139 Medical Insurance Expert Witnesses Found

Results Sorted Below by State

Joe Carnes Medsurity Experts

Birmingham, Alabama
Medical Billing, Medical Coding - Usual customary reasonable charges, damages, fraud, Over-billing statistical analysis, Electronic health records, clinical documentation, insurance coverage determinations, provider, biller, insurance disputes
Two decades of Medical Billing expertise in multiple care settings. 24-hour turnaround on billing consultations. Thorough analysis and reporting. Expert in analysis of contract rates compared to actual billed charges Patents trade secrets, electronic medical records, Medicare fraud, medical billing fraud, qui tam false claims act fraud Usual Customary Reasonable (UCR), Meaningful Use Electronic Health Records, HITECH Act, Affordable Care Act, Medicare Advantage, Medicaid,insurance, CRPS, EMTALA, HIPPA compliance

Dan Cousin, MD

Alabama
Diagnostic Radiology, Radiology - Neuroradiology, Back & Spine Imaging, Body Imaging, Gastrointestinal, Genitourinary, Orthopedic and Musculoskeletal Imaging, Oncology, Cancer Imaging (missed cancer), Pediatric & Child Abuse, Medical Malpractice, Pulmonary, Demonstrative Evidence, MRI PET CT scan Ultrasound Mammography
...Cousin has served as the Medical Director in private practice, and also as the Program Director for a residency program where he was responsible for teaching newly minted doctors to be radiologists. He has nearly two decades of experience in the field including both academic and private practices and both clinical and administrative positions. Dr. Cousin is currently the Clinical Director for BayView Radiology in Florida. He is board-certified by both the American Board of Radiology and also by the National Board of Physicians and Surgeons. Dr. Cousin provides expert consultation for attorneys, insurance companies, vendors, etc. both nationally and internationally. He is committed to providing quality consults for independent reads, written reports, expert testimony, and other consulting services, all at a competitive fee. Dr....

Steven Karidas, MD

Birmingham, Alabama
Radiology, Diagnostic Radiology
...Karidas received his MD from New York Medical College where he completed his Internship and Radiology Residency. Dr. Karidas provides expert consultation in body, neuroradiology, and msk for attorneys, insurance companies, vendors, and other clients both nationally and internationally. He is committed to providing quality consultations for independent reads, written reports, expert testimony, and other consulting services, all at a competitive fee. Full CV available upon request.

Jeffery K Sewell, M.D.,Pharm.D Sewell Family Medicine

Alabama
Family Medicine, Disability Evaluation - Pharmacology, addiction medicine, Diabetes, Asthma, COPD, Disability evaluations, Coronary artery disease, Wrongful death, pulmonary emboli, Deep vein thrombosis, paralysis, spinal cord injuries, Suboxone, appendicitis, meningitis, Opioid overdosage, Deliberate indifference for inmates,
...Other testimonies include paralysis due to incorrectly treated MSSA infection, wrongful termination of disability insurance, the defense of a diabetic driver. Pending testimony are numerous cases including teen suicide due to SSRI medication, Failure to diagnose Breast Cancer, overdosage of antipsychotic medication in nursing home resident, Deliberate indifference in treatment of a prisoner, death due to pulmonary emboli, death due to overdosage of opioids. I am available to travel anywhere in the United States for court or depositions.

Ramzi Asfour, MD Praxis Infectious Diseases

Arizona
Infectious Diseases, Internal Medicine - COVID-19, nursing homes, long term care, sepsis, necrotizing fasciitis, infections, surgical site infections, infection control, antimicrobial stewardship, consulting, insurance, case review, medical malpractice, standards of care, sepsis, bacterial or viral infections, outbreak management
...Asfour has privileges at five California hospitals (Alameda County Medical Center, Alameda Hospital, Sutter Lakeside Hospital, Sutter Eden Medical Center, and Mammoth Hospital). Dr. Asfour has worked for the World Health Organization in Geneva in the HIV / AIDS department, developing training programs for doctors in HIV. In addition to his clinical practice, Dr. Asfour also advises hospitals, skilled nursing facilities, schools, and businesses on infection control, including outbreak control and COVID-19, and antimicrobial stewardship. Dr....

Kevin Flanigan Fidelity Appraisals LLC

Phoenix, Arizona
Appraisal & Valuation - Appraiser, Appraisal, Automobile Appraiser, Commercial Vehicle Appraiser, Truck Appraiser, Semi Truck Appraiser, Vehicle Appraiser, Vehicle Fleet Appraiser, RV Appraiser, Specialty Vehicle Appraiser, Heavy Equipment Appraiser, Total Loss Valuation, Appraisal Clause, Machinery Equipment Appraiser
...Additional areas of appraisal include: commercial real estate and aircraft appraisal management; business valuation; insurance total loss fair market valuation, disputed value resolution, full casualty investigation, evaluation and settlement negotiation; Catastrophic Loss Center mobilization and claims management. Appraisal purposes include finance, tax matters, estate, insurance, legal proceedings, dispute resolution, due-diligence and more. PROFESSIONAL DESIGNATIONS: MCMEA (Master Certified Machinery and Equipment Appraiser) is a broad-based personal property assets appraiser “master-level” certification awarded by the NEBB Institute. CMEAs and MCMEAs are located throughout the United States and several foreign countries, and are used by banks and other lending institutions, CPAs, attorneys, business buyers/sellers, insurance companies and others to provide needed financial information for a variety of reasons....

Scott Greene Evidence Solutions, Inc.

Tucson, Arizona
Technology, Telecommunications - Cell Phone Forensics, Digital Forensics, Technology, EDR, ECM, Triangulation, Black Boxes, Electronic Medical Records, EHR,Investigation, Email, Cell phone apps, information Technology, intellectual property, internet, electronics, cyber security, Documents, hacking, data retrieval, Digital evidence
.... • Cell Phones • Call Data Records (CDRs) • Computer Systems • Databases • Digital Cameras • Digital Fraud • Digital Media • Digital Security • Documents • Electronic Logging Devices • Electronic Medical Records (EMR / EHR) • Email / E-mail • Fax Machines • Google Data • GPS Systems • GPS Records • Hacking Events • iCloud data • Intellectual Property • Internet Browsing History • Intrusions • Medical Systems • Other Electronic Devices • Password Cracking • Photo Copiers • Photos and Images • Printers & Fax Machines • Software Applications Custom & Commercial • Software Design & Development • Social Media • Source Code Analysis • Spreadsheets • Telematics Systems • Websites • And More TESTIFYING EXPERIENCE • Civil & Criminal • Special Master • Plaintiff and Defense • Insurance, Corporate, Family Law • Justice, Superior & District Courts as well as Arbitration Hearing CASE BREAKDOWN • Civil Defendants-30%• Civil Plaintiffs-50%• Criminal Defendants-20% Evidence Solutions, Inc. 2008* –...

Matthew E Karlovsky, MD FACS Urology & Mesh Medical Consulting, PLLC

Paradise Valley, Arizona
Urology & Urological Surgery - Urogynecology, Prostate Cancer, Bladder, Kidney, Penis, Pelvic Mesh, Bladder Injury, Urology, Bladder/Vaginal Prolapse, pelvic pain, mesh pain, urology mesh, Interstim, Trauma and Injury to the Urinary Tract & Genitals, Urology, Sexual Injury, Catheter injury, Kidney Stone, Foley, Implants
...Karlovsky has reviewed hundreds cases for Plaintiff, Defense, national Insurance carriers, pelvic mesh and MDL cases, sexual/genital injury, personal injury/MVA, criminal, catheter and device complications, in nearly all the states, Puerto Rico, federal courts and Indian tribes. He is known for attention to detail, timely reviews and well supported opinions and reports....

Ajay Mathur, MD

Scottsdale, Arizona
Anesthesiology - Airway Injury, Narcotic Prescriptions and Overdose, Hypoxic Brain Injury, Cardiac Arrest, Nerve Injury, Medication Errors, Sleep Apnea, Regional Anesthesia, Obstetric Anesthesia, Cardiac Anesthesia, Pediatric Anesthesia, Critical Care, Chronic Pain Management
Ajay Mathur M.D. has been a practicing anesthesiologist for over 15 years, and has working in the healthcare industry for over 20 years with extensive experience on both the medical and the business sides of healthcare. Dr. Mathur received invaluable training at some of the top institutions of the world, including Texas Medical Center at hospitals such as the DeBakey Heart Center, the Texas Heart Institute, M.D. Anderson Cancer Center, and Texas Children’s Hospital. He has performed anesthetics in over 15,000 cases in a wide variety of case types and settings, including open heart surgery, neurologic surgery, obstetric cases and surgery, pediatric surgery, and regional anesthesia cases. He has performed anesthetics in over 30 hospitals, surgery centers, and offices. Dr. Mathur earned his A.B. in Government from Harvard University, and his M.D. from the Baylor College of Medicine in Houston, TX. Dr....

Robert M Anderson, CPCU The Anderson Edge

Newport Beach, California
Insurance, Risk Management - Insurance Broker Standard of Care, Insurance Federal Cases, Rule 26, Insurance Pollution, Umbrella Insurance, Excess Insurance, Insurer Bad Faith, Insurance Coverage, Construction Defect Insurance, Insurance Manuscript Policies, Insurance Custom and Practice, Property Casualty Insurance
Trusted by 32 of the Top 100 Insurance Law Firms Bob began his career as a casualty underwriter for Pacific Indemnity Company (Chubb) and later for Industrial Indemnity Company. Bob also served as president, chief executive officer, and chairman of the board of well-known Anderson & Anderson Insurance Brokers. Over nearly 30 years, he built Anderson & Anderson from a four-person company to the fifth-largest brokerage firm in California until the time of its sale to AON Corporation. At Aon, Bob was the president of the Aon Advantage Group which advised 20 industry practice leaders such as the Hospitality Group which insured Hotels, Resorts, and Casinos. Bob attended the Harvard Business School’s OPM program which is similar to its MBA program. He earned his CPCU (Chartered Property Casualty Underwriter) designation in 1970 from the American Institute for Property and Liability Underwriters, Inc....

Michael F Arrigo No World Borders

Newport Beach, California
HIPAA, Medical Billing - Medical billing, Patents trade secrets, electronic medical records, Medicare fraud, medical billing fraud, qui tam false claims act fraud Usual Customary Reasonable (UCR), Meaningful Use Electronic Health Records, HITECH Act, Affordable Care Act, Medicare Advantage, Medicaid,insurance, CRPS, EMTALA
Writer, speaker, published peer-reviewed works as an expert in the field recent Federal court rulings as a qualified expert published in Westlaw • US COURT OF APPEALS considered expert opinions, VACATED AND REMANDED • Two DOJ retentions, $155 million settlement • Healthcare IT patents intellectual property Technical Expert, Medicare Damages Expert • Medical coding medical billing, claims, usual customary and reasonable charges in personal injury and medical malpractice cases, Lifecare plan rebuttal under ACA on the future cost of care, trauma • Electronic medical record forensics / electronic health record forensics, E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud • genetic testing, novel genetic sequencing, esoteric testing, laboratory testing • HIPAA Privacy, Security, Blockchain special studies MIT • Affordable Care Act, HITECH Act, electronic medical records, meaningful use, patents, and intellectual property in heal Health Risk...

Ramzi Asfour, MD Praxis Infectious Diseases

California
Infectious Diseases, Internal Medicine - COVID-19, nursing homes, long term care, sepsis, necrotizing fasciitis, infections, surgical site infections, infection control, antimicrobial stewardship, consulting, insurance, case review, medical malpractice, standards of care, sepsis, bacterial or viral infections, outbreak management
...Asfour has privileges at five California hospitals (Alameda County Medical Center, Alameda Hospital, Sutter Lakeside Hospital, Sutter Eden Medical Center, and Mammoth Hospital). Dr. Asfour has worked for the World Health Organization in Geneva in the HIV / AIDS department, developing training programs for doctors in HIV. In addition to his clinical practice, Dr. Asfour also advises hospitals, skilled nursing facilities, schools, and businesses on infection control, including outbreak control and COVID-19, and antimicrobial stewardship. Dr....

Mohammad Atarod, PhD, PE Atarod Biomechanics Laboratories

Irvine, California
Biomechanics, Accident Reconstruction - Accident Reconstruction, Biomechanical Analysis of Injury, Premises Liability, Slips/Trips and Falls, Crash Data Retrieval, Heavy Vehicle EDRs, Blackbox Download, Photogrammetry, Computer Simulations, Failure Analysis, Human Factors, Laboratory Testing, 3D Laser Scanning, Expert Witness Testimony
...I have provided litigation support to insurance companies, law firms, and automotive manufacturers/industries over the past 10+ years....

Janet G Attard, RN IV, RNC-MNN, CLNC, MBA, 1L The Legal Nurse Consultant Group

Danville , California
Neonatal - Perinatal Medicine, Obstetrics & Gynecology - High Risk Obstetric Care in the areas of L&D, Antepartum, Triage, Post Partum, and NICU. Legal Nurse Consulting, Standard of Care, Scope of Practice, Chain of Command, Communication, Team Work, Collaboration, Risk Management, Quality Assurance, Performance Improvement, Administration Responsibility
...She is honored to act as an integral and collaborative member of the Litigation Team on behalf of Attorneys, Insurance Companies, and Hospital Groups. Jan works diligently for Attorneys, Health Care Organizations. and The California Board of Registered Nursing. Jan works as expert witness both for Plaintiff and Defense. The Legal Nurse Consultant Group under the direction of Jan Attard provides comprehensive, timely, thorough opinion for Attorneys, Insurance Companies, Medical Groups in the evaluation of Nurse Negligence, Standard of Care, Scope of Practice, Quality Assurance, Performance Improvement, and Risk Management in specialty areas of High Risk Obstetrical Nursing - L&D, Antepartum, PP, NICU Malpractice, Negligence, Pediatric Oncology, Pediatric Psychiatry, and Personal Injury. Jan analyzes complex Medical Records for the incident made the basis of the action, rendering concise written opinions and or reports....

