa-Gevaert NV: USDC, Norfolk, VA. Civil Action No.: 2:18cv326. Non-deposition, informal Expert Consultant for the Defendant (Agfa)....

Pain Management - Medicine, Addiction Medicine - opioids, opioid prescribing, overdose, addiction, suboxone, MAT, alcohol, alcohol use disorder, anesthesiology, pain medicine, chronic pain, interventional pain, spinal injections, spinal cord stimulation

...Potru has very strong writing and speaking skills as well as extensive experience in depositions, in-court testimony, disability evaluations, chart review, and utilization review. He would be happy to discuss his experience in more detail at your request.

Nurse, Orthopedic Surgery - Outpatient orthopedics, ACLs, Knees, Shoulders, Foot and Ankle, Hand/ Upper extremity, Orthopedic oncology, Spine

...I train perioperative nurses who come through the program and have spent years utilizing my experience with fellows, residents and athletic trainers. I have had experience with expert witness reviews, and have demonstrated to my attorneys that I am reliable and knowledgeable in my field of practice to carry out the standards of care to which we adhere to.

Pharmacology- Clinical, Pharmacist - pharmacy regulations, pharmacy standards of care, pharmacist medical malpractice, drug utilization reviews, medication errors, adverse drug reactions, Medicare and Medicaid

...Shaw is also a Reviewing Medical Officer/Independent Practitioner for The Department of Labor/Federal Occupational Health (nationally and state specific). Dr. Shaw has been a Reviewing Adjudication Officer for Healthcare for the State of Georgia for CMS/Medicaid through the Dept of Health and Human Services Dr. Shaw has been in practice as clinical/compound/adjudication pharmacist since 1999 in many diverse settings including hospital, hospital transitional care, community clinic, critical care, compounding, and retail. In addition Dr. Shaw has served in a variety of leadership roles that have contributed to his experience as an expert witness. In particular, Dr. Shaw has extensive experience reviewing cases related to diagnostic errors, pre and post-operative management, hospital in-patient treatment, hospital out-patient treatment, and CMS-MEDICARE/MEDICAID Healthcare PBM insurance reimbursement/denial. Dr....

Aviation & Aerospace - Commercial Aircraft Maintenance, Modification, Storage, and Repair (Major and Minor), Structural repairs, Lease acceptance & return language, FAA, FARS, Regulatory compliance, AC records, Documentation, STC's, Tool use and safety, MRO Performance and Procedures, Maintenance Tracking, Logbooks

...We perform pre/post-purchase inspections, records reviews, repossessions, and maintenance bridging on transport category aircraft for aircraft operators and leasing companies as a consultant. We are adept at contract negotiations and interpretation. We have prepared bids and estimates for labor hours required for aircraft induction and letter checks. We often act as a technical representative, and track aircraft through maintenance utilizing computers and specialized software. Professional experience highlights: - A&P License granted April 1989. - Former DAR-T. - Participant of the McDonnell Douglas DC-10 Model Task Group (MTG) - Authorized and implemented some of the earliest aircraft storage procedures that were later used by the FAA as a model for rule-making - MRO experience in various roles ranging from mechanic/ lead mechanic, production controller, and planner. storage procedures accepted by FAA. - Commercial airline and freight airline experience....

Cardiovascular Disease, Interventional Cardiology - Sudden Cardiac Death, Hypertension, Heart attack, Cardiogenic Shock, Mitral Regurgitation, Coronary Artery Dissection/perforation, Pre-operative Risk Stratification, Cardiac Catheterization, Negligence, Standard of Care, Heart Failure, Stent Thrombosis, Aortic Stenosis, Arrhythmia

...Utilizing my education, clinical experience and contemporary medical knowledge, I will effectively deliver an evidence based, peer reviewed, thoroughly researched, honest, timely and concise opinion or a second opinion on your case. My conclusions will always be based on the merits and the facts of the case and will address the question of whether the physician departed from the established standards of care and if the adverse outcomes were the result of his/her acts of negligence in commissioning or omitting the expected level of care. Please feel free to call or text me at (423) 580-5005. Alternatively, visit my website at cardioexpertwitness.com for your next plaintiff or defendant case. For more details please refer to my CV. References are available on request.

Civil Engineering, Construction Engineering - Right-of-Way, Grading & Drainage, Hillside Homes, Due Diligence, Inverse Condemnation, Construction Defects, Wood Engineering, High-end Homes, Eminent Domain, Residential Structural, Land Use & Zoning, Permitting & Entitlements, Road & Highway Design, Land Use Planning, Local Government, Forensics

...At age 53, after two years of intensive research and peer reviewed writing, Mr. Wall graduated with his MPA and a 3.97 grade point average. Mr. Wall possesses the ideal skill set for Expert Witness work, grounded in his pursuit of lifelong learning, business acumen, Civil Engineering practice, graduate level forensic research and writing, and entrepreneurial mastery. This superlative skill set gives Mr. Wall the ability to write high impact Expert Reports and provide expert testimony that explains complex concepts in plain easy to understand language that settles cases. Mr. Wall serves as an Expert Witness, Forensic Engineer, and Consulting Engineer for the Civil and Structural Engineering, Land Planning, and Construction industries. As a Professional Civil Engineer and Educator, Mr. Wall utilizes his experience to provide high quality professional consulting services....

Internal Medicine, Addiction Medicine - Opiod Overdose and Abuse, Hospitalist,Opiates, Independent Medical Exam, Medication Errors, Nursing home failure,Cancer Screening, Missed Diagnosis, Internal Medicine, Heart Disease, Chronic Lung Disease, Drug Detoxification, Preventive Medicine, Elder Abuse, Wrongful Death

...Dennis has performed chart and utilization reviews for large organizations.

