Physician Credentialing Expert Witness Listings

Welcome to our Physician Credentialing experts directory. Browse the profiles below to find the right expert witness in Physician Credentialing for your case. Our SEAK Expert Witness Database is always free to search.

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Mark A Smith, MD, MBA, FACS, FACHE, CPHQ HG Healthcare Associates

Palm Springs, California
Medical Management Expert Witness, Vascular Surgery Expert Witness - Physician Credentialing, Physician Peer Review, Negligent Credentialing, Negligent Peer Review, Patient Safety, Healthcare Quality, Performance Improvement, Fair/Judicial hearings, Medical Staff Affairs, Conflicts of Interest, Physician Integration and Alignment, Physician conduct
Dr. Smith is an independent senior healthcare consultant and a practicing vascular surgeon as a Clinical Assistant Professor of Surgery at the University of California, Irvine. He has provided expert medical testimony in cases involving medical staff affairs, peer review and credentialing/privileging. He previously served as the Chief Medical Officer with Morrisey Associates Inc/ Morcare LLC for six years. He is a member of HG Healthcare Consultants LLC. He brings 30+ years of clinical practice and hospital management experiences to his work with physicians and hospitals across the United States. He is Board Certified in Vascular Surgery and is a Fellow of the American College of Surgeons, the American College of Healthcare Executives. He is a member of the American College of Physician Executives, the Society for Vascular Surgery and the Southern California Vascular Surgical Society. Dr. Smith has an expertise in system quality and performance improvement, peer review, ongoing a...
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Bruce H. Podrat, MBA, MHA Practical Healthcare Solutions, LLC

Voorhees, New Jersey
Legal Expert Witness, Medical Management Expert Witness - Physician credentialing, hospital policies/procedures, hospital standards of care, JCAHO, alleged billing disputes, valuations
Pertaining to litigation support, Mr. Podrat has more than fifteen years of extensive involvement in complex healthcare-related litigation including, identification of breach of standards of care in the operation of hospitals, nursing homes and ambulatory care environments, physician credentialing in both hospital and managed care organizations, third party billing disputes, hospital and medical staff bylaws, interpretation of Joint Commission Standards, negligent hiring, managed care contracting, administrative and billing compliance, and economic analysis related to enterprise value.
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W. Anthony Gerard, MD, FACEP, FAAFP

Palmyra, Pennsylvania
Emergency Medicine Expert Witness, Family Medicine Expert Witness - Emergency Medicine, Family Medicine, Urgent Care, Family Physicians in Emergency Medicine, Rural Emergency Medicine, Emergency Medicine Workforce, Physician Credentialing, Criminal Defense Cases Medical Expert, Emergency Medicine Malpractice, Insurance Reviews, Peer Review
URGENT CARE, FAMILY MEDICINE, EMERGENCY MEDICINE Full time clinician and assistant clinical professor. Prompt and professional expert on the standard of care for family medicine, urgent care and emergency medicine. Reasonable rates, and expedited reviews when necessary: I'm always willing to discuss a case without obligation. Published author on family physicians in emergency medicine; workforce and credentialing issues in EM. Full-time practice of EM, part time urgent care, Family practice trained emergency physician; broad scope of practice that includes the initial management of most clinical conditions. Some Key terms for searching : sore throat, peritonsilar abscess, mastoiditis, allergic reaction, glacoma, eye injury, loss of vision, double vision, vertigo, cerebellar, anaphylaxis, airway management, failure to intubate, arrythmias, chest injury, trauma, pneumonia, pneumothorax, chest pain, heart disease, other myocardial diseases, pericardial tamponade, pulmonary ...
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Bruce H. Podrat, MBA, MHA Practical Healthcare Solutions, LLC

Pennsylvania
Medical Management Expert Witness, Legal Expert Witness - Physician credentialing, hospital policies/procedures, hospital standards of care, JCAHO, alleged billing disputes, valuations
Pertaining to litigation support, Mr. Podrat has more than fifteen years of extensive involvement in complex healthcare-related litigation including, identification of breach of standards of care in the operation of hospitals, nursing homes and ambulatory care environments, physician credentialing in both hospital and managed care organizations, third party billing disputes, hospital and medical staff bylaws, interpretation of Joint Commission Standards, negligent hiring, managed care contracting, administrative and billing compliance, and economic analysis related to enterprise value.
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Frank L Brown, Jr, MD The Howard Yale Company

Bluffton, South Carolina
Fraud Expert Witness, Medical Management Expert Witness - Clinical Mergers & Acquisitions, Dosing Errors, Expert Referral, Health Disparities, Medical Necessity, Physician Credentialing, Strategic Report Writing
I am a Physician Executive with current licensure in Kentucky, North Carolina, Pennsylvania, and Virginia. My board certifications are in the specialties of Internal Medicine and Emergency Medicine. With over 35 years of experience in the national health insurance industry (Anthem, Cigna, Oxford, United, and Wellpoint), my areas of expertise include: (1) Value-based care (>10 ACO's managed); (2) Appeals (> 500 including face-to-face customer interviews); (3) Boards of directorship representation (AHA, NMSS, United Way); (4) Clinical Mergers and Acquisitions (Oxford/Oaktree, Anthem/Trigon}; (5) Commercial acting representing Cigna (ATL, LA, NY, Philadelphia markets); (6) Executive leadership (CHIE designation, Vice President, Sr. Medical Director); (7) Fraud & abuse (>100 cases); (8) Medical necessity review (>50,000 chart reviews); (9) Medical innovation (6 patents; 2 trademarks); (10) Quality management (Malcolm Baldrige, NCQA); (11) Physician credentialing (>20,000 f...
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