Tyla DiMaria, RN, MSN, CCM, CNLCP Best Life Care Solutions

Carlsbad, California
Life Care Planning, Nurse - Home Care Agency Owner/Expert, Nursing Administration, Long Term Care, Standard of Care Expert, Medical Surgical, Trauma, Brain Injury, Spinal Cord Injury, Pain Management, Burn Injury, Catastrophic Injury, Amputation Injury, Case Management, Plaintiff, Defense, Insurance, Medical Bill Review
...Broad range of nursing experience including medical surgical, trauma/ICU, telemetry, orthopedics, rehab, workers comp, mother/baby, and more. Serving both plaintiffs and defense with life care planning services, life care plan rebuttals, medical record review, standard of care reports, medical bill review, and more. Looking forward to working with you!

Suzanne M Dupee, MD

Manhattan Beach, California
Forensic Psychiatry, Pediatric Psychiatry - Post Traumatic Stress Disorder, PTSD, Emotional Damages, IME. Independent Medical Examination, Child Psychiatry, Forensic Psychiatry, Adolescent Psychiatry, Sexual Harassment, Employment Discrimination, Abuse, Sexual Assault, Sexual Abuse, Child Abuse, Female, Psychiatrist
...She has been retained in thousands of legal cases for civil (personal injury & employment), family (child custody evaluations, psychiatric evaluations of family law litigants, consultation), criminal, dependency (child abuse), courts as well as conducting insurance disability independent medical examinations & evaluations for the Medical, Dental & Veterinary Boards of California. Dr. Dupee has testified in hundreds of legal cases. She has been retained by plaintiffs and defense. She has extensive experience with evaluating PTSD.

Jason A Engel, CPA, CFE, CIRA, CVA, MAFF, ABV Engel & Engel, LLP

Los Angeles, California
Accounting, Business Damages - Fraud Investigations, Tracing of Funds, Economic Damages, Alter Ego, Fraudulent Transfers, Business Appraisal & Valuation, Economics, Bankruptcy and Insolvency, Intellectual Property, Construction Litigation, Real Estate Litigation, Employment Litigation, Business Interruption
...Engel's industry expertise includes Clothing/Apparel, Automotive, Cannabis, Construction, Defamation, Distributorships, Finance, Hotel & Restaurant, Franchises, Hospitals, Imports & Exports, Insurance & Reinsurance, Investment, Manufacturing, Medical Practices, Professional Practices, Real Estate Acquisition, Real Estate Investment, Property Management, Retail & Service Enterprises, Technology.

Dr. Kelly S. Harvey, MS, PT, DPT, TPS, CLCP, CFCE Harvey Medical Legal Consulting

Los Angeles, California
Life Care Planning, Physical Therapy - Trauma, Rehabilitation, Physical Therapy, Traumatic Brain Injury, Spinal Cord Injury, Amputation, Burns, Pain Management, Defense Medical Exam, Functional Capacity Eval, Workman's Comp, Product Liability, Personal Injury, Medical Malpractice, Life Care Planner, Catastrophic Case Management
...Harvey founded Harvey Medical Legal Consulting in 2002 to offer law firms and insurance companies her orthopedic trauma, spinal cord injury and traumatic brain injury expertise. Dr. Harvey serves the legal industry as a Forensic Analyst, Damages Expert and Medical Consultant. She maintains a private practice, as well as certifications as a Life Care Planner, Industrial Ergonomist, Functional Capacity Evaluator, Return to Work, Work Readiness and Work Hardening Evaluator. Dr. Harvey holds Therapeutic Pain Science Specialty certification that allows her to autonomously evaluate and treat Pain Management patients. Harvey Medical Legal Consulting provides Life Care Planning, A Day in the Life Video Presentations, Expert Witness Reports and Testimony, Damage Assessment, Medical Record Review, and Life Expectancy Services.

John Horst, CISSP®-ISSAP® Xanesti Technology Services, LLC

San Diego, California
Computers, Cybersecurity - Computer, Digital Forensics, Discovery, Databases, Class Action, Hacking, Breach, Encryption Safe Harbor, Health Care Data, Digital Medical Records, HIPAA, PII
...John has provided expert information technology consulting across several lines of business such as pharmaceutical development, medical billing, general liability insurance, clinical laboratory systems, mortgage financing, and automotive aftermarket products. John has provided cybersecurity engineering, software development, installation and training, and troubleshooting for 11 years in support of multiple U.S. Navy programs of record, including programs operating at both unclassified and secret levels. John maintains an active national security clearance at the SECRET level. John has taught information technology courses for the University of Phoenix (San Diego and Online campuses) and Coleman University (San Diego) where John pioneered the development of computer game software development instruction, now a core part of the Coleman curriculum. John has also taught philosophy courses for the University of Phoenix, including critical thinking....

James Ji, MD James Ji MD, Inc

San Marino, California
Internal Medicine, Hospitalist - Medical Director, HMO, Medicare Advantage, Insurance, HCC, RAF, Coding, Billing, Contracts
...Ji is a Los Angeles based board certified internal medicine physician with experience as a medical director and practicing hospitalist physician since graduating residency in New York in 2013 (Columbia University/New York Presbyterian Hospital)....

Bernard J Katz, MD, MBA UCLA Health

Santa Monica, California
Family Medicine, Geriatrics - family medicine, primary care, general medicine, general medicine, urgent care, managed care, utilization management
I have vast experience providing medical legal expertise for both medical defense as well as plaintiff counsels. I also serve as an expert for the medical board of California. I have been in clinical practice for 34 years in the Los Angeles area, 21 years in private/group practice and 13 years in outpatient family medicine in a community practice affiliated with UCLA. I also serve as medical director for the UCLA primary care network, and am involved in clinical operations as well as quality improvement activities for the primary care physicians. The network includes primary care offices as well as urgent care locations and also incorporates telehealth services. While I no longer provide inpatient care, I do maintain hospital privileges at 2 community hospitals and follow my patients closely upon hospital discharge. I have vast experience in managed care, providing utilization review for health plan beneficiaries under HMO insurance....

Joseph L. Klapper, MD

Pacific Grove, California
Cardiovascular Disease - cardiology, shortness of breath, high blood pressure, heart attack, heart failure, hypercholesterolemia, myocardial infarction, diabetes, heart disease, chest pain, angina, coronary disease, electrocardiogram, echocardiogram, stress testing, cardiac emergencies, hypertension, troponin
...Klapper has held hospital privileges and medical staff appointments at Cedars Sinai Medical Center as well as several Los Angeles area hospitals. In addition, Dr. Klapper has held hospital privileges at Stanford University Hospital in Palo Alto, CA. Dr. Klapper is in active cardiology practice in central California. Dr. Klapper has been providing opinions as a medical expert since 2003. Dr. Klapper has written two books for the public and has served as the vice chief and chief of medicine at Hazel Hawkins hospital. Dr. Klapper has participated in peer review, insurance coverage for cardiac issues and has provided opinions regarding cardiac problems and service connected veterans.

Paul J. Marsh, DC, QME Paul J. Marsh Chiropractic Corporation

San Diego, California
Chiropractic, Physical Therapy - Chiropractic Fraud, Standard of Care, Chiropractic Case Review, Chiropractic Malpractice, Medical Record Review, Forensic Chiropractic, Peer Review, Independent Medical Evaluation, Qualified Medical Evaluator, Regulatory Issues, Workers' Compensation, Personal Injury
...Centers - Physical Therapy Corporation: 2002 -2005  Private practice - Chiropractic & physical rehabilitation 1997 to present UTILZATION & PEER REVIEW –  Align Networks  Broadspire  Geico  Medical Claims Evaluators  Medical Consultants Network  Medical Evaluation Specialists  MedView  North American Consultants  USAA  EXAM WORKS PROFESSIONAL MEMBERSHIPS & ACHIEVEMENTS -  Rehabilitation Nurse Coordinators Network - Executive Board of Directors  R.I.M.S....

Cliff Moser, AIA www.standard-of.care

Berkeley, California
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.
...Owner Payment Claims, Fraudulent Change Orders, Slip and Fall, Insurance and Fire Claims. Integrated Project Delivery and Lean Construction consultant. 20 years Architecture Experience -Design and Construction Administration experience in -Healthcare (Large California Hospitals and Medical Centers), Multi-family, Retail, Tenant Fit-out, K-12 Schools, NAVFAC contract administration and Office Buildings. 20+ years Owners Representative/Construction Administration experience in - multi-site K-12 school district design and construction program (including multiple prime contractor projects) and California Hospital and Healthcare portfolio management. Developed and deployed innovative practice, design, production and delivery methodologies....

Deb Mukherjee, MD, MBA. F.A.C.P, F.H.M. University of Connecticut

California
Internal Medicine, Hospitalist - APP Supervision Issues, COVID-19 Related Injury, Healthcare Associated Infections, Healthcare associated Falls and Bed Sores, Cardiac Arrest, Sepsis, Hypoxic Ischemic Injury, EMTALA violation, False Claim Violations, Transition of Care Issues, Delay in Care, STARK Violations,
...Advanced Graduate certificate in Healthcare Finance and Insurance Studies from University of Connecticut School of Business 5. Asst. Professor of Internal Medicine from University of New England School of Osteopathic Medicine 6. Honored as Fellow of American college of Physicians ( F.A.C.P) 7. Honored as Fellow of the Society of hospitalist medicine( F.H.M). 8. Specialist certification in Hospital Medicine by the American Board of Internal Medicine 9. Hospitalist of the year at Middlesex Health ( Mayo clinic affiliate) Additional Skills : Electronic Medical Records Review - EPIC, CERNER and MEDITECH, Creative Writing, Critique of Medical Studies / Literature, Basic Managerial and Operational Statistics Risk Management, LEAN Protocol, Root Cause Analysis of Medical Errors.

Edward L. Spencer, M.D.

Beverly Hills, California
Psychiatry - Disability, IME, Personality Disorders, Depression, Anxiety, PTSD, Work injury, causation, medical board, standard of care
...I have extensive experience conducting independent medical evaluations of injured workers in California. 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.

Pauline Thomas, CRM, CIC, ARM, CISR Effective Risk Management

Costa Mesa, California
Insurance, Risk Management - Insurance, Risk Management, Agent/Broker Standard of Care, MGA, Wholesale Intermediary, Excess & Surplus Lines, Underwriting, Insurance Industry Customs & Practices, Commercial Lines, Personal Lines, E&O, EPLI, Occurrence v. Claims Made, PEOs, Contracts, Certificates, Additional Insureds, Claims
...Insurance & risk management professional. Faculty Member, Big "I" Virtual University Independent Insurance Agents & Brokers of America Practice includes expert witness & transactional consulting. Personal & commercial insurance including property, inland marine, wet marine, builders risk, course of construction, general liability, automobile liability, workers compensation, homeowners, medical malpractice, employment practices liability, professional liability. Traditional insurance & alternative risk programs, captives, self-insurance, large deductibles, retrospective rating. Experience includes underwriting, retail & wholesale production agencies, general agent, excess & surplus lines & franchisor. Producer, agent and broker custom & practice and standard of care. Good faith, bad faith....

John Tyson, BS, MS, JD, P.E. AR TECH FORENSIC EXPERTS INC.

Encino, California
Accident Reconstruction, Slip Trip & Fall - Vehicle Accident Reconstruction, Car, Bus, Bicycle, Pedestrian, Computer modeling, 3D, Accident Animation 3D Simulation, laser scan, Matterport, Faro, SAFETY ,Stairways, ramps, ADA, Building Code Analysis, Coefficient of Friction Testing Products ,Lighting, Guards, Industrial, SLIP, TRIP FALL
...Emergency Vehicles and Police Response Vehicle and Excessive Force He has been a consultant to and testified for individuals, major insurance companies and Law firms in the following fields and clients PARTIAL LISTINGS BUS AND RAIL Los Angeles Rapid Transit District RTD , Los Angeles MTA, Blue Line Rapid Transit Santa Monica Bus Co TRUCKING / Commercial Fleet businesses....

Edward Younger III, MD MRK Medical Consultants

Gold River, California
Orthopedic Surgery - Orthopedics, Total Joint Replacement, General Orthopedics, Reconstructive Knee Surgery, Reconstructive Hip Surgery, and Reconstructive Shoulder Surgery
...Younger is the Medical Director of MRK Medical Consultants and has been performing medical-legal evaluations since 2000. MRK has been providing comprehensive analysis of personal injury cases for the legal profession and insurance industry since 1975. It is a firm with a diverse experienced team of over 30 medical legal consultants that offer objective review of personal injuries.

Michael F Arrigo No World Borders

Colorado
HIPAA, Medical Billing - Medical billing, Patents trade secrets, electronic medical records, Medicare fraud, medical billing fraud, qui tam false claims act fraud Usual Customary Reasonable (UCR), Meaningful Use Electronic Health Records, HITECH Act, Affordable Care Act, Medicare Advantage, Medicaid,insurance, CRPS, EMTALA
Writer, speaker, published peer-reviewed works as an expert in the field recent Federal court rulings as a qualified expert published in Westlaw • US COURT OF APPEALS considered expert opinions, VACATED AND REMANDED • Two DOJ retentions, $155 million settlement • Healthcare IT patents intellectual property Technical Expert, Medicare Damages Expert • Medical coding medical billing, claims, usual customary and reasonable charges in personal injury and medical malpractice cases, Lifecare plan rebuttal under ACA on the future cost of care, trauma • Electronic medical record forensics / electronic health record forensics, E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud • genetic testing, novel genetic sequencing, esoteric testing, laboratory testing • HIPAA Privacy, Security, Blockchain special studies MIT • Affordable Care Act, HITECH Act, electronic medical records, meaningful use, patents, and intellectual property in heal Health Risk...