Pulmonary Critical Care Medicine, Critical Care Medicine - Medical Management, Medical Utilization & Location of Care, Fraud & Abuse, Compliance, Medical Necessity, Medical Devices, Pharmacy Management, Genomics & Personalized Health, Insurance Reviews of Plan Benefits, Insurance Clinical Policy Reviews, Long Term Acute Care & Long Term Care,

Triple Board Certified physician executive/consultant, (Board Certified in Internal Medicine, Pulmonary Medicine, and Critical Care Medicine), with vast experience in medical necessity and utilization review. Over 12 years of experience in national insurance and payer companies. Has served as Medical Director for Aetna, Blue Cross Blue Shield Association, and interim CEO for Next Level Health Partners. Consultation services to companies and manufactures in various areas, (pharmacy, genomics, medical devices, medical management, utilization, etc.), regarding healthcare medical necessity, compliance and educational issues. Fraud and Abuse. Government plans: Medicare & Medicaid. Private insurers all plans: HMO, PPO, Specialty networks. Expert reviews and medical litigation support performed. Sub-specialty medical reviews in Pulmonary and Critical Care Medicine....

Internal Medicine, Hospitalist - Outpatient Internal Medicine, Hospital Medicine, Nursing Home Medicine, Nursing Home Medical Director, Hospice Medical Director, Utilization Review, Geriatrics, Family Medicine Residency, Medical Education

...I also have experience with hospital utilization review as a medical advisor for Centegra Health Systems. I left my teaching position over 10 years ago to establish a hospitalist programs in 2 different hospital settings. I am now in private practice with both an outpatient practice and a thriving inpatient hospitalist practice. For the past 7 years, I have maintained an active expert witness practice with over 70 case reviews for both defense and plaintiff cases.

Oncology, Hematology - Blood Clots, Anticoagulation, Cancer, Chemotherapy, Mesothelioma, Clinical Genetics, Hospice and Palliative Care

...I HAVE BEEN WORKING SINCE 2012 REVIEWING MEDICAL RECORDS FOR PEER REVIEW, UTILIZATION REVIEW, DISABILITY REVIEW AND MEDICAL LEGAL PURPOSES. I UTILIZE OBJECTIVE EVIDENCE OF STANDARD OF CARE AND NATIONAL PUBLISHED GUIDELINES IN PREPARING MY REPORTS. I HAVE EXPERIENCE WITH TRIAL IN THE PAST AND AM FAMILIAR WITH COURT PROCEEDINGS AND DEPOSITION PROCESS. I AM EQUALLY AVAILABLE FOR BOTH PLAINTIFF AND DEFENSE. AVAILABLE TO PROVIDE MEDICAL CHART REVIEW; NARRATIVE REPORTS; CONSULTATION/TESIMONY FOR PLAINTIFFS, DEFENSE AND ARBITRATIONS/MEDICAL PANELS.

Endocrinology, Diabetes - Diabetes, Hypoglycemia, Ketoacidosis, Hypothyroidism, Hyperthyroidism, Thyroid cancer, Osteoporosis, Pituitary , Adrenal, Hypertension, Cholesterol, Testosterone, Hypogonadism, Hypercalcemia, Hyperparathyroid, hypoparathyroidism, Prolactin, Steroids, Cortisol, Obesity, insulin pumps

...This ties into my clinical work as well as my experience as a physician reviewer in Utilization management. My practice, Liberty Endocrinology, operates a direct care model where I aim to provide my patients with more time and quicker access to their physician. I provide care for a broad range of endocrine conditions and I have a special interest in Diabetes management for persons with both type 1 and type 2....

Insurance, Dispute Resolution - Claim Consultant, Public Adjuster, Insurance, Estimation, Valuation, Building Loss Consultants, Xactimate, Insurances Losses, Umpire, ADR, Independent Adjuster, Hurricane, Mediation, Appraisal, Commercial Property, Residential Property, Hail Claims, Freeze Water Claims, Complex Claims, Fire Claims,

.... * Experienced Retained Expert Witness with Trial & Deposition Experience * 15 years+ in field inspecting, adjusting and/or estimating losses for insurance claims, build back, and liability. documenting, overwatch of claims, claim review, reconciliation to move claims forward towards indemnification, utilizing policy interpretation for proper claims settlement. * Rebuild loss locations for partial & total losses providing perspective as to the value of the scope and claim amount. * Umpire for claims losses providing a professionalism non-biased discipline goaled toward accurate & comprehensive settlement via Alternative Dispute Resolution (ADR). * Expert witness – Provided opinion about scope, build back, construction scheduling, damages sustained vs pre-existing, estimate review, & analysis for cause of loss determination. * Commercial, residential, steep/tall, large loss commercial and residential adjuster & trainer....

Medical Management, Long Term Care - Home Healthcare, Managed Care, Transitional Care Management, Medical Necessity Determination, Long-Term Care Planning, Evidence-Based Care Guidelines Expert, Patient-Centered Care Expert, Geriatric Services, Utilization Review, Medical Valuation, Infectious Disease

Vera Dvorak, MD, has broad and extensive experience in a continuum of care, with over 40 years working in diverse healthcare settings including home health services, palliative care, and hospice. She has also served as medical director in all of these areas. Dr. Dvorak has been a practicing physician, a managed care executive, a strategic member of corporate leadership, and vice president and medical director of hospital-based care coordination. She has been in charge of the appeals department in various managed care organizations; and is the founder of transitional care management for one of the largest healthcare systems in Northern Virginia. Dr. Dvorak’s focus has been on medical necessity determination, appropriate discharge disposition with defined short and long-term care needs. She has been a proponent of consistently applying evidence-based care guidelines to support clinical decision-making on a case-by-case basis and across the continuum of care to maximize the potential for...

Electricity, Safety - workplace electrical safety, arc flash, electrical safety management, electrical codes & standards, NFPA70E, National Electrical Code, electrical injury, electrocution, electrical reliability, electrical maintenance, electrical construction, occupational electrical safety, OSHA, NESC, electric shock

...I have published more than 90 peer-reviewed papers and magazine articles on occupational electrical safety. I have received awards from leading institutions recognizing my work to advance the practice of electrical safety. I am an adjunct faculty member in the graduate school of Advanced Safety Engineering and Management (ASEM) at the University of Alabama at Birmingham (UAB). At UAB, I teach Prevention through Design, Engineering Ethics, and Electrical Systems Safety which I developed for the ASEM curriculum. I am an IEEE Life Fellow, a professional member of the American Society of Safety Engineers, a Certified Safety Professional, a Certified Electrical Safety Compliance Professional, a Certified Maintenance & Reliability Professional, a Certified Reliability Leader, and a registered professional engineer in Delaware, Michigan, Pennsylvania, and Texas. I established Electrical Safety Group, Inc. in 2001 to provide expert consulting services in electrical safety matters....

Emergency Medicine, Long Term Care - COVID, overdose, anaphylaxis, appendicitis, fraud, hospital administration, mental health, aortic dissection, sexual assault, myocardial infarction, fractures, negligence, sepsis, wound care, trauma, cardiac arrest, brain hemorrhage, stroke, medical devices, aneurysm, nursing home, opioids

...Experience in hospital administration reviewing standards of care and implementing numerous quality of care and utilization programs. Board-certified in Emergency Medicine, and highly experienced expert witness, having reviewed over 200 cases and having testified in 4 depositions in the past 3 years. Retained in federal, criminal, and civil cases. Education/Training: University of Michigan (B.S.) University of Toledo (M.D.) Johns Hopkins University (MBA) Specialty: Emergency Medicine Areas of focus: Emergency Medicine Sepsis Wound care Cardiovascular Disease Infectious Diseases Stroke Hospital/Healthcare Administration Personal Injury Automobile Accidents Nursing Home Negligence COVID Fraud/Abuse Forensics Product Liability Long Term Care

Physician Assistant, Emergency Medicine - Emergency Medicine and Urgent Care: Dr. Cannell can testify himself for PAs and NPs as well as provide malpractice case merit review, expert witness, deposition, and expert testimony.

...He can testify himself for PAs and NPs as well as provide malpractice case merit review, expert witness, deposition, and expert testimony. Dr. Cannell reviews cases objectively with an eye on the standard of care. He reviews depositions and submitted medical records, reviews and prepares affidavits of merit for medical negligence claims along with assisting the attorney with suggested questions and avenues to pursue during discovery. He will prepare expert opinion at the request of counsel along with video depositions. Completed Leadership and Management Training with a Certificate from the Center of Healthcare Leadership and Management (CHLM) through the AAPA. Advanced training from the Institute on Healthcare Improvement: Triple Aim, Quality and Safety, Healthcare Leadership, Healthcare Management, Quality Improvement, Advanced Communication, and Patient-Centered Care. FEMA advanced training for Healthcare Providers....

Regenerative Medicine, Biomedical Engineering - Regenerative Medicine, Cellular Therapies, Stem Cells, Extracellular Matrix, Perinatal Tissues (Placenta, Amnion, Chorion, Umbilical Cord Blood/Tissue), Transplantation, Cellular & Tissue Engineering, Biotechnology, Bioengineering, Medical Devices, Tissue Processing/Banking, HSCs, MSCs

...Taghizadeh has contributed to numerous peer-reviewed publications, book chapters, and patents and is an editor of multiple books focused on Perinatal Stem Cells. Furthermore, Dr. Taghizadeh has presented at various international scientific conferences and industrial forums. Prior to obtaining his doctorate, Dr. Taghizadeh obtained his Bachelor of Science in Chemical Engineering from the University of Massachusetts, Amherst, in 2000. At AuxoCell, Dr. Taghizadeh developed novel methods and technologies in order to establish the collection, processing, and banking of stem cells from the human umbilical cord for eventual utilization in cell based therapies, regenerative medicine, and other clinical applications. Most notably, Dr. Taghizadeh and his team developed the patented AuxoCell Processing System (AC:Px®) in order to allow for standardized, efficient collection of stem cells from solid tissue in a closed, single-use, disposable system....

OSHA, Construction - Construction Safety, OSHA, Subsurface Utility Engineering (SUE), Underground Utilities, Damage Prevention, call before you dig, Multi-Employer worksite, General Duty Clause, OSHA 1926, Construction Safety Culture, One Call center

With more than 20 years of experience in the construction industry, as a practitioner and a professor, I have also had the privilege of speaking at conferences and authoring articles in respected national and international peer-reviewed journals. My work has been cited more than 700 times as of June 2023. My expertise lies in two areas: • Construction worker safety, specifically in multi-employer worksites & ANSI/ASSP A10.33-2020, OSHA 1926 regulations, the general duty clause, Manual on Uniform Traffic Control Devices (MUTCD) Part 6 (temporary traffic control), the Hispanic construction workforce, Duty of Care, Common Work Area Doctrine, excavation safety, construction Safety culture, and Retained Control Doctrine. • Sub-surface utility management, where my focus is on damage prevention laws, the investigation process for utility strikes or damages, and Subsurface Utility Engineering (SUE). In 2021, I published a book in collaboration with Mr....

Emergency Medicine - Credentialing, Quality, Patient Safety, Strangulation including Erotic Asphyxiation, EMS, Sepsis, Myocardial Infarction, Testicular Torsion, Pneumonia, MCOLES Training (Michigan Coalition of Law Enforcement Standards)

...His role as Physician Advisor for Utilization Review requires the review of 1000+ cases/year. He is also involved in his hospital's Medical Legal Review Committee. In addition, Dr. Boczar has served as an Oral Board Examiner (ABEM) for several years. Dr. Boczar has previous expert witness/medical legal case review experience and has completed MCOLES training. He has served as an expert witness in numerous strangulation/erotic asphyxiation cases. Publications include book chapters as well as numerous journal articles. Additionally, Dr. Boczar has served as a Medical Director for a community hospital Emergency Department as well as currently negotiating all insurance contracts for the hospital where he is employed.