Jack W. Harris, CPA, MBA, CVA, CFE, MAFF, CFF, CGMA, CIA Jack W. Harris, Inc.

Denver, Colorado
Business Damages, Accounting - Commercial Litigation Damages, Construction Damages, Construction Cost Audits, Lost Profits, Business Valuation, Construction Defect Damages, Forensic Accounting, Business Damages, Business Interruption, Insurance Claims, Surety Claims Analysis, Personal Injury Damages, Wrongful Death Damages
...Harris’ industry focus includes but is not limited to construction, mining, energy, real estate and land development, insurance, surety, and related industries. Other industry expertise includes but not limited to high technology, medical, retail, manufacturing, distribution, and professional services. Mr. Harris provides expert and consulting services on behalf of plaintiffs or defendants, and either owners or contractors. Mr. Harris has directed and performed numerous expert analyses and calculations involving issues of cost impact, cost reporting, claims damages assessment, lost profits, cost-to-complete estimates, home office costs, lost revenue, business interruption, operational costs, interest damages, foreign currency exchange, and others. He has provided expert witness testimony (at depositions and trial) and has experience with expert reporting, strategic case development, and the discovery process (including preparation, rebuttal and response to interrogatories). Mr....

Mark A McFarland, PE Discovery Engineering

Boulder, Colorado
Electrical Engineering, Telecommunications - electrocution, electronics, networks, wireless, cellular, 5G, GPS, radar, LTE, cell phones, cell towers, base stations, SMS, quality sciences, applied research, RF, interference, radio, satellite, Internet, control systems, instrumentation, appliances, rfid, mobile, software, licenses
...He has worked with lawyers in several fields including: wrongful death, personal injury, product liability, securities fraud, homicide, sex trafficking, medical malpractice, class action, insurance claims, patent litigation, contract disputes, and more. Mark has worked dozens of cases and has testified in court for civil and criminal trials. Many of the cases he's worked have settled on his expert report. Contact Mark at Discovery Engineering when you have litigation involving electrical, electronic, cellular, or GPS evidence. Licensed & Board Certified. 720-593-1640 Please call or visit my website for more information. Have a fantastic day! ----------------------------------------------- Mark McFarland, P.E., D.F.E., is a licensed and Board certified engineer and statistician with 25+ years of experience in electrical engineering, telecommunications, and applied research. Over his career, Mark has worked in industry, government, research, and forensics....

Carl Weil Wilderness Medicine Outfitters

Elizabeth, Colorado
Athletics & Recreation, Risk Management - Rock Climbing, Rock Climbing Gym, Climbing Gym, Rappelling, Portable Climbing Wall, Horses riding, Guided Trail Ride, Stables, Shooting Sports, ARCHERY, carbon fiber arrow, Tree Stand, Cross Bow, Compound Bow, Guides, Hunting Guides, Hunting Accident, Guided Hunt, Outdoor Recreation, Youth Camp
e Carl Weil has done risk management on over 3,000 outdoor businesses in the US, Canada and abroad as a risk manager and insurance program designer. He has been an expert witness in over 300+ cases in 39 states. He frequently is asked to consult on Archery, Camps, Camp Skills, Equine, Guiding, Livestock, Horses, Hunting, Outdoor Recreation, Ranching — both guest and working, Resorts, Rope courses, Rock Climbing — gyms and out of doors, Shotgun, Pistol and Rifle. He has earned many credentials helpful to his 40+ years of expert witness work. He earned the first Master Fellow degree in Wilderness Medicine. This degree helps him with depth of medical understanding i that few others have. Grew up on a family ranch in the Colorado Mountains and is a third generation guide. He has authored 5 books and over 24 peer reviewed and non peer reviewed publications Accepted as an expert witness in civil and criminal cases....

Gordon Yale, CPA, CFF, CFE Yale Forensics

Denver, Colorado
Securities & Investments, Accounting - Adequacy of disclosure in securities offerings , adequacy of due diligence by brokers and investment advisers, accounting and audit negligence, private placement of securities, real estate investments, fixed income securities, Ponzi schemes, financial analysis, life settlements, securities fraud.
...Cases have included multi-billion Ponzi schemes including Medical Capital Secured Notes, Provident Royalties Preferred Stock, DBSI Housing TICs, Notes, and various land funds, IMH Secured Loan Funds, Discovery Oil, InterBank Funding Income Fixed Rate Participating Notes, Dallas Proton Treatment Center, LLC Convertible Notes and other investments including partnerships, privately offered REITs. I have conducted three investigations of Big 4 accounting firms in connection with their audits of thrift institutions, including Silverado Saving and Loan, for the Colorado Board of Accountancy, done municipal bond valuations for the state of Hawaii and served as an expert for the state of Florida in its action against Angelo Mozilo, the co-founder and former CEO of Countrywide Financial Corporation....

Jessica Anchor-Samuels, MD

West Hartford, Connecticut
Internal Medicine, Preventive Medicine - primary care, standard of care, delayed diagnosis, colon cancer, prostate cancer, breast cancer, lung cancer, cervical cancer, Internist, missed diagnosis, heart disease, heart attack, diabetes, inappropriate care, cancer screening, anemia, telemedicine, risk factors, preventative care, hypertension
...She has significant experience in clinical medicine, as well as medical legal consulting. She has consulted, both for medical record review and as an expert witness, on numerous cases for both plaintiff and defense. She has also worked directly with insurance companies to review cases in anticipation of potential litigation. She has extensive experience with cases of delayed/missed diagnosis of prostate cancer, lung cancer, breast cancer, colon cancer, heart disease and diabetes, among others. She also has significant experience with supervising physician assistants/associates and nurse practitioners.

Michael P. Bernstein, MD Michael P Bernstein MD LLC

Enfield, Connecticut
Otolaryngology - Otolaryngology, Ears Nose & Throat, Hearing Disorders, Audiology, Apnea, Facial Trauma, Sinus Problems, Voice/ Swallowing Problems, Head and Neck Infections, Head and Neck Tumors, Head and Neck Surgery
...Experience includes serving on Claims Committee at CMIC (Connecticut Medical Insurance Company) Glastonbury, Ct, reviewing and opining on malpractice claims as the Otolaryngology Expert member of its full multispecialty committee. Have reviewed, reported, and given deposition on cases for both defense and plaintiffs, as well as performing as a reviewer for workers compensation and medical ethics cases. Able to simplify complex material and communicate it effectively. Available and accessible. 8604784733. [email protected]

Henry T French, JD Bifrost LLC

Farmington, Connecticut
Insurance - Bad Faith, Claims Handling, Bermuda Form, Casualty, Liability, Property, Directors and Officers, Errors and Omissions, reinsurance, Runoff, legacy, loss portfolio transfer, adverse development cover, Compliance
Previously served as senior executive in a global insurance/reinsurance Fortune 500 company with reporting lines to the General Counsel and the Audit Committee; providing guidance to professionals in Legal, Compliance, Underwriting, Claims, Risk Management, and Data; managed in-house lawyers, compliance professionals, claims lawyers, and data privacy officers; • Corporate insurance team co-leader for purchase of corporate Directors and Officers, Errors and Omission, and Cyber liability insurance, including strategy, negotiation, terms, and conditions, claims management, and Board reporting General Counsel for Global Litigation of global insurance and reinsurance group of companies • Reported to Audit Committee on major litigation, large losses, group exposures • Oversaw all major non-claims litigation against group companies • To ensure consistency across group companies, provided overall guidance and strategy on large loss events • As senior lawyer supporting Claims Department, served...

BETH MORGAN, CPC, MCS-P

Somers, Connecticut
Medical Coding, Medical Billing - CPT codes,Bill & Coding,Compliance,Accounts Receivable Reduction,Bill Review,Personal Injury Bill Reduction,Attorney education on consumers have rights too, Bill Analaysis, UCR pricing.
...Over the past 20 years she has worked in several areas of the medical profession doing billing and coding for all sorts of providers. Her knowledge and expertise has enabled her to not only reduce provider’s accounts receivables but medical bills by 51%. She has access to a broad base of insurance company policy information, and is an information contributor, to radio and TV shows as well as magazine articles. Medical Bill Detectives reviews medical bills for errors and overcharges, reducing them down to Usual Reasonable and Customary charges, for negotiating discounts on medical bills.

Deb Mukherjee, MD, MBA. F.A.C.P, F.H.M. University of Connecticut

Glastonbury, Connecticut
Internal Medicine, Hospitalist - APP Supervision Issues, COVID-19 Related Injury, Healthcare Associated Infections, Healthcare associated Falls and Bed Sores, Cardiac Arrest, Sepsis, Hypoxic Ischemic Injury, EMTALA violation, False Claim Violations, Transition of Care Issues, Delay in Care, STARK Violations,
...Advanced Graduate certificate in Healthcare Finance and Insurance Studies from University of Connecticut School of Business 5. Asst. Professor of Internal Medicine from University of New England School of Osteopathic Medicine 6. Honored as Fellow of American college of Physicians ( F.A.C.P) 7. Honored as Fellow of the Society of hospitalist medicine( F.H.M). 8. Specialist certification in Hospital Medicine by the American Board of Internal Medicine 9. Hospitalist of the year at Middlesex Health ( Mayo clinic affiliate) Additional Skills : Electronic Medical Records Review - EPIC, CERNER and MEDITECH, Creative Writing, Critique of Medical Studies / Literature, Basic Managerial and Operational Statistics Risk Management, LEAN Protocol, Root Cause Analysis of Medical Errors.

David R. Mullaney, Esq. D. R. Mullaney P.C.

Connecticut
Construction, Construction Defects - Construction Delays, Construction Breach Of Contract, Substandard Workmanship, Architectural Negligence, Design-Engineering Defects, Cost Dispute Analysis & Reconciliation, Building Inspection, Risk Management, Schedule Delay Responsibility, Slips, Trips & Falls, Job Site Failures
...A significant portion of the client base was comprised of private colleges and preparatory schools while also serving the medical and multi unit housing sectors. After becoming an Attorney, David dovetailed his construction expertise with the finer points of the law creating a niche as an expert witness on cases involving construction delays, cost overruns, design defects, breach of contract, incidents stemming from design negligence and faulty workmanship and other areas of construction. Attorney Mullaney’s distinguished qualifications include a BBA in Business Administration Summa Cum Laude from the Isenberg School at the University of Massachusetts at Amherst and a Juris Doctor from Massachusetts School of Law. He studied construction and civil engineering at Wentworth Institute and is a trained mediator....

Philip J. Cross, Ph.D. Kenyon Consulting LLC

Washington, District Of Columbia
Economics, Statistics - Lost wages, Antitrust, Class action, Lost profits, Breach of contract, Damages, Liability, Survey design, Conjoint analysis, Big data, Machine learning, Privileged consulting, Discrimination, Wrongful termination, Wrongful death, Industrial espionage, Fraud detection, Employment discrimination
...Supporting economic and statistical analyses for various industries and government entities, including automotive parts suppliers, health insurers, regional hospital networks, skilled nursing-home facilities networks, financial services, trash haulers, gaming firms, telecommunications firms, energy suppliers, automakers, insurance companies, medical device manufacturers, airlines, universities, law firms, defense and military contractors, the U.S. Department of Labor, the U.S. Department of Defense, and the U.K. Department of Business, Innovation and Skills.

Dennis S Agliano, MD FENTA

Tampa, Florida
Otolaryngology, Plastic Surgery Within the Head and Neck - ENT, Thyroid, Carotid, Head and Neck Cancer, Face Lift, Rhinoplasty, blepharoplasty, Dizziness, Hearing Loss, Tinnitus, Sinus, Balloon Sinuplasty, Facial Fillers, Neck Masses
...--AMA 1995--2011 COUNCIL OF ETHICAL-JUDICIAL AFFAIRS-AMA 2011-18 Vice Chair 2016-2017 PHYSICIAN OF THE YEAR--HILLSBOROUGH COUNTY MED ASSN 1997 AND 2004 DISTINGUISHED ALUMNUS--U MIAMI--1997 CHAIR AWARD--AMER ACAD ENT-HEAD/NECK SURGERY 2002 PROFESSIONAL LIABILITY AWARD--1998 FLORIDA PHYSICIAN INSURANCE CO. CERTIFICATE OF MERIT--2011 FLORIDA MEDICAL ASSN MAKER--EXPERT WITNESS PROGRAM--FLORIDA BOARD OF MEDICINE --2011 BLUE CROSS-BLUE SHIELD PHYSICIAN ADVISORY PANEL 2000-2006 FLORIDA DEPT OF HEALTH--MEDICAL EXPERT 1999--PRESENT FLORIDA MEDICAL MALPRACTICE JUA/BOARD 2005---PRESENT

Michael F Arrigo No World Borders

Florida
HIPAA, Medical Billing - Medical billing, Patents trade secrets, electronic medical records, Medicare fraud, medical billing fraud, qui tam false claims act fraud Usual Customary Reasonable (UCR), Meaningful Use Electronic Health Records, HITECH Act, Affordable Care Act, Medicare Advantage, Medicaid,insurance, CRPS, EMTALA
Writer, speaker, published peer-reviewed works as an expert in the field recent Federal court rulings as a qualified expert published in Westlaw • US COURT OF APPEALS considered expert opinions, VACATED AND REMANDED • Two DOJ retentions, $155 million settlement • Healthcare IT patents intellectual property Technical Expert, Medicare Damages Expert • Medical coding medical billing, claims, usual customary and reasonable charges in personal injury and medical malpractice cases, Lifecare plan rebuttal under ACA on the future cost of care, trauma • Electronic medical record forensics / electronic health record forensics, E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud • genetic testing, novel genetic sequencing, esoteric testing, laboratory testing • HIPAA Privacy, Security, Blockchain special studies MIT • Affordable Care Act, HITECH Act, electronic medical records, meaningful use, patents, and intellectual property in heal Health Risk...