Radiation Oncology, Oncology - Radiation Oncology, Oncology, Breast cancer, lung cancer, brain tumor, stereotactic radiosurgery, prostate cancer, gynecological cancer, head and neck cancer, lymphoma, gastrointestinal cancer, Radiation injury, peer review, implant therapy, radiation side effects

...I utilize Standards of Care and National Published Guidelines in my clinical practice in oncology. I am available to provide medical chart review, narrative reports, consultation/testimony for plaintiffs and defense.

Emergency Medicine, Emergency Medical Services - Board Certified Emergency Medicine, 29 years of full-time emergency medicine practice, Team leader, Trained communicator, Trusted educator, Advanced military leadership, Hundreds of patient care charts reviewed as medical director, quality leader and utilization management liaison.

.... • Serviced as Department Chair, Medical Director, Credential committee chair, and Utilization review liaison in Hospital system with over 50,000 emergency visits per year. Reviewed hundreds of patient charts for quality, medical management and sentinel events. Counseled multiple physicians on process improvement and quality care issues. Trauma site review physician in Wisconsin with over 50 trauma state variations. • 29 years of emergency medicine practice includes diverse experience in urban and rural facilities, all levels of trauma care from level I to small level IV facilities. • Directly involved in developing comprehensive stroke center, cardiac center and trauma system in Western Wisconsin. • Heavily invested in continuing education of ED staff, ED residents, APC and Medical students from area colleges. • EMS medical direction, real world training in disaster medicine and incident command processes....

Civil Engineering, Construction Engineering - drainage, hydrology, hydraulics, project management, construction management, design, specifications, materials testing, construction, staking, failures, Construction Management Issues, Construction Design Failures, Excavation and Embankment, pipe installation.

...He consults on all aspects of construction management and design; Utility rehabilitation, design, and construction, highway rehabilitation and construction; highway/roadway design; and conducts expert inspections for roadway, pipe infrastructure, storm water, and construction matters. Some practice areas include pipe design, hydrology, excavation and embankment, bituminous and concrete pavement, and drainage, Mr. Nelson has over thirty years of experience with construction management, project management, field inspections, materials testing, and engineering design. Leveraging his experiences, he is capable of reviewing projects that encompass complex technical issues with the goal of determining why an event happened the way it did. Michael is skillful about communicating with people who come from different backgrounds and technical competencies. He excels in making complex subjects understandable to a non-technical audience....

Obstetrics & Gynecology, Fraud - Obstetrics, Birth Injury, Obstetrical Complications, Fetal Heart Rate Monitoring, Labor Management, VBAC, Preeclampsia, Gestational Diabetes, Macrosomia, Shoulder Dystocia, Postpartum Hemorrhage, Uterine Rupture, Labor Management, Birth Center, Midwife Deliveries, Vacuum deliveries, Induction, Fraud

...In addition I perform hospital utilization management reviews, insurance appeals, and prior authorizations, making me uniquely qualified to identify healthcare fraud and waste. As of the start of 2024, I have been retained in nearly 40 cases in 19 states and counting. I have appeared in both deposition and trial and completed numerous expert reports. My flexible schedule allows me to efficiently review large amounts of documents and create timely, thoughtful expert opinions. I am an OBGYN Medical Director and Department Chair with experience in peer reviews, credentialing, and utilization management. I work with medical students and residents and am a consultant to family medicine physicians, certified midwives, and community midwives. I am experienced in transfers from failed home births and birth centers with resulting complications. I have also completed all available SEAK Expert Witness in Medical Malpractice courses.

Legal Nurse Consulting, Nurse - Nursing Administration, Nursing Standard of Care, Hospital Nursing Care, Medical Record Review, Fall and Pressure Ulcer Prevention, Medical Surgical Nursing, Psychiatric Nursing, Restraints, Joint Commission, Defense, Plaintiff, Suicide Prevention and Ligature Resistant Consulting.

...She will provide a comprehensive medical record review as well as an expert opinion and summary utilizing an in-depth literature review. She has both recent deposition and trial experience. Kim remains in active practice.

Insurance, Dispute Resolution - Claim Consultant, Public Adjuster, Insurance, Estimation, Valuation, Building Loss Consultants, Xactimate, Insurances Losses, Umpire, ADR, Independent Adjuster, Hurricane, Mediation, Appraisal, Commercial Property, Residential Property, Hail Claims, Freeze Water Claims, Complex Claims, Fire Claims,

.... * Experienced Retained Expert Witness with Trial & Deposition Experience * 15 years+ in field inspecting, adjusting and/or estimating losses for insurance claims, build back, and liability. documenting, overwatch of claims, claim review, reconciliation to move claims forward towards indemnification, utilizing policy interpretation for proper claims settlement. * Rebuild loss locations for partial & total losses providing perspective as to the value of the scope and claim amount. * Umpire for claims losses providing a professionalism non-biased discipline goaled toward accurate & comprehensive settlement via Alternative Dispute Resolution (ADR). * Expert witness – Provided opinion about scope, build back, construction scheduling, damages sustained vs pre-existing, estimate review, & analysis for cause of loss determination. * Commercial, residential, steep/tall, large loss commercial and residential adjuster & trainer....

Pain Management - Medicine, Physical Medicine & Rehab - Pain (spine, nerve, joint, soft tissue), Interventional pain management (epidural steroid/other injections, nerve blocks), Opioids/pain medications, Second opinion, Ineffective/failed spine/other surgeries, Complex/catastrophic cases, CRPS/RSD, Back pain, Motor vehicle accidents, chronic pain

...He has achieved numerous awards for clinical excellence and research, a top score in California medical-legal evaluators' qualifying exam, and the highest quality standards in Utilization Review. As an award-winning teacher and a skillful presenter, Dr. Baroumand has delivered engaging and informative presentations to various audiences, including attorneys, claims examiners, patients, and the general public. Dr....

Geriatrics, Nursing Homes - Pressure Ulcers, Decubitus, Bed Sores, Falls, Restraints, Weight Loss, Malnutrition, Dehydration, UTI, Pneumonia, Medication Errors, Dementia, Alzheimer's, Elder Abuse, Wound Care, Hospice & Palliative Care

...Certified professional in both utilization review and utilization management. Selected as Top Doctor multiple years. Two-time student body/class President in medical school. Active clinical practice as a treating geriatrician, skilled nursing facility medical director and hospice physician. Experienced expert witness.

Forensic Psychology, Psychology - Criminal Forensic Evaluations, Correctional Suicide Prevention, Violation of Correctional Standards, Psychological Autopsy, Violence Risk Assessment, Psychosexual Risk Assessment, Psychopathy, Court Involved Treatment, Anger Management, Correctional Healthcare

...She has over twenty years of experience in correctional health care, having provided training on suicide prevention in custody, correctional standards and correctional programs review. She has conducted numerous psychological autopsies, civil commitment and risk of violence evaluations, sexual violence and recidivism assessments for the correctional community. Dr. Loftis became Designated Forensic Psychologist in Massachusetts, having trained at state hospitals, correctional institutions and rural clinics. She has provided the courts with Competency to Stand Trial, Criminal Responsibility and Drug and Alcohol Evaluations. Dr. Loftis has evaluated several thousands of persons convicted of sex offenses and violent offenders seeking parole or pardons in the state of Nevada. She has also consulted on topics such as rapist typologies, psychopathy, violent crime and addiction. Dr....

Medical Billing, Medical Coding - Medical Billing Expert, Medical Cost Expert, Healthcare Finance, Revenue Cycle Management

...Facility uses both EPIC Hospital Billing (HB) and EPIC Physician Billing (PB) Abacus Analytics: Revenue Analyst/Expert Witness: June 2017 to Present Working as in independent reviewer / expert witness on 3rd party liability medical cases. Principal, Independent Revenue Cycle Consultant: 1991 - Present Consulting projects involve interacting with internal staff in all facets of the revenue cycle. Typical projects include focusing on operational assessments and issues involving staff. Emphasis tends to involve compliance issues starting with Intake / Patient Access and continuing to the charge capture process (including the Charge Description Master), billing, follow-up and collections; ensuring best practices are utilized by staff as they complete their daily duties. Projects typically involve operational assessments and interim management in addition to back filling daily operational jobs when staff are not available....

Pain Management - Medicine, Anesthesiology - Low back pain, neck pain, personal injury, facet syndrome, discogenic disease, radiculopathy, CRPS, electromedicine, neuropathic pain, interventional pain management; medication management, including malpractice & DEA defense; over billing in pain management, over utilization in pain management

...He has done multiple reviews for plaintiff and defense medical-legal cases, including hundreds of medical records reviews. He has been deposed as an expert on over 60 occasions and has appeared in both state and federal court. He has assisted the DEA in cases involving trafficking, and also defended doctors against DEA allegations of narcotic overutilization in cases across the US. Types of cases in which he has been involved include DEA (drug) defense, malpractice (plaintiff and defense), interventional pain management malpractice, overbilling & overutilization, and anesthesia plaintiff and defense. Since 2005 Dr. Odell has done research utilizing CET to treat a variety of conditions, especially neuropathic pain. He strives to provide alternatives to the current dependence on drugs of neuropathy, which is inadequate, expensive and causes side effects in a majority of patients....

Physical Medicine & Rehab, Geriatrics - Catastrophic Injuries, Complex Regional Pain Syndrome, Reflex Sympathetic Dystrophy, Personal Injury, Trauma, Pressure Ulcers, Nursing Home, Life Care Planning, Neurology Disorders, Orthopedics non-surgical, Spinal Disorder/Injury, Spinal Cord Injury, Brain Injury, Pain Management-Medicine

...Medical Malpractice, Disability Claims Disputes, Disability Insurance, Life Care Planning, Personal Injury, Motor Vehicle Accidents, Peer Reviews, Utilization Reviews, Managed Care, Health Insurance Claims, Industrial Accidents, Workers' Compensation, Product Liability, Independent Medical Examinations, IME

Physical Medicine & Rehab, Pain Management - Medicine - Nursing Homes, Life care planning, Physical medicine and rehabilitation, Pain management, Traumatic brain injury, TBI, Spinal cord injury, amputations, complex regional pain syndrome, CRPS, IME, Pharmaceutical review, Herniated discs

...Medical malpractice, Utilization Reviews, Health Insurance Claims, Workers Compensation, Independent Medical Exams, Peer Reviews, Pharmaceutical Reviews.

Hospitalist, Internal Medicine - Board Certified Internal Medicine, Hospital Medicine, Hospitalist, Internist, Inpatient Medicine, Documentation, POCUS, Peer Review, Teaching Hospital, Residents, Supervising Physician

...Expertise in point-of-care ultrasound Protected peer review committee representative for hospital medicine; Evaluate and provide feedback to physicians on medical decisions. Independent cases reviewer at IMEDECS and Kepro since 2016. Medical Utilization Review.

Hospitalist, Internal Medicine - Nursing home, hospital medicine, causation, standard of care, perioperative medicine, wrongful death, critical care, wound care, pressure ulcers, medical insurance denials, clinical documentation, insurance denial appeals

I have over 7 years of case review experience including internal medicine, hospital medicine, medical malpractice, disability appeals, and state medical board standard of care reviews. I have experience with disability hearings, depositions, interrogatory reports, and writing medical summaries. I have a very flexible schedule and have most reviews completed in under two weeks. I have also been used as an expert witness in overturning insurance denials. I am board certified in internal medicine by the American Board of Internal Medicine and healthcare quality management with physician advisor subspecialty by the American Board of Quality Assurance and Utilization Review Physicians. I am a Fellow of the American College of Physicians (FACP) and a Senior Fellow of Hospital Medicine (SFHM). I have over 12 years of clinical experience as a hospitalist physician in a variety of hospital environments....