Keith M. Cianfrani, Ed.D, (abd), MAS, CRSP Aviation Safety Consultants, LLC

The Villages, Florida
Aviation & Aerospace, Accident Reconstruction - Aviation Accident Investigation, Risk Management, Human Factors, Safety Management Systems (SMS), Aviation Safety Auditing,Flight Data Monitoring,
...Our clients include insurance companies, Part 135 and Part 91 aviation operators, aviation flight schools, aircraft production companies, and law firms. Keith is a retired U.S. Army Lieutenant Colonel, the founder and owner, has over 40 years of aviation experience. He is a master army aviator, aviation safety officer, commercial pilot, instructor pilot and was an accident investigator for the U.S. Army Safety Center. He is rated in both rotary wing and fixed wing aircraft. As a safety officer, Keith has managed safety programs in organizations with over 100 aircraft stationed throughout 5 states. Keith is is an a safety and accident investigation instructor for Embry Riddle Aeronautical University. Keith is a certified Flight Instructor (CFI) and has also worked in the civilian, commercial aviation industry flying for companies such as Petroleum Helicopters, Damin Aviation, Keystone Helicopters, Island Helicopters and Chopper 6 and Chopper 3 in Philadelphia....

Dan Cousin, MD

Weston, Florida
Diagnostic Radiology, Radiology - Neuroradiology, Back & Spine Imaging, Body Imaging, Gastrointestinal, Genitourinary, Orthopedic and Musculoskeletal Imaging, Oncology, Cancer Imaging (missed cancer), Pediatric & Child Abuse, Medical Malpractice, Pulmonary, Demonstrative Evidence, MRI PET CT scan Ultrasound Mammography
...Cousin has served as the Medical Director in private practice, and also as the Program Director for a residency program where he was responsible for teaching newly minted doctors to be radiologists. He has nearly two decades of experience in the field including both academic and private practices and both clinical and administrative positions. Dr. Cousin is currently the Clinical Director for BayView Radiology in Florida. He is board-certified by both the American Board of Radiology and also by the National Board of Physicians and Surgeons. Dr. Cousin provides expert consultation for attorneys, insurance companies, vendors, etc. both nationally and internationally. He is committed to providing quality consults for independent reads, written reports, expert testimony, and other consulting services, all at a competitive fee. Dr....

Marsha S Diamond, CPC, COC, CCS, CPMA

Orlando, Florida
Medical Coding, Medical Billing - CPC, CPMA, COC, CCS, medical coding, medical billing, medical auditing, Qui tam, AAPC, CIA, IRO, Medicare, Inspector General
...Diamond is an experienced coding, billing, and auditing professional who is available for consultation in medical practice auditing, billing, coding, compliance, litigation, reimbursement, and revenue cycle issues when requested by medical providers, their management, or their legal counsel. She is a Certified Professional Coder (CPC) and Certified Outpatient Coder (COC) by the American Association of Professional Coders (AAPC), with her initial certifications over 30 years ago. She has served as a member of the AAPC National Advisory Board, has been a Fellow of the AAPC, and has served as President of the Greater Orlando Chapter of AAPC. She is a Certified Professional Medical Auditor (CPMA) by the AAPC. For 18 years, she led billing and coding for a university multi-specialty medical practice of over 400 physicians....

JOSEPH M EDMONDS, FSA, EA, MAAA, FCA, MA, MS Joseph Edmonds, FSA

TALLAHASSEE, Florida
Actuarial, Economics - Actuarial present values (PV), Defined benefit retirement plans, Public employee retirement plans, Divorce PV equitable distributions, Insurance life and annuity contract PV comparisons, Business PV contract calculations, Self-funded medical plan reserves, Pension plan benefit and compliance issues.
...Extensive experience in retirement plan benefit calculations, present value determinations, divorce equitable distribution of pension benefits, Valuation of life and annuity insurance illustrations, self-funded medical plan reserves. Valuation of retirement plan benefits and compliance issues, Actuarial Present Value of contracts, public employee pension plan benefits. Recent assignments included the comparison valuation of two life insurance contracts based on annual gain/loss amounts discounted to the current age of the insured, valuation of a business purchase agreement based on PV of projected annual profits and expenses discounted using select and ultimate interest rates.

L. Neal Freeman, MD, MBA, CCS-P, CPMA Coding and Physician Reimbursement Analysts, Inc.

Viera, Florida
Medical Coding, Ophthalmology - Surgeon, Coder,Auditor, Fair and reasonable value, Medical coding, physician coding, ophthalmology coding, optometry coding, reimbursement, eye care, coding, Medicare, healthcare fraud, audits, False Claims Act, National Correct Coding Initiative, bundling
...Neal Freeman, MD, MBA, CCS-P, CPMA is a practicing physician and surgeon and is additionally certified as both a Coding Specialist-Physician-based and a Professional Medical Auditor. He provides expert services in medical coding, reimbursement, and compliance across all specialties. He is available for consultation, research, analysis, report generation, deposition, and trial testimony as an expert witness. He has been retained as an expert for plaintiff and defense....

Jonathan C Hersch, MD, FAAOS

Deerfield Beach , Florida
Orthopedic Surgery, Sports Medicine - Shoulder Surgery, Rotator Cuff Repairs, Shoulder Instability Repair, Labrum Repairs, Arthroscopic Knee Surgery, ACL Surgery, Meniscus, Arthroscopy, Shoulder Replacements, Hip Arthroscopy, Elbow Surgery
-Board Certified in Orthopaedic Surgery -Fellowship Trained at world famous Cleveland Clinic Hospital in Sports Medicine -Surgical specialist in Knee, Shoulder and Hip arthroscopy -Practicing over 20 years, currently in practice in Boca Raton and Boynton Beach, Florida -Extensive experience in teaching medical students and residents -Extensive experience in speaking/lecturing at local, national and international meetings -Team physician and consultant for amateur and pro athletes -Published articles in peer reviewed Journals and Books -Extensive experience with deposition testimony -Perform peer reviews for insurance claims Areas Of Interest - Shoulder Replacement, Reverse Shoulder Replacement, Shoulder, Knee & Hip Arthroscopy - Shoulder Arthroscopy - Knee Arthroscopy - Hip Arthroscopy - Subchondroplasty Procedure - Platelet Rich Plasma (PRP) Injections - Fracture Care - Elbow Surgery - Sports Medicine

David P. Kalin, MD, MPH The Healthplace Center for Disability & Independent Medical Evaluations

Oldsmar, Florida
Family Medicine, Disability Evaluation
Since 1992, with the establishment of THE HEALTHPLACE CENTER for Disability and Independent Evaluation those suffering from Medical/Legal confusion have been offered comprehensive medical evaluation with effective translation of medical problems for the swift resolution of legal, governmental and insurance issues dealing with long-term disability/life care planning, personal injury, medical malpractice, environmental exposure, Workers’ Compensation, PIP Social Security and Emergency Medical Condition. Masters in the Science of Public Health Fellow American Academy of Family Physicians Certified Independent Medical Examiner LlCENSE: Florida ME003624 North Carolina 58382 NPI 1821091406 DR. KALIN specializes in complex case apportionment, assists in blocking cases for anticipated litigation, evaluates for future medical expenses and is available for consultation. DR....

Paul E Lapco, MD

Pompano beach, Florida
Otolaryngology, Noise - Ear, Nose, and Throat, ENT, Breathing Problems, Sinusitis, Sinus Surgery, Hearing Loss, Sleep Disorders, Throat Cancer, Noise Trauma, Balloon Sinuplasty, Car Accident, Head and Neck Surgery, Voice Problems, Hoarseness, Nasal Fracture/Trauma, Facial Paralysis
...In addition to offering comprehensive care for the full scope of ENT conditions, he performs many minimally invasive procedures such as balloon sinuplasty and advanced endoscopic surgery – with a special interest in the medical and surgical treatment of sinus problems. He is also fluent in English and Spanish. Dr. Lapco is an experienced expert witness, having served for both defense and plaintiff cases, at trial and deposition, as well as in the fields of disability assessment, the performance of IMEs, and forensic testing within his field. He has vast experience related to vehicle and work accidents, as well as insurance company claims. Dr. Lapco brings 15 years of clinical, research, and scientific experience to the analysis of each case and serves as an expert witness to 10-15 cases a year....

Richard Levin, MD Urodocs, Inc.

Aventura, Florida
Urology & Urological Surgery
...I have reviewed products for industry, as well as cases for insurance companies, and medical malpractice cases. My reviews are independent and objective . I am prompt and thorough.

Kojo Marfo, MD

Tamarac, Florida
Orthopedic Surgery, Orthopedics - Non-Surgical - Hip Replacement, Knee Replacement, Hip Fractures, Femur Fractures, Tibia Fractures, General Orthopedics, Knee Arthroscopy, Hip, Knee, Ankle, Foot, Femur, Meniscus, Personal Injury, Work Injury, Leg, Fractures, Tears
...He cares for patients involved in car accidents, worker's compensation, and those with commercial insurance. Some common conditions treated include hip arthritis, knee arthritis, hip fractures, femur fractures, tibia fractures, patella fractures, ankle fractures, patella tendon tears, quadriceps tendon tears, meniscal tears, and many more painful lower extremity conditions. He is not only highly trained and skilled, but he is commonly commended for his personality, likability, and relatability--One of his major strengths is being able to explain concepts and topics such that the lay person can understand. He has active state medical licenses in Florida and Ohio.

Pamela R Noel, MD, MPH Amaris Medical Experts

Lutz, Florida
Infectious Diseases, Internal Medicine - Amaris Medical Experts, LLC is a multi-specialty Network of Physicians in the field of Infectious Diseases, Neurology, Ophthalmology, Podiatry, Nephrology, Pulmonology, Critical Care, Adult Medicine, Radiology, Cardiology, OB/GYN, Emergency, Pediatrics, Surgery, Heme/Onc, Psychiatry, Urology.
...She received her medical degree from the University of Miami Miller School of Medicine, and completed Internal Medicine residency at Johns Hopkins University/Sinai Hospital in Baltimore. She completed fellowship training in Infectious Diseases at the University of South Florida Morsani College of Medicine. She also earned a graduate certificate in Infection Control and has a Master of Public Health degree in Public Health Practice at the University of South Florida. She is board certified in Internal Medicine and Infectious Diseases. Dr. Noel has served as an infectious disease expert witness, assisting attorneys in various infectious disease related legal cases. She has also performed many independent medical examinations for clients seeking disability insurance due to various acute and/or chronic medical conditions. Dr. Noel joined Infectious Disease Associates of Tampa Bay (IDATB) in 2013....

Mike M. Pappas, DO

Florida
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
...Experienced Medical Expert. Clinical instructor at Mount Sinai Medical Center with over 15 years experience. 15 plus years of experience in sub acute facilities/skilled nursing facilities overseeing the rehabilitation of Spinal Cord injuries, Traumatic Brain Injuries, Amputations, Joint Replacements. Medical malpractice, Utilization Reviews, Health Insurance Claims, Workers Compensation, Independent Medical Exams, Peer Reviews, Pharmaceutical Reviews.

Thomas Pham, M.D., D.V.M.

Punta Gorda, Florida
Dermatology, Disability Evaluation - Occupational, Work Exposure, Pediatric dermatology, Misdiagnosis, Biologic agent, Immunosuppression, Adverse Reaction, Delayed diagnosis, Melanoma, Skin cancer, Mohs surgery, IMO IME, Opportunistic infection, Sepsis, Off Label Use, FDA boxed warning, DOD Military, Veteran Administration
...Army, Veteran Administration, Family Medicine, Occupational Medicine, Disability Evaluation, Independent Medical Opinions (IMO), Independent Medical Examinations (IME), Medical Review, Veterinary Medicine, and Hospital Medicine. Licensed in MI, FL, WV, NY, CA, GA, PA, OH, VA, IL, NC, TX, ID, MO, AL, and MN. Active Error Omission Insured. Efficient, accurate, referenced, and bulletproof IMEs and IMOs. Published author of three articles in peer-reviewed journals. Special interest in cases involving injuries, hospitalization, infection, and death due to misuse of dermatologic medications outside of labeled indications, and without regard to FDA boxed warnings. Also interested in injuries and misdiagnosis resulting from a lack of supervision and training of physician extenders in both civilian, DOD, and VA facilities. Over 30 years of experience in military medicine, family medicine, general medicine, occupational medicine, Mohs surgery, and dermatology....

Jerome Siegel, MD, MPH

Naples, Florida
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.

Christopher Connelly, DC, CBIS, CIR Impairmentdoctor.com

Stone Mountain, Georgia
Chiropractic, Long Term Care - Impairment ratings, causation, necessity of care, apportionment, billing reviews, IMEs, appropriateness of care, motion x-ray, disability, fitness for duty, ligament damage, in Georgia. Verbal or written opinions. Chiropractor, MRI, Depositions or live at trial. Will teach seminars.
...I have served as chair for the insurance & ethics committee as well as on the board of directors for the Georgia Chiropractic Association (2014-2017).  Certified Impairment Rater, International Academy of Independent Medical Evaluators, expires 2028  Certified Brain Injury Specialists from Brain Injury Association of America # 27326 - 2020  Complete Concussion Management Inc. 40-hour concussion management course 2020  Texas Chiropractic - Certified Chiropractic Sports Medicine Specialist – CCSMS – 2018  Certified in concussion testing with Brainscope One – 2018  CDC certified in concussion awareness certification #694230 ACSM CEC Certificate -2018  Official Disability Guidelines (ODG) Certified Provider - 2017  American Board of Independent Medical Examiners - Board Certification # 05-00094. - CICE  AMA Guides to Impairment Sixth Edition Training - American Board of Independent Medical Examiners....

David M McKalip, MD David M McKalip, MD, LLC

Cartersville, Georgia
Neurological Surgery, Spine Surgery & Spine Care - surgeon, neurosurgeon, surgery, spine, neck, brain, injury, IME, CME, review, trial, travel, Atlanta, neurological surgeon, georgia
...McKalip has been trained in medical and legal records review and independent medical evaluation by SEAK, Inc. He has expensive experience in Workers Compensation evaluations of patients who present after personal injury incidents. He served on the Quality Improvement Workgroup of the American Association of Neurological Surgeons and on the Board of the Florida Medical Association and has served as President of the Florida Neurosurgical Society. He is currently an active member of the Association of American Physicians and Surgeons, the American Association of Neurological Surgeons, and the Congress of Neurological Surgery. Dr. McKalip offers a detailed and comprehensive evaluation of medical records, independent medical evaluations, and subsequent deposition and trial testimony work. His turnaround is quick and his fees are reasonable. He has developed good working relationships with attorneys and insurance companies who have requested his expert services....

Jeffery K Sewell, M.D.,Pharm.D Sewell Family Medicine

Carrollton, Georgia
Family Medicine, Disability Evaluation - Pharmacology, addiction medicine, Diabetes, Asthma, COPD, Disability evaluations, Coronary artery disease, Wrongful death, pulmonary emboli, Deep vein thrombosis, paralysis, spinal cord injuries, Suboxone, appendicitis, meningitis, Opioid overdosage, Deliberate indifference for inmates,
...Other testimonies include paralysis due to incorrectly treated MSSA infection, wrongful termination of disability insurance, the defense of a diabetic driver. Pending testimony are numerous cases including teen suicide due to SSRI medication, Failure to diagnose Breast Cancer, overdosage of antipsychotic medication in nursing home resident, Deliberate indifference in treatment of a prisoner, death due to pulmonary emboli, death due to overdosage of opioids. I am available to travel anywhere in the United States for court or depositions.

Nakia M. Shaw, Pharm.D McArthur's Apothecary

Atlanta, Georgia
Pharmacology- Clinical, Pharmacist - pharmacy regulations, pharmacy standards of care, pharmacist medical malpractice, drug utilization reviews, medication errors, adverse drug reactions, Medicare and Medicaid
...He has a specialization certification in Nuclear Medication. Dr. 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....

Michael F Arrigo No World Borders

Illinois
HIPAA, Medical Billing - Medical billing, Patents trade secrets, electronic medical records, Medicare fraud, medical billing fraud, qui tam false claims act fraud Usual Customary Reasonable (UCR), Meaningful Use Electronic Health Records, HITECH Act, Affordable Care Act, Medicare Advantage, Medicaid,insurance, CRPS, EMTALA
Writer, speaker, published peer-reviewed works as an expert in the field recent Federal court rulings as a qualified expert published in Westlaw • US COURT OF APPEALS considered expert opinions, VACATED AND REMANDED • Two DOJ retentions, $155 million settlement • Healthcare IT patents intellectual property Technical Expert, Medicare Damages Expert • Medical coding medical billing, claims, usual customary and reasonable charges in personal injury and medical malpractice cases, Lifecare plan rebuttal under ACA on the future cost of care, trauma • Electronic medical record forensics / electronic health record forensics, E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud • genetic testing, novel genetic sequencing, esoteric testing, laboratory testing • HIPAA Privacy, Security, Blockchain special studies MIT • Affordable Care Act, HITECH Act, electronic medical records, meaningful use, patents, and intellectual property in heal Health Risk...

Glenn S. Balas, RPH

Chicago, Illinois
Pharmacist - Retail Pharmacist, Experienced, Overdose, Prescriptions, Drug-Food Interactions, Pharmacy Practice, Medication Misuse/Abuse, Medication, Error, Adverse Drug, Pharmacy,
...His proven expertise has not only helped countless patients, but also pharmaceutical representatives, medical professionals, healthcare organizations, and insurance providers. From his long and distinguished career in the pharmacy industry, education and professional growth has always been at the forefront of Balas’ career. With a Doctorate of Pharmacy and as a member of the American Pharmacist Association and American Diabetic Association, Mr. Balas has stayed at the forefront of medication and pharmaceutical management in his roles as a pharmacist owner, manager, pharmacist, and owner/manufacturer of periodontal and endodontic materials.

Gregg E Davis, MD, MBA Gregg Davis MD MBA Ltd.

Princeton, Illinois
Family Medicine, Nursing Homes - Nursing home falls, nursing home death, nursing home abuse, nursing home decubitus ulcers, pneumonia, nursing home fractures, skin ulcers, sepsis, pressure ulcers, aspiration, geriatrics, dehydration, dementia, cellulitis, office practice, hypertension, diabetes, heart failure, urinary infection
...My experience includes serving thirty years as the medical director at three skilled care and one assisted care nursing facility. I have provided direct care to thousands of patients at five skilled care and one assisted care nursing faculties. Additionally, I have had more than 150,000 out-patient and 50,000 inpatient encounters. I am available to provide expert consultation should your firm need an experienced family physician to review a case, give a certificate of merit, and provide testimony. In addition, I provide service to plaintiff firms, defense firms, and insurance companies.

Glenda E Flemister, MD, FACP, FCCP Medical Health Solutions.us

Frankfort, Illinois
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....

Bruce G Livingston, D.O., J.D. MedWitness, Ltd.

Skokie, Illinois
Legal Medicine - Medical Legal Consultant, Medical Case Consultant, Medical Malpractice Consultant, Medical Malpractice Expert, Medical Malpractice Case Review, Catastrophic Injuries, Wound Care, Emergency Medical Services, General Surgery, Internal Medicine, Orthopedic Surgery, Neurological Surgery, Family Medicine
...He has participated and consulted in a high number of complex medical litigation across the Country in all specialties. He also has experience in medical patents and medical commercial litigation. We review any type of medical case in any specialty within 72 hours. If your case does not have merit or if it does but counsel does not wish to proceed there is no charge for the consultation and/or review. We have decades of experience across the nation evaluating medical-legal cases and can tell you very quickly if the case has medical merit and what it might be worth. We are able to assist in the case set up and suggest as well as procure appropriate medical experts who will themselves testify for you. We are also available to serve as on going non-testifying experts to do research, be available for questions at all times and help prepare medical discovery and depositions as necessary if counsel so desires....

Kim A Reich, MBA, MJ, PBCI, RHIA, CPHIMS, CEDS, CPHQ, FAHIMA KBS Consulting & Expert Witness Services

Lake Forest, Illinois
Health Informatics, HIPAA - Electronic Health Information Systems, (CPHIMS) Medical Records, Healthcare EDiscovery, (CEDS) Information Governance, Electronic Health Records, Health Insurance, Healthcare Compliance, Clinical Documentation, CEDS, RHIA, Quality Improvement (CPHQ)
...Kim is a member of The Sedona Conference® Working Group on Best Practices for Electronic Document Retention and Production (WG1), the Public Health Data Standards Consortium (PHDSC), the American Medical Informatics Association (AMIA), the National Association for Healthcare Quality (NAHQ), the Health Information Management Systems Society (HIMSS), the American Society for Healthcare Risk Management (ASHRM), and the Association of Certified Electronic Discovery Specialists (ACEDS). Kim is the lead author on the first of its kind e-discovery healthcare resource guide, E-Discovery and Electronic Records by AHIMA Press (May, 2012).

Neal A. Sher, MD, FAAO, FACS Medicolegal-Ophthalmology, LLC, Adjunct Faculty University of Minnesota and Northwestern Feinberg School of Medicine

Chicago, Illinois
Ophthalmology, Laser Surgery - LASIK, PRK, cataract, glaucoma, refractive surgery, cornea, eye injury, chemical eye injury, laser vision correction, patent, ocular injury, non -lethal projectile injury, pain or pepper ball, MDL
...He is an Adjunct Professor of Ophthalmology at the University of Minnesota Medical School and currently, Adjunct Lecturer, Department of Ophthalmology at the Feinberg School of Medicine, Northwestern University, Chicago, IL. Dr Sher has reviewed over 300 potential malpractice cases for both defense and plaintiff and malpractice insurers. These include laser vision correction, corneal disease and transplants, cataract surgery, ocular drug toxicity and glaucoma. He holds several patents for ophthalmic devices and medications and has served as an expert in intellectual property cases for ophthalmic equipment and pharmaceutical companies in the US and abroad. He also consults in MDL and Class Action cases. On a selective basis, Dr. Sher performs independent medical exams for attorneys needing evaluation of complex eye injuries including non- lethal force injuries from chemical spray to flash grenade, pepper and paint balls. He is an expert on corneal infections....

Raymond W Wills, AIC Claim Auditing and Premium Analysis Services Company (CAAPASCO)

Woodridge, Illinois
Insurance - workers' compensation, premium disputes, Best Practices, policy/contract/collateral analysis, retrospective rated policies, deductible policies, experience modification factor, claim evaluations, policy side agreements, reserving, return to work, payroll audit, classification codes
Raymond Wills began his insurance career in 1976. He is an insurance professional with a vast knowledge base and extensive command of the insurance industry that has included workers’ compensation, general liability, product liability, professional liability and run-off claims. He was formerly a member of a risk management and consulting firm that provided third party administration for a self-insured workers’ compensation pool which was able to obtain an A.M. Best rating of (A-) that may have been the only pooling arrangement in the United States with such a rating. As a Risk Manager, Consultant and Expert Witness, Mr....

Richard A Hahn, MD, FACC FACP FCCP Community Health Network

Indianapolis, Indiana
Cardiovascular Disease - coronary artery disease, heart attack/ MI, rhythm disturbances/ arrhythmias, blood clots/ DVT/ PE, anticoagulation, high blood pressure/ hypertension, high blood cholesterol/ hyperlipidemia, EKG/ ECG/ electrocardiogram, stents/ PCI/ angioplasty, coronary artery bypass surgery/ CABG, heart disease
...I have been engaged as an expert reviewer and witness since the mid-1990's, working with law firms, insurance companies, and social security disability. My goal is to apply my cardiovascular medical education, training, and experience in order to arrive at fair, impartial, and timely opinions for all parties concerned. My clinical responsibilities included complex inpatient and outpatient care; daily CCU, ICU, and ER interactions; medical director oversight of the Cardiac Rehabilitation Program and of the Congestive Heart Failure/ Healthy Hearts Clinic; and invasive procedures in the cardiac catheterization laboratory. I am also enthused about medical research.

William J. Warfel, PhD, CPCU, CLU Indiana State University/ Warfel Consulting

Terre Haute, Indiana
Insurance, Risk Management - Claims Handling, Insurance Agent/Broker Liability, Insurance Bad Faith, Insurance Contracts, Insurance Practices & Standards, Insurance-Bad Faith, Property & Casualty Insurance, Underwriting Practices
...Have been retained in about 100 cases by attorneys who represent policyholders, insurance agents, insurers, and third parties. Experience includes actual courtroom and arbitration testimony, as well as deposition testimony in numerous cases. Have been retained in cases involving commercial general liability, garage operations- auto only liability, umbrella liability, trucker's liability, underinsured/ uninsured motorists liability, personal auto, homeowners, commercial auto, commercial property, business income, individual life, medical expense, and disability, professional liability, employee dishonesty, worker compensation, inland marine insurance policies, and trade credit insurance policies. Have also been retained in cases involving an indemnification agreement, and the additional insured endorsement. Finally, have been retained in cases involving financial institution, public official, and bid guaranty and contract bonds. Widely published in pedagogical and professional journals.

Jerod Allen, PA, CC, XCT, CGA, AINS Allen Claims, Inc.

Kansas
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,
Insurance Claims and Building Estimate Expert Certified General Adjuster, Xactimate Certified Trainer, Building Loss Consultant, Claims Expert and Claims Trainer. * 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. *...

Mark S Balderston, DC, FPSC, CCIC, FICC Balderston Chiropractic

Shawnee, Kansas
Chiropractic - Expert Witness, Malpractice, Informed Consent, Standards of Care, Chiropractic, Medical Records Review, Stroke, Carotid Artery Dissection, Vertebral Artery Dissection, Peer Review, Manipulation, Chiropractic Adjustment, Scope of Practice, Improper Documentation, Insurance Fraud, Ethics
...Certified Chiropractic Insurance Consultant. Fellow, Primary Spine Care in a joint partnership with The State University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Office of Continuing Education and Cleveland University-Kansas City, College of Chiropractic. Mini-Fellowship in Neuroradiology MRI Spine Interpretation, The State University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Office of Continuing Education and Cleveland University-Kansas City, College of Chiropractic. Mini-Fellowship in MSK Extremity Imagaging, The State University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Office of Continuing Education and Cleveland University-Kansas City, College of Chiropractic....