Orthopedic Surgery - orthopedic, orthopaedic, trauma, total joints, shoulder, knee, hip, ankle, wrist, elbow, revisions, reverse total shoulder arthroplasty, hand and wrist reconstruction, arthroscopic sports reconstruction

I have spent over 13 years performing KePRO Medicare/Tricare/Medicaid standard of care reviews and have also been involved with BWC/Sheakley standard of care and care utilization evaluations for a number of years. I have also performed case and care reviews, in addition to performing depositions as necessary, for accident, medical malpractice, and BWC cases throughout my orthopaedic career. IME’s have also been an ongoing part of my practice. These reviews and involvements have transitioned into the development of my consulting business; James Kemmler, MD Consulting, LLC. I have been practicing orthopaedic surgery now for approximately 25 years. My practice is global, encompassing all ages from infants to the elderly....

Civil Engineering, Land Surveying - civil engineering, drainage, grading, utilities, site design, subdivisions, land development

...Neff has expertise in the areas of civil / site engineering, design and review of roadways, utilities, sanitary sewers, storm sewers, water mains, site planning, industrial site design, residential site design, multi-family site design, stormwater management, soil and erosion control, water quality, EPA regulations, and feasibility studies. Mr. Neff has surveying expertise in land surveying including boundary line determination; boundary, topographic and ALTA/ACSM surveys. Mr. Neff has been an expert witness including document analysis and report preparation in land development and drainage cases.

Orthopedic Surgery, Hand Surgery - expert witness, record reviews, Independent medical exams, plaintiff, defendant, workman's compensation

...Utilization Review/IME experience.

Architecture, Construction - Healthcare Architecture, OSHPD, BIM, Integrated Project Delivery, Lean Construction, Construction Defects, Construction Claims, Quality Control/Quality Assurance, Hospitals, Schools, Slip and Fall, ADA, Contractor Non-Conformance, NAVFAC, Change Orders, Owner Payment Claims.

...PUBLICATIONS- “BIM in Construction,” chapter of Quality Management in Construction Projects, Routledge, 2016/2024 “Architecture 3.0: The Disruptive Design Practice Handbook,” Taylor & Francis, 2014 “Making Quality the Bottom Line for Your Distributed Teams,” Business Excellence Magazine, 2009 “Quality Systems in Architecture Practice,” in Handbook of Professional Practice, American Institute of Architects (AIA), 2008/2015 “Using RFIs to Calculate Quality Costs to Improve Your Firm’s Deliverables,” AIA PMKC Digest, 2006 “TWI (Training Within Industry)—How a WWII Training Program Created Lean,” AIA PMKC Digest, 2006 “Utilizing Balanced Scorecards to Leverage Quality and Performance in Design,” AIA PMKC Digest, 2006 “Six Degrees of Separation: Using Social Networks in Business Development,” AIA PMKC Digest, 2005 PRESENTATIONS & SPEAKING ENGAGEMENTS- “Future of Design and Construction Complexity,” Keynote Speaker, Lean Design Forum, Lean Construction Institute, Chicago, Illinois, May 2019...

HMO, Medical Management - Accountable Care, HMO & Managed Care, Appeals & Grievances, Hospital & Provider Credentialing, Utilization/Medical Necessity, Healthcare Fraud/Abuse, Utilization Review, Qui Tam, Physician Quality of Care, Physician Sanctions, Defamation, Disruptive Physicians, Population Health, Sleep Medicine

...Our full suite of services includes: • Free initial phone consultations with expert clinicians • Flat fee initial case reviews • Dynamic clinical case theory analysis and development Phone: (843) 949-0927 Email: [email protected] AREAS OF EXPERTISE: Accountable Care Organizations Appeals & Grievances Case Management Correctional Healthcare Disease Management Disruptive Physicians Elder Abuse Emergency Medicine Geriatrics Healthcare Fraud/Abuse HMO & Managed Care Hospital & Provider Credentialing Internal Medicine Medical Insurance Medical Necessity Patient Grievances and Appeals Patient Safety Pharmacy Pharmacology Physician Burnout Physician Credentialing Physician Defamation Physician Grievances & Appeals Physician Quality of Care Physician Sanctions Population Health Management Public Health Qui Tam Sleep Medicine Utilization Review Value-Based Care LEADERSHIP: Dr. Frank L....

Hospitalist, Internal Medicine - Nursing home, hospital medicine, causation, standard of care, perioperative medicine, wrongful death, critical care, wound care, pressure ulcers, medical insurance denials, clinical documentation, insurance denial appeals

I have over 7 years of case review experience including internal medicine, hospital medicine, medical malpractice, disability appeals, and state medical board standard of care reviews. I have experience with disability hearings, depositions, interrogatory reports, and writing medical summaries. I have a very flexible schedule and have most reviews completed in under two weeks. I have also been used as an expert witness in overturning insurance denials. I am board certified in internal medicine by the American Board of Internal Medicine and healthcare quality management with physician advisor subspecialty by the American Board of Quality Assurance and Utilization Review Physicians. I am a Fellow of the American College of Physicians (FACP) and a Senior Fellow of Hospital Medicine (SFHM). I have over 12 years of clinical experience as a hospitalist physician in a variety of hospital environments....

Chiropractic, Medical Coding - Insurance, Fraud, Billing, Documentation, Malpractice

Diplomate of the American Board of Quality Assurance and Utilization Review Physicians, Certified Healthcare Quality Manager, Certified Professional Coder, Former in-house claims and policy consultant for a nationwide health insurance payer, Current subject matter expert for two managed care entities, Extensive experience in review of personal injury, workers compensation, and maplractice cases, Experienced expert witness for malpractice, insurance and fraud cases

Psychology, Mental Health - Video Games, Clinical Psychology, Psychological Assessment, Forensic Psychology, Anime, Technology, Video Game Addiction, Parenting, Therapy, Research, Social Media, Methods, Geek Therapy, Security Clearance, Popular Culture

...He has over 10 years of experience in clinical psychology and is a well known academic author publishing an average of two to three peer reviewed articles per year while being clinically licensed across multiple states of the US. Dr. Bean’s research endeavors reflect a commitment to advancing the understanding of complex psychological phenomena. With a focus on contemporary issues, his work spans diverse areas such as video game addiction, therapeutic interventions, and the intersection of technology and mental health. Dr. Bean employs rigorous methodologies, incorporating both quantitative and qualitative approaches to gather nuanced insights. His research contributions not only expand the academic discourse but also have practical implications for individuals and professionals alike. Through a dedication to evidence-based exploration, Dr....