Michael F Arrigo No World Borders

Louisiana
HIPAA, Medical Billing - Medical billing, Patents trade secrets, electronic medical records, Medicare fraud, medical billing fraud, qui tam false claims act fraud Usual Customary Reasonable (UCR), Meaningful Use Electronic Health Records, HITECH Act, Affordable Care Act, Medicare Advantage, Medicaid,insurance, CRPS, EMTALA
Writer, speaker, published peer-reviewed works as an expert in the field recent Federal court rulings as a qualified expert published in Westlaw • US COURT OF APPEALS considered expert opinions, VACATED AND REMANDED • Two DOJ retentions, $155 million settlement • Healthcare IT patents intellectual property Technical Expert, Medicare Damages Expert • Medical coding medical billing, claims, usual customary and reasonable charges in personal injury and medical malpractice cases, Lifecare plan rebuttal under ACA on the future cost of care, trauma • Electronic medical record forensics / electronic health record forensics, E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud • genetic testing, novel genetic sequencing, esoteric testing, laboratory testing • HIPAA Privacy, Security, Blockchain special studies MIT • Affordable Care Act, HITECH Act, electronic medical records, meaningful use, patents, and intellectual property in heal Health Risk...

Jason G. Jones, PT, MS, Dip Osteopractic, Cert. SMT, Cert. DN The PMLC Group, LLC

Thibodaux, Louisiana
Physical Therapy - Neck and Back Injuries, Workplace Injuries, Offshore Injuries, MVA, Video Surveillance Analysis, Medical History Analysis, Disability Claim, Workers' Compensation Claim, Physical Therapy Medical Malpractice, Physical Therapy Standard of Care
...The PMLC group, LLC began as a concept while recognizing the need for something different in the field of medical legal consulting. Mr. Jones recognized that there were too many non-legitimate and fraudulent injuries being awarded large settlements and judgments, as well as those that were legitimate injuries being denied the care and proper compensation they deserved. Because of this and his passion to make a difference, he founded The PMLC Group to utilize his skills, knowledge, and experience as a physical therapist to assist attorneys and insurance companies through the litigation process from start to finish.

Joshua Sharlin, PhD SHARLIN CONSULTING

STEVENSVILLE, Maryland
Pharmaceutical Regulation, Medical Devices - FDA, FDA Compliance, FDA Regulations, FDA MAUDE, FDA Drug Safety, FDA Warnings, FDA Drug Warnings, FDA Medical Device, FDA law, FDA regulatory, Drug Safety/FDA, FDA Medical Devices, Biologics Safety FDA, Implant Safety/FDA, Medical device product liability
...Broad and deep skills in drug, biologic and medical device development. Hands-on experience in the entire lifecycle of product development from initial regulatory strategy, clinical trial planning and execution, to submission preparation and review at FDA. Authority in the collection, statistical analysis, interpretation, and presentation of information to FDA. Expert in understanding FDA reviewer’s actions and reactions. Specialist in analyzing FDA compliance information to answer three questions: 1) What did the company know and when did they know it? 2) What should the company have known and when should they have known it? 3) What should the company have done and when should they have done it?...

Bernhard Zünkeler, MD Bernhard Zunkeler, M.D., P.A.

Towson, Maryland
Neurological Surgery, Brain Injury Medicine - neurosurgery, spine, trauma, head injury, brain injury, spinal cord injury, neurological disability, future clinical needs, future cost
...For the past 25+ years, in addition to my clinical practice, I have assisted clients in the fields of insurance, law, and government with analyzing and understanding complex clinical cases. Based on the facts of a case, I will provide clients additional insights regarding pre-existing medical conditions, the necessity and appropriateness of medical care, causation, the reasonableness of prior healthcare charges, the need for, and estimated cost of, future medical care, the expected endpoint of treatment (i.e. MMI), the rating of impairment based on national Guides, as well as the standard of care. Please refer to my two websites for additional details regarding my neurosurgical practice: https://www.evalneuro.com (medicolegal site) https://www.zneurosurgery.com (clinical site)

Jessica Anchor-Samuels, MD

Massachusetts
Internal Medicine, Preventive Medicine - primary care, standard of care, delayed diagnosis, colon cancer, prostate cancer, breast cancer, lung cancer, cervical cancer, Internist, missed diagnosis, heart disease, heart attack, diabetes, inappropriate care, cancer screening, anemia, telemedicine, risk factors, preventative care, hypertension
...She has significant experience in clinical medicine, as well as medical legal consulting. She has consulted, both for medical record review and as an expert witness, on numerous cases for both plaintiff and defense. She has also worked directly with insurance companies to review cases in anticipation of potential litigation. She has extensive experience with cases of delayed/missed diagnosis of prostate cancer, lung cancer, breast cancer, colon cancer, heart disease and diabetes, among others. She also has significant experience with supervising physician assistants/associates and nurse practitioners.

Timothy R. Andenmatten, MEd, CRC, CVE, IPEC Greylock Placement Services LLC

Williamstown, Massachusetts
Vocational Rehabilitation, Employment - Long Term / Own Occupation Disability Insurance Appeals & Litigation, Social Security, Employment, Veteran TDIU, ADA, IDEA IEP-504-Transition, Marital Dissolution, Personal Injury, Wage Earning Capacity, Transferable Skills Analysis, Labor Market Surveys, Vocational Evaluation, Psychometric Testing
...Andenmatten possesses 16 years of experience as a Vocational Rehabilitation Counselor/Consultant providing a wide array of vocational rehabilitation services to people with disabilities in the areas of long-term disability insurance, individual disability insurance, short term disability insurance, state agency vocational rehabilitation, and workers compensation. Mr. Andenmatten provides vocational expert witness services for litigants in the areas of Disability Insurance, Veteran TDIU, Worker Compensation, Personal injury, Medical Malpractice, and Marriage Dissolution. Mr. Andenmatten regularly testifies as a Vocational Expert in Social Security Administrative Law Judge disability benefit adjudication hearings. Mr....

Cynthia M. Bourbeau, RN, CRRN, CCM, CNLCP Medical and Life Care Consulting Services, Inc.

Belchertown, Massachusetts
Life Care Planning, Nurse - Rehabilitation Nurse Case Manager, Catastrophic Nurse Case Manager, Legal Nurse Consultant, & Medico-legal professional in the areas of Life Care Planning, Life Care Plan Projections, and Life Care Plan Critiques for injuries including Spinal Cord, Amputations, Burns, Brain, Birth & Cerebral Palsy
...She has worked as a nursing professional for 40 years and currently leads Medical and Life Care Consulting Services, a practice of professional nurse consultants and case managers who provide Medical Case Management, Medico-legal services, including life care planning, and ancillary professional nurse consulting services. Services include, but are not limited to, consulting and being an expert witness of individuals with the following: • Orthopedic and Neurological Injury and Illness, • Traumatic Brain Injury, • Spinal Cord Injury, • Amputations, • Burns, • Catastrophic Injuries/Multiple Trauma, • Chronic Pain, • CRPS, • Traumatic and Anoxic Brain Injury, • Birth and Pediatric Injuries • and Cerebral Palsy....

Stefanos N. Kales, MD, MPH, FACP, FACOEM Cambridge Occupational Medicine

Newton, Massachusetts
Occupational Medicine, Toxicology - Truck & Transport Accidents, Aerotoxicity (Aerotoxic Syndrome), Covid-19, Firefighters, Police, Cardiovascular, Sleep Disorders, Sleep Apnea, Sleep medicine, Chemical Sensitivities, Environmental Intolerances, Mold, Latex Allergy, Record Review, Causation Analyses, Heavy Metals, Toxicology
...Kales is a Professor of Medicine at Harvard Medical School. He is Professor & Director of the Occupational Medicine Residency at the Harvard TH Chan School of Public Health (HSPH) and has produced over 225 publications. He is the Chief of Occupational Medicine at Cambridge Health Alliance. Dr. Kales has conducted numerous IMEs, chart reviews and has served as an expert for various Governmental Agencies, Insurance Companies, Corporations and Attorneys. He is Board-certified in both Occupational Medicine and was previously trained and certified in Internal Medicine. Dr. Kales' reports are timely, objective and yield scientific, objective, consistent, convincing opinions. He also has significant experience with deposition and trial testimony.

Elizabeth A Moore, MD, FACOG Hybrid Health Logistics / MooreExperts

Brewster, Massachusetts
Obstetrics & Gynecology, Hospitalist - Surgical Complications, Fetal Demise, Policy, Procedure, Maternal Morbidity, Mortality, OB/GYN, Labor, Delivery, Hospitalist, Birth Injury, Device Failure, Standard of Care, Endometriosis, Ablation, Hormone Therapy, Cesarean, Hysterectomy, Ectopic, Pelvic Mass, Delayed Diagnosis, Medical Board, VBAC
...Have reported and testified on behalf of both plaintiffs and defendants, including governmental agencies and insurance companies. Deposition and trial testimony experience in both live and virtual settings. Course author, coach and mentor for MooreExperts, instructing and coaching OBGYN practitioners in the development of their skills as medical consultants and medical expert witnesses. Advocated for over 700 physicians in continuity of care by meeting and working with President George Bush on the Keep Our Doctors in Nevada program.

David R. Mullaney, Esq. D. R. Mullaney P.C.

Concord, Massachusetts
Construction, Construction Defects - Construction Delays, Construction Breach Of Contract, Substandard Workmanship, Architectural Negligence, Design-Engineering Defects, Cost Dispute Analysis & Reconciliation, Building Inspection, Risk Management, Schedule Delay Responsibility, Slips, Trips & Falls, Job Site Failures
...A significant portion of the client base was comprised of private colleges and preparatory schools while also serving the medical and multi unit housing sectors. After becoming an Attorney, David dovetailed his construction expertise with the finer points of the law creating a niche as an expert witness on cases involving construction delays, cost overruns, design defects, breach of contract, incidents stemming from design negligence and faulty workmanship and other areas of construction. Attorney Mullaney’s distinguished qualifications include a BBA in Business Administration Summa Cum Laude from the Isenberg School at the University of Massachusetts at Amherst and a Juris Doctor from Massachusetts School of Law. He studied construction and civil engineering at Wentworth Institute and is a trained mediator....

Eric Schwam, MD, FACEP

Brewster, Massachusetts
Emergency Medicine, Internal Medicine - Myocardial Infarction, Epidural, Abscess, Dissection, Embolism, Trauma, Infection, Sepsis, Cardiac Arrest, Aneurysm, Ectopic, Torsion, Fracture, Stroke, Overdose, Pneumonia, Arrhythmia, Meningitis, Necrotizing Fasciitis, Thrombosis, Appendicitis, Difficult Airway, Stevens Johnson, Seizure,Gangrene
Expert consultations to law firms and insurance companies regarding medical malpractice, criminal, and other personal injury cases. More than 150 medico-legal case reviews, 22 depositions and 3 trial testimonies. Over 34 years of emergency department clinical practice. Clinical Assistant Professor of Medical Science at Brown Medical School. former Attending Physician, Rhode Island Hospital Emergency Department/Level I Trauma Center. Fellow of the American College of Emergency Physicians (FACEP). Board Certified in Internal Medicine. Board Certified in Emergency Medicine 1993-2021. Director of Quality Assurance Emergency Care Center of Sturdy Memorial Hospital Attleboro, MA for 28 years. Conducted over 1,500 Quality Assurance Case conferences, Massachusetts Medical Malpractice Tribunal Member. Certified by American College of Cardiology in EKG reading. Consultant to Worcester County District Attorney.

Robert B Swotinsky, MD, MPH

Sudbury, Massachusetts
Occupational Medicine, Toxicology - Drug testing, drug test, drug screening, drug screen, alcohol testing, alcohol test, toxicology, medical review officer, MRO, toxicology, impairment, disability, DOT physicals, DOT exams, occupational medicine, occupational health, truck driver.
...Certified medical review officer (MRO), FMCSA (NRCME) Medical Examiner and trainer, and (former) FAA Medical Examiner. Fellow of American College of Occupational and Environmental Medicine (ACOEM) and awarded the 2018 ACOEM Achievement in Occupational Medicine Award. Assistant Professor, U Mass Medical School. Former residency director for occupational medicine training program. Written books and written/given numerous educational programs to physician and other groups about drug and alcohol testing, and about DOT physicals (commercial motor vehicle driver exams). From 1995 - 2022, wrote "MRO Update" national newsletter for physicians. Have taught supervisors about reasonable suspicion determinations. Consultant to federal agencies on medical standards for truck drivers and on workplace drug and alcohol testing programs. Consultant to employers, attorneys, and insurers on complex disability cases. Active clinical practice treating patients....

Michael Boczar, D.O. FACEP University of Michigan

Clarkston, Michigan
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)
...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.

Lora Princ, MD, MBA Dr. Lora Princ LLC

Eden Prairie, Minnesota
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
...I am organized and efficient, and my MBA training has honed my ability to analyze data and extract both system and medical/ provider factors that are relevant for malpractice cases. 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....

Jerod Allen, PA, CC, XCT, CGA, AINS Allen Claims, Inc.

Kansas City, Missouri
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,
Insurance Claims and Building Estimate Expert Certified General Adjuster, Xactimate Certified Trainer, Building Loss Consultant, Claims Expert and Claims Trainer. * 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. *...