Internal Medicine, Addiction Medicine - Opiod Overdose and Abuse, Hospitalist,Opiates, Independent Medical Exam, Medication Errors, Nursing home failure,Cancer Screening, Missed Diagnosis, Internal Medicine, Heart Disease, Chronic Lung Disease, Drug Detoxification, Preventive Medicine, Elder Abuse, Wrongful Death

...Dennis has performed chart and utilization reviews for large organizations.

Environmental, Industrial Hygiene - asbestos, mold, soil, groundwater, remediation, indoor air quality, industrial hygiene, chemical spills, fire, hazardous, waste, mold, lead, vapor, industrial, hygiene, disaster response, oil & gas, storage tanks, radiation, geology, Phase I ESA, construction, OSHA, RCRA, PG, RSO, CHMM, ASTM, NORM

...I plan remediation strategies, actively cleanup & oversee work (by others) at environmentally damaged property, prepare highly reliable loss estimates, & review/rebut similar work by others. I gather & review field data, utilize sophisticated equipment, provide damage models, & produce superior, understandable expert reports, often under compressed timeframes. I bring decades of real estate due diligence capability & risk assessment knowledge for impaired property across industrial, commercial, & oil & gas settings. I have performed over 500 assessments of hydrocarbon bulk fuel terminals, oil and gas wellhead locations, pipeline corridors, mid-stream bulk plants, & retail facilities. I have been retained to evaluate developed and underutilized urban core real estate under "ready-for-reuse" programs that have involved extensively contaminated assets....

Civil Engineering, Hydrology - flood, drainage, storm, water, floodplain, dam, hydraulics, FEMA, municipal, stormwater regulation, flood plain analysis, dam construction and maintenance, road construction and repair, water resources, runoff, flow, pipe, street, utility

...Designed public street, drainage, and utility improvements. Reviewed subdivision plats, proposed utility modifications and ordinances. Experienced in site development and subdivisions. Designed roads, utilities, lot layouts, grading plans, detention ponds and drainage systems for residential and commercial subdivisions. Experienced in public presentations and teaching. Taught university-level lab classes and recitations as a teaching assistant. Made numerous public presentations at city council meetings and public hearings as a city engineer. Experienced as an expert witness. Participated in over 90 cases, authoring numerous reports, appearing in depositions at least 17 times, and testifying in court at least 5 times. Licensed Professional Engineer in eight states: Florida, Kentucky, Michigan, New Mexico, Ohio, Oklahoma, Pennsylvania, and Texas.

Pain Management - Medicine, Anesthesiology - Low back pain, neck pain, personal injury, facet syndrome, discogenic disease, radiculopathy, CRPS, electromedicine, neuropathic pain, interventional pain management; medication management, including malpractice & DEA defense; over billing in pain management, over utilization in pain management

...He has done multiple reviews for plaintiff and defense medical-legal cases, including hundreds of medical records reviews. He has been deposed as an expert on over 60 occasions and has appeared in both state and federal court. He has assisted the DEA in cases involving trafficking, and also defended doctors against DEA allegations of narcotic overutilization in cases across the US. Types of cases in which he has been involved include DEA (drug) defense, malpractice (plaintiff and defense), interventional pain management malpractice, overbilling & overutilization, and anesthesia plaintiff and defense. Since 2005 Dr. Odell has done research utilizing CET to treat a variety of conditions, especially neuropathic pain. He strives to provide alternatives to the current dependence on drugs of neuropathy, which is inadequate, expensive and causes side effects in a majority of patients....

Hospitalist, Internal Medicine - Hospital Discharge, Transition of Care, Discharge Planning, Readmission, Preventable Hospitalization, Preventable Readmission, Medication Reconciliation, Inpatient Medicine, Hospitalist, Hospital Medicine, Internist, Skilled Nursing Facility, Care Coordination, Congestive Heart Failure, Cirrhosis

...During his time at UT Southwestern, he published dozens of peer-reviewed articles in top journals such as the British Medical Journal, JAMA Cardiology, Journal of General Internal Medicine, and Journal of Hospital Medicine. These projects allowed him to become an expert in randomized trials, social determinants of health, and hospital medicine. Dr. Sumarsono received his bachelor’s from the University of California – Los Angeles and obtained his medical degree from the David Geffen School of Medicine at UCLA. He completed his internal medicine residency at the University of Texas Southwestern Medical Center. While working as a full-time academic hospitalist, Dr. Sumarsono also finished the Journal of Hospital Medicine Editorial Fellowship and graduated with a master’s in public health from the Harvard T.H. Chan School of Public Health. He has been an active member of the Society of Hospital Medicine, participating in national committees....

Emergency Medicine, Medical Management - Rural, Community, Level IV Trauma, Medical Director, Supervision, Quality, Utilization, Risk Managment, Operations, Staffing, Meditech, Geriatrics, Sepsis, Stroke, Chest Pain, Shortness of Breath, Abdominal Pain, Head Injury, Fracture, Assault

...She served as Medical Director for her Emergency Department for almost 17 years and was responsible for overseeing departmental operations including HIPAA compliance, performing quality and utilization reviews, and providing leadership to staff physicians and supervision to Advanced Practice Providers. She continues to be very involved with medical record reviews for quality assurance and process improvement. She has been retained as a medical expert in one medical malpractice case and three criminal law cases.