DANIEL K. BIXLER, MD HT2 MedSolutions, LLC

LEES SUMMIT, Missouri
Emergency Medicine, Internal Medicine - Emergency, Maritime Medicine, Internal Medicine, Pediatrics, management, medical director, health insurance
30 years in emergency medicine- 15 part time, 15 full time 25 years cruise ship physician, part time 10 years private practice, primary care 3 years medical group management 5 years health insurance management Board certified in Emergency medicine, Internal medicine, previously in Pediatrics Level I and II trauma center experience Urban, Suburban and small town ED experience ATLS instructor Certified mediator training and experience

James B. Robertson, MD

Bozeman, Montana
Urology & Urological Surgery, Medical Management - Diagnosis and treatment of kidney/bladder/prostate/ureteral cancer, sarcoma, complications of surgery, stones, bladder injury, trauma, general urology, general pediatric urology, health insurance, health policy, guidelines, credentialing & privileging, regulatory & legislative affairs.
...He is well-versed in all aspects, surgical and non-surgical, of general urology and brings the unique perspective of the community surgeon to the medical-legal arena. Dr. Robertson received a BA degree from the University of Houston and an MD degree from the University of Texas Southwestern Medical School. He completed urology training at Vanderbilt University Hospitals and has practiced in Bozeman, MT and central Virginia since. He is a published author and has written booklets for the layman on prostate cancer and prostate brachytherapy. Dr. Robertson is a clinical instructor in the WWAMI program of the University of Washington Medical School. He is a Certified Physician Executive with the American Association for Physician Leadership and an aviation medical examiner for the FAA. He has held numerous positions in leadership and management at Bozeman Health Deaconess Hospital. He served two terms as President of the Montana Medical Association....

Michael F Arrigo No World Borders

Nevada
HIPAA, Medical Billing - Medical billing, Patents trade secrets, electronic medical records, Medicare fraud, medical billing fraud, qui tam false claims act fraud Usual Customary Reasonable (UCR), Meaningful Use Electronic Health Records, HITECH Act, Affordable Care Act, Medicare Advantage, Medicaid,insurance, CRPS, EMTALA
Writer, speaker, published peer-reviewed works as an expert in the field recent Federal court rulings as a qualified expert published in Westlaw • US COURT OF APPEALS considered expert opinions, VACATED AND REMANDED • Two DOJ retentions, $155 million settlement • Healthcare IT patents intellectual property Technical Expert, Medicare Damages Expert • Medical coding medical billing, claims, usual customary and reasonable charges in personal injury and medical malpractice cases, Lifecare plan rebuttal under ACA on the future cost of care, trauma • Electronic medical record forensics / electronic health record forensics, E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud • genetic testing, novel genetic sequencing, esoteric testing, laboratory testing • HIPAA Privacy, Security, Blockchain special studies MIT • Affordable Care Act, HITECH Act, electronic medical records, meaningful use, patents, and intellectual property in heal Health Risk...

Ramzi Asfour, MD Praxis Infectious Diseases

Henderson, Nevada
Infectious Diseases, Internal Medicine - COVID-19, nursing homes, long term care, sepsis, necrotizing fasciitis, infections, surgical site infections, infection control, antimicrobial stewardship, consulting, insurance, case review, medical malpractice, standards of care, sepsis, bacterial or viral infections, outbreak management
...Asfour has privileges at five California hospitals (Alameda County Medical Center, Alameda Hospital, Sutter Lakeside Hospital, Sutter Eden Medical Center, and Mammoth Hospital). Dr. Asfour has worked for the World Health Organization in Geneva in the HIV / AIDS department, developing training programs for doctors in HIV. In addition to his clinical practice, Dr. Asfour also advises hospitals, skilled nursing facilities, schools, and businesses on infection control, including outbreak control and COVID-19, and antimicrobial stewardship. Dr....

John Tyson, BS, MS, JD, P.E. AR TECH FORENSIC EXPERTS INC.

Nevada
Accident Reconstruction, Slip Trip & Fall - Vehicle Accident Reconstruction, Car, Bus, Bicycle, Pedestrian, Computer modeling, 3D, Accident Animation 3D Simulation, laser scan, Matterport, Faro, SAFETY ,Stairways, ramps, ADA, Building Code Analysis, Coefficient of Friction Testing Products ,Lighting, Guards, Industrial, SLIP, TRIP FALL
...Emergency Vehicles and Police Response Vehicle and Excessive Force He has been a consultant to and testified for individuals, major insurance companies and Law firms in the following fields and clients PARTIAL LISTINGS BUS AND RAIL Los Angeles Rapid Transit District RTD , Los Angeles MTA, Blue Line Rapid Transit Santa Monica Bus Co TRUCKING / Commercial Fleet businesses....

Aldo A. Arpaia, MD, FACP Consultants In Medicine, PLLC

New Providence, New Jersey
Internal Medicine, Geriatrics - Nursing homes, Elder care, Geriatrics, Falls, Internal Medicine, General Practice, Transitions of Care, Wound care, Home care, Long term care, Standards of Care
...Medical Director of the Visiting Nurse Association of Staten Island, New York. Specializing in Internal medicine and Geriatrics I have maintained continuous board certification in Internal Medicine since 1997 and I am a Fellow of the American College of Physicians. I have over 25 years of academic and private practice experience in hospital, ambulatory medicine and nursing homes giving me the expertise to opine on a variety of clinical cases in Internal Medicine as well as in Geriatrics including nursing home care, long term care management of the elderly in the community as well as transitions of care. I am objective, straight forward and will provide you with clear unbiased reports to help navigate complex medical cases. I have been providing expert consultation for attorneys, insurance companies, and third parties, and is committed to providing quality service with written reports, expert testimony, and consulting services as needed.

Michael F Arrigo No World Borders

New Jersey
HIPAA, Medical Billing - Medical billing, Patents trade secrets, electronic medical records, Medicare fraud, medical billing fraud, qui tam false claims act fraud Usual Customary Reasonable (UCR), Meaningful Use Electronic Health Records, HITECH Act, Affordable Care Act, Medicare Advantage, Medicaid,insurance, CRPS, EMTALA
Writer, speaker, published peer-reviewed works as an expert in the field recent Federal court rulings as a qualified expert published in Westlaw • US COURT OF APPEALS considered expert opinions, VACATED AND REMANDED • Two DOJ retentions, $155 million settlement • Healthcare IT patents intellectual property Technical Expert, Medicare Damages Expert • Medical coding medical billing, claims, usual customary and reasonable charges in personal injury and medical malpractice cases, Lifecare plan rebuttal under ACA on the future cost of care, trauma • Electronic medical record forensics / electronic health record forensics, E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud • genetic testing, novel genetic sequencing, esoteric testing, laboratory testing • HIPAA Privacy, Security, Blockchain special studies MIT • Affordable Care Act, HITECH Act, electronic medical records, meaningful use, patents, and intellectual property in heal Health Risk...

Ira A Gurland, MD

East Brunswick, New Jersey
Infectious Diseases, Internal Medicine - COVID 19, HIV, AIDS, surgical infections, necrotizing fasciitis, prosthetic joint infection, diabetic foot infection, bacteremia, endocarditis, urinary tract infection, prostatitis, cellulitis, wound, vaccine, Lyme disease, antibiotics, fungal infections, bacterial infections, travel medicine.
...I have had the privilege of being retained for independent medical evaluations in a variety of cases. The goals of these examinations have included evaluating the merits of a case for trial, evaluating insurer’s liability, workman’s compensation and medical malpractice. Diagnoses involved in these matters have included COVID-19 infection, diabetic foot infection leading to limb loss, surgical site infections, necrotizing fasciitis, cellulitis, and many others. I have the ability to breakdown complex medical jargon and make it understandable. I am willing to provide redacted reports.

Marc J Levine, MD Orthopedic and Spine Institutue

Hamilton , New Jersey
Spine Surgery & Spine Care, Orthopedic Surgery - traumatic and degenerative cervical,lumbar,thoracic disease,IONM,cauda equina syndrome,XLIF,TLIF,ALIF,ACDF,ambulatory surgery center,instrumentation,IMEs,workers compensation,MVA,IRB,hospital employment,surgical consent,hosptial credentialing,navigation and robotic surgery,kyphoplasty,
...He then received his medical degree from Jefferson Medical College and went on to complete a surgical internship at Pennsylvania Hospital. Dr. Levine returned to Thomas Jefferson University for his orthopaedic surgical residency and continued on to do a fellowship in spinal surgery at the prestigious Emory University Spine Center in Atlanta, GA. Dr. Levine is Board Certified in Orthopaedic Surgery and active with the American Academy of Orthopaedic Surgeons. Dr. Levine is a full time practicing spinal surgeon whose practice for over 22 years has soley focused on spinal surgery. His patient population includes, traditional insurances with significant experience managing workers compensation and motor vehicle injuries. Dr. Levine is a Clinical Assistant Professor of Orthopaedic Surgery at Rutgers Medical School and serves as Director of Spine Surgery and Chief of Orthopaedic Surgery.He is a founding Board Member of an outpatient ambulatory surgery center. Dr....

David R. Mullaney, Esq. D. R. Mullaney P.C.

New Jersey
Construction, Construction Defects - Construction Delays, Construction Breach Of Contract, Substandard Workmanship, Architectural Negligence, Design-Engineering Defects, Cost Dispute Analysis & Reconciliation, Building Inspection, Risk Management, Schedule Delay Responsibility, Slips, Trips & Falls, Job Site Failures
...A significant portion of the client base was comprised of private colleges and preparatory schools while also serving the medical and multi unit housing sectors. After becoming an Attorney, David dovetailed his construction expertise with the finer points of the law creating a niche as an expert witness on cases involving construction delays, cost overruns, design defects, breach of contract, incidents stemming from design negligence and faulty workmanship and other areas of construction. Attorney Mullaney’s distinguished qualifications include a BBA in Business Administration Summa Cum Laude from the Isenberg School at the University of Massachusetts at Amherst and a Juris Doctor from Massachusetts School of Law. He studied construction and civil engineering at Wentworth Institute and is a trained mediator....

Jessica Anchor-Samuels, MD

New York
Internal Medicine, Preventive Medicine - primary care, standard of care, delayed diagnosis, colon cancer, prostate cancer, breast cancer, lung cancer, cervical cancer, Internist, missed diagnosis, heart disease, heart attack, diabetes, inappropriate care, cancer screening, anemia, telemedicine, risk factors, preventative care, hypertension
...She has significant experience in clinical medicine, as well as medical legal consulting. She has consulted, both for medical record review and as an expert witness, on numerous cases for both plaintiff and defense. She has also worked directly with insurance companies to review cases in anticipation of potential litigation. She has extensive experience with cases of delayed/missed diagnosis of prostate cancer, lung cancer, breast cancer, colon cancer, heart disease and diabetes, among others. She also has significant experience with supervising physician assistants/associates and nurse practitioners.

Aldo A. Arpaia, MD, FACP Consultants In Medicine, PLLC

New York
Internal Medicine, Geriatrics - Nursing homes, Elder care, Geriatrics, Falls, Internal Medicine, General Practice, Transitions of Care, Wound care, Home care, Long term care, Standards of Care
...Medical Director of the Visiting Nurse Association of Staten Island, New York. Specializing in Internal medicine and Geriatrics I have maintained continuous board certification in Internal Medicine since 1997 and I am a Fellow of the American College of Physicians. I have over 25 years of academic and private practice experience in hospital, ambulatory medicine and nursing homes giving me the expertise to opine on a variety of clinical cases in Internal Medicine as well as in Geriatrics including nursing home care, long term care management of the elderly in the community as well as transitions of care. I am objective, straight forward and will provide you with clear unbiased reports to help navigate complex medical cases. I have been providing expert consultation for attorneys, insurance companies, and third parties, and is committed to providing quality service with written reports, expert testimony, and consulting services as needed.

Michael F Arrigo No World Borders

New York
HIPAA, Medical Billing - Medical billing, Patents trade secrets, electronic medical records, Medicare fraud, medical billing fraud, qui tam false claims act fraud Usual Customary Reasonable (UCR), Meaningful Use Electronic Health Records, HITECH Act, Affordable Care Act, Medicare Advantage, Medicaid,insurance, CRPS, EMTALA
Writer, speaker, published peer-reviewed works as an expert in the field recent Federal court rulings as a qualified expert published in Westlaw • US COURT OF APPEALS considered expert opinions, VACATED AND REMANDED • Two DOJ retentions, $155 million settlement • Healthcare IT patents intellectual property Technical Expert, Medicare Damages Expert • Medical coding medical billing, claims, usual customary and reasonable charges in personal injury and medical malpractice cases, Lifecare plan rebuttal under ACA on the future cost of care, trauma • Electronic medical record forensics / electronic health record forensics, E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud • genetic testing, novel genetic sequencing, esoteric testing, laboratory testing • HIPAA Privacy, Security, Blockchain special studies MIT • Affordable Care Act, HITECH Act, electronic medical records, meaningful use, patents, and intellectual property in heal Health Risk...

William A Haas, Psy.D.

Wurtsboro , New York
Psychology, Independent Medical Examinations - IME, Independent Medical Examination, Disability, SSI, Social Security, Injury, Psychological Injury, Psychology, Psychologist, Pain, PTSD, Depression, Anxiety, Accidents, Education Injuries, School Districts, Worker's Comp, Malingering, Symptom Magnification.
...Major aspects of his practice include conducting independent medical examinations, court mandated criminal competency evaluations (CPL 730's), child custody evaluations, no-fault evaluations, worker’s compensation evaluations, disability evaluations, as well as record reviews for courts, attorneys, as well as insurance companies. Dr. Haas also provides expert witness testimony and has been admitted as well as testified in several courts in New York State (including Criminal, Supreme, and Family). He is currently certified by the New York State Mental Health Professionals Panel of the Appellate Division of the First and Second Departments to perform court related psychological evaluations. He is also certified by the Worker's Compensation Board of New York State to conduct independent medical examinations. Dr. Haas has conducted approximately three hundred IME's in his career thus far....