Pain Management - Medicine, Anesthesiology - Low back pain, neck pain, personal injury, facet syndrome, discogenic disease, radiculopathy, CRPS, electromedicine, neuropathic pain, interventional pain management; medication management, including malpractice & DEA defense; over billing in pain management, over utilization in pain management

...He has done multiple reviews for plaintiff and defense medical-legal cases, including hundreds of medical records reviews. He has been deposed as an expert on over 60 occasions and has appeared in both state and federal court. He has assisted the DEA in cases involving trafficking, and also defended doctors against DEA allegations of narcotic overutilization in cases across the US. Types of cases in which he has been involved include DEA (drug) defense, malpractice (plaintiff and defense), interventional pain management malpractice, overbilling & overutilization, and anesthesia plaintiff and defense. Since 2005 Dr. Odell has done research utilizing CET to treat a variety of conditions, especially neuropathic pain. He strives to provide alternatives to the current dependence on drugs of neuropathy, which is inadequate, expensive and causes side effects in a majority of patients....

Vascular Surgery, Interventional & Vascular Radiology - vascular surgery, hemodialysis access, hemodialysis interventions, critical limb ischemia, deep vein thrombosis, vascular duplex laboratory, limb amputation, aortic aneurysm, claudication, venous insufficiency, venous disease, arterial disease, lymphedema, endovascular interventions, 3D Printing

...He subsequently worked as a Research Associate for Merck and Company in Rahway, New Jersey utilizing computer aided rational drug design. He then undertook funded research in Department of Genetics at Virginia Commonwealth University School of Medicine (VCU-SOM) In Richmond, Virginia. He started and completing medical school at VCU-SOM in 2002. He completed his general surgery residency and vascular surgery fellowship at Virginia Commonwealth University Health System in Richmond Virginia. He practiced in private practice in Georgia for two years before returning to VCU-SOM and CVVHS practice. Dr. Amendola is a full-time surgeon at CVVHS since 2011 and he holds the academic rank of Professor of Surgery at VCU-SOM. His duties include the education of nursing students, advance practicing nurses (NP), medical students, general surgery residents, plastic surgery residents, podiatric residents, and vascular surgery fellows. Dr....

Orthopedic Surgery, Hand Surgery - expert witness, record reviews, Independent medical exams, plaintiff, defendant, workman's compensation

...Utilization Review/IME experience.

Diagnostic Radiology, Ultrasound - Abdominal imaging, general radiology, breat imaging, mammography, body imaging, ultrasound, obstetric ultrasound, CT, MRI, gastrointestinal imaging, biopsy and drainage, case review, peer review, file review, case merit evaluation

...Actively involved in hospital quality, utilization review and peer review activities.

Ophthalmology, Optometry - Eye Trauma Injuries, Eye Surgery Complications, Eye Infections, Vision Loss, Retinal Detachment, Macular Degeneration, Diabetic Retinopathy, Eye Toxicity from Medications, Eye Complications from surgical procedures, Medical-Legal Evaluations

...I have utilized my clinical experience in work as a QA/UR reviewer for many carriers as well as in reviewing and being both a defense and plaintiff expert witness for ophthalmology malpractice and personal injury cases. My goal is to always deliver balanced unbiased objective expert opinions in a cost-effective timely manner.

Pain Management - Medicine, Anesthesiology - Nerve epidural joint injections, quality assurance, risk management, ketamine, cannabis, marijuana, opioids, rhizotomy, radio frequency ablation, Chronic Pain, postoperative pain, Spinal Cord stimulator, pain pump, CRPS/RSD, interventional medical management, injury, infection, paralysis, death

...Boge has over 23 years of experience reviewing medical records and practicing pain and anesthesia medicine. Dr. Boge has experience in report writing, deposition and courtroom testimony. Dr. Boge recently completed a master’s in health care administration (MHA) from Cornell University, Ithaca, NY (December 2021), utilizing his veteran Post 9-11 scholarship. He answers phone calls/emails promptly and is respectful of deadlines. Dr. Boge's curated and providential history has allowed him to excel at making medical concepts more understandable to the average person (jurors).

Emergency Medicine, Emergency Medical Services - Toxiciology, Acute Care, Critical Care, Airway Management, Urgent Care, Vetrans Care, Ultrasound, Telemedicine

...Daily, I performing quality improvement and reviewing quality assessments in care. The zeal I have for life manifests into my daily work and family life, which strengths these dedicated efforts to achieve excellence in health care. Strengths: •Provides evidence-based care to adult patients with a broad range of chronic and acute conditions. •Has developed excellent diagnostic acumen by honing patient interview and physical exam skills. Utilizes deep fund of medical knowledge, data collection, pattern recognition and hypothesis generation to establish accurate diagnoses. •Orders and interprets diagnostic studies including laboratory tests, electrocardiograms, and a broad range of radiologic studies to inform medical decision making. •Maintains extensive knowledge of medications across many therapeutic indications, including a command of approved and off label indications,dosing, drug-drug interactions, and adverse event profiles....

Emergency Medicine, Emergency Medical Services - Board Certified Emergency Medicine, 29 years of full-time emergency medicine practice, Team leader, Trained communicator, Trusted educator, Advanced military leadership, Hundreds of patient care charts reviewed as medical director, quality leader and utilization management liaison.

.... • Serviced as Department Chair, Medical Director, Credential committee chair, and Utilization review liaison in Hospital system with over 50,000 emergency visits per year. Reviewed hundreds of patient charts for quality, medical management and sentinel events. Counseled multiple physicians on process improvement and quality care issues. Trauma site review physician in Wisconsin with over 50 trauma state variations. • 29 years of emergency medicine practice includes diverse experience in urban and rural facilities, all levels of trauma care from level I to small level IV facilities. • Directly involved in developing comprehensive stroke center, cardiac center and trauma system in Western Wisconsin. • Heavily invested in continuing education of ED staff, ED residents, APC and Medical students from area colleges. • EMS medical direction, real world training in disaster medicine and incident command processes....