Joel Lane Kent, MD University of Rochester

Victor, New York
Pain Management - Medicine - Opioids, Buprenorphine, Interventional , Nerve blocks, Palliative care, Opioid, Morphine, CRPS, Epidural injections, Spinal hematoma, Narcotic, Methadone, Spinal cord stimulation, Overdose, hydrocodone, Oxycodone, Fentanyl, Intrathecal drug delivery, RSD, Nerve injury
...He has provided expert case review and litigation support to health insurance carriers seeking restitution for fraudulent expenses related to opioid therapy. Over the course of his career, Dr. Kent has developed particular expertise surrounding the use of opioid analgesics. He has provided over 50 lectures to other physicians regarding the safe and proper use of these medications. He has been recognized as an expert in both State and Federal Court in cases related to opioid therapy. He has served on advisory boards helping craft regulatory policies related to opioid medication. All these accomplishments attest to Dr. Kent’s high level of expertise in the complex and evolving realm of opioid therapy.

Michael D. Leibowitz, MD, C.M.D. Advanced Pain Medicine and Rehabilitation, PC

Roslyn Heights, New York
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
Experienced Medical Expert. Board Certified-American Board of Physical Medicine & Rehabilitation. Board Certified, American Board of Pain Medicine. Certified Medical Director-The American Board of Post-Acute & Long-Term Care Medicine. Experience as Medical Director of Nursing Home & Medical Director of Rehabilitation Hospital Ambulatory Care Services. Back Pain, Neck Pain, Pulmonary Embolism, DVT, Deep Venous Thrombosis, Traumatic Brain Injury, EMG, Geriatrics, Pressure Ulcer, Amputation, Joint Replacement Infections, Arthroplasty Infections, Peripheral Nerve Injuries. 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

Herschel Lessin, MD The Children's Medical Group, PLLC

Poughkeepsie, New York
Pediatrics - General pediatrics, General Pediatric care, Pediatric Standard of Care, Pediatric, Community pediatrics, Outpatient pediatrics, Board Certified, Newborn, infant, adolescent, infections, hip dysplasia, respiratory illness, Pediatric emergencies, documentation, nursery
...Lessin has had broad media experience, hosting medical spots on radio, TV, and online. He has authored a biweekly column for a regional newspaper on general pediatrics. He has appeared on regional radio providing advice, both prerecorded and live call in. In addition to his Pediatric expertise, Dr. Lessin has extensive experience and involvement in all aspects of Managed Care. He was a founder, and Chairman of a 2000 physician IPA that contracted with Managed Care organizations and covered over 150,000 lives. He is a Certified Managed Care Executive through America's Health Insurance Plans, the Managed care trade organization

Sam R. Morhaim, DDS, FICOI,PC Great Neck Dental Associates

Oyster Bay, New York
Dentist, Periodontics - Dentistry, oral medicine, implants, periodontics, endodontics, dental malpractice, dental implants, bisphosphanates, dental nerve injuries, oral cancer, soft tissue grafts, bone grafts, sinus lifts, jaw fractures,extractions, LANAP, osseous surgery, dental infections, lasers, dental lasers, LAPIP
...He has been requested as a consultant by the same attorneys and insurance companies multiple times because of his honesty,integrity, professionalism, and experience when reviewing cases, performing independent dental examinations, writing reports, and appearing in depositions and trial. Honors: Diplomate, International Congress Of Oral Implantologists Diplomate, American Dental Implant Association Former Clinical Director Of Periodontology And Oral Implantology, Flushing Hospital Medical Center Former Board Member, Stony Brook School Of Dental Medicine Alumni Association Two-time Long Island Newsday Professional Award Winner America's Top Dentists-Consumers research Council Of America

David R. Mullaney, Esq. D. R. Mullaney P.C.

New York
Construction, Construction Defects - Construction Delays, Construction Breach Of Contract, Substandard Workmanship, Architectural Negligence, Design-Engineering Defects, Cost Dispute Analysis & Reconciliation, Building Inspection, Risk Management, Schedule Delay Responsibility, Slips, Trips & Falls, Job Site Failures
...A significant portion of the client base was comprised of private colleges and preparatory schools while also serving the medical and multi unit housing sectors. After becoming an Attorney, David dovetailed his construction expertise with the finer points of the law creating a niche as an expert witness on cases involving construction delays, cost overruns, design defects, breach of contract, incidents stemming from design negligence and faulty workmanship and other areas of construction. Attorney Mullaney’s distinguished qualifications include a BBA in Business Administration Summa Cum Laude from the Isenberg School at the University of Massachusetts at Amherst and a Juris Doctor from Massachusetts School of Law. He studied construction and civil engineering at Wentworth Institute and is a trained mediator....

Mike M. Pappas, DO

Astoria, New York
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
...Experienced Medical Expert. Clinical instructor at Mount Sinai Medical Center with over 15 years experience. 15 plus years of experience in sub acute facilities/skilled nursing facilities overseeing the rehabilitation of Spinal Cord injuries, Traumatic Brain Injuries, Amputations, Joint Replacements. Medical malpractice, Utilization Reviews, Health Insurance Claims, Workers Compensation, Independent Medical Exams, Peer Reviews, Pharmaceutical Reviews.

Robert A. Craven, MD, SFHM, FACP, CHCQM-PHYADV Craven Medical Consulting, LLC

North Carolina
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....

Seth L. Jaffe, D.O. IME Solutions, PLLC

Charlotte, North Carolina
Orthopedic Surgery - Knee Arthroscopy, Shoulder Arthroscopy, Rotator Cuff Repair, Knee and Hip Joint Replacement, Fracture Care, Carpal Tunnel Surgery, Cervical and Lumbar Spine Injuries, Overuse Syndromes/Injuries, Nerve Injuries, Reflex Sympathetic Dystrophy, Chronic Pain, Soft Tissue Injuries
...Specialty focus in Medical-Legal evaluations, IME's, Impairment and Disability Evaluations/Ratings, AMA Guidelines, Peer-Peer and medical file reviews, Video depositions and Expert testimony. Currently working with and representing worker's compensation and insurance carriers, attorneys for plaintiffs and defense, State/Federal disability carriers. Opinions are supported by evidence based medicine and over 1000 evaluations and 200 depositions. Rapid report turnaround, usually within 48 hours.

William M. Jamieson, MD

Cincinnati, Ohio
Gynecology, Obstetrics & Gynecology - Gynecologic Surgery, Breast Cancer, Endometrial Ablations, Laparoscopic Surgery, Board Certified
...Jamieson is a board-certified gynecologist who received his undergraduate degree from Miami University and his medical school training form The Ohio State University. He completed his residency at The University of Cincinnati, Dept. of OB/GYN. Dr. Jamieson is an Associate Clinical Professor at The University of Cincinnati College of Medicine in the department of OB/GYN, and he is also in the Attending Staff at The Christ Hospital in Cincinnati Ohio. Dr. Jamieson has a special interest in gynecologic surgery, infertility, PCOS, endometriosis and bioidentical hormones. Recently he has gained expertise in using the “MonaLisa Touch™” laser to relieve menopausal women of dry vagina that causes painful intercourse. A nationally recognized physician specializing in GYN surgery including endometrial ablations. Twenty years of medical malpractice experience as both plaintiff (25%) and defense (75%) expert. Reviews cases for State Medical Board of Ohio and private insurance companies....

Rachel Torrance Behavioral and Educational Expert Services, LLC

SOLON, Ohio
Developmental Disabilities, Behavioral and Social Sciences - Applied Behavior Analysis (ABA), School Law, DD Agency services, Behavior Analysis, Assessment and Intervention, Nonverbal, Severe Problem Behavior, Positive Behavior Supports, Supervising Providers, Autism, Intellectual Disabilities, ADHD, Multiple Disabilities, Complex Medical Needs, Training
...Range of expertise includes Autism, ADHD, multiple disabilities, intellectual disabilities, medically fragile, Cerebral Palsy, Oppositional Defiant Disorder, Explosive Disorder, Post Traumatic Stress Disorder, Learning Disabilities, blind and visually impaired. Rachel has taught students with disabilities in kindergarten through 12th grade across the continuum, including inclusion, intensive settings in the public district, and outside placement for students with more intensive needs. Rachel has extensive experience as a consultant for a government agency providing assessments, training, advocacy, supervision, and overseeing plans for students and clients with developmental disabilities across settings. An agency Rachel formed in 2015, initially providing consult and supervision services in the home, vocational, and school-based settings....

Francine Barsaloux, MBA, BSN, RN, CMSRN Barsaloux & Associates, PLLC.

Edmond, Oklahoma
Nurse, Legal Nurse Consulting - Certified Medical-Surgical Registered Nurse, Pain & Suffering reports, medical chronologies, Nursing Management, organizational safety, policy writing, Oncology, Cardiology, med-surg, Nurse Informatics, Chemotherapy, Clinical Documentation, Clinical Validation, overbilling, audit trail.
Clinical experience includes nursing management, solid/liquid tumors, gynecologic Oncology, chemotherapy administration, bone marrow transplant, Certified Medical-Surgical Registered Nurse, cardiac, heart/lung transplant, LVAD/BiVAD, and Intermediate Care. Legal Nurse Consultant specializing in Pain and suffering reports, medical malpractice, personal injury, Independent Medical Examination observation, and clinical validation to ensure overbilling did not occur. A patient-focused nursing leader with over 15 years in healthcare leadership and broad compliance expertise. Expertise in analyzing patient case histories and delivering evidence-based conclusions in concise, well-written documentation. Nationally Certified RN and nursing subject matter expert who implements and optimizes compliance programs in inpatient/outpatient settings and collaborates on EMR building and platform development....

Michael F Arrigo No World Borders

Oregon
HIPAA, Medical Billing - Medical billing, Patents trade secrets, electronic medical records, Medicare fraud, medical billing fraud, qui tam false claims act fraud Usual Customary Reasonable (UCR), Meaningful Use Electronic Health Records, HITECH Act, Affordable Care Act, Medicare Advantage, Medicaid,insurance, CRPS, EMTALA
Writer, speaker, published peer-reviewed works as an expert in the field recent Federal court rulings as a qualified expert published in Westlaw • US COURT OF APPEALS considered expert opinions, VACATED AND REMANDED • Two DOJ retentions, $155 million settlement • Healthcare IT patents intellectual property Technical Expert, Medicare Damages Expert • Medical coding medical billing, claims, usual customary and reasonable charges in personal injury and medical malpractice cases, Lifecare plan rebuttal under ACA on the future cost of care, trauma • Electronic medical record forensics / electronic health record forensics, E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud • genetic testing, novel genetic sequencing, esoteric testing, laboratory testing • HIPAA Privacy, Security, Blockchain special studies MIT • Affordable Care Act, HITECH Act, electronic medical records, meaningful use, patents, and intellectual property in heal Health Risk...

Kelly K Campbell, RN BSN CP CCM CNLCP CLCP CARDINAL LIFECARE CONSULTING

Gibsonia, Pennsylvania
Life Care Planning, Legal Nurse Consulting - Plaintiff, Defense, Insurance, Medical Bill Review, Medical Cost Projections, Medical Case Consultation, Case Management, Pittsburgh based with NATIONWIDE experience and service.
...Her repeat client list includes: Plaintiff, Defense, Insurance and Workmen Comp Firms. Kelly has successfully prepared Life Care Plans - Mini/Preliminary Life Care Plans - Life Care Plan Rebuttals - Medical Bill Reviews. She has provided Expert Testimony and IME reports. Kelly's experience includes: Amputation, Birth Injuries, Burn, Cerebral Palsy, Chronic Pain, CRPS, Electrocution, Orthopedic Injuries- Poly Trauma, Spinal Cord Injury, Transplant, and Traumatic Brain Injury (mild and severe). Case Management service is also provided by CARDINAL LIFECARE CONSULTING.

Garson M Caruso, MD, MPH, CLCP, CMLE Garson M. Caruso MD, MPH, PA

Mechanicsburg, Pennsylvania
Occupational Medicine, Life Care Planning - Custom Life Expectancy Determination, Physician Life Care Planning, Impairment Evaluation, Disability Evaluation, Workers Compensation, Drug Testing, Medical Review Officer (MRO), Fitness for Duty, Medical Direction, Onsite Worker Health and Wellness Clinics, Physician Extender Supervision
• Board Certified Occupational Medicine Physician and Certified Life Care Planner with expertise in Custom/Individualized Life Expectancy Determination • MPH at Johns Hopkins Bloomberg School of Public Health; Occupational Medicine Residency at University of Pennsylvania; Additional training at American Academy of Insurance Medicine • Fellow, American College of Occupational and Environmental Medicine (ACOEM) and International Academy of Independent Medical Evaluators (IAIME) • Broad background in consulting, medical direction, and occupational health services for organizations including AmTrust North America, Bechtel, Bell & Evans, Dean Foods, Johns Hopkins Medical Institutions, Lockheed Martin, The New York Transit Authority, PepsiCo, Service Employees International Union, and the US Department of State and Federal Motor Carrier Safety Administration • Extensive experience with supervision of physician extenders (nurse practitioners and physician assistants) in onsite occupational health...

Madeline I Maysonet Scavo, Psy.D Dr Maysonet Clinical & Forensic Psychology Firm PLLC

Allentown, Pennsylvania
Psychology, Forensic Psychology - PTSD, Trauma, Psychological Autopsy, Suicide Prevention & Risk Assessment, Clinical/Forensic Evaluations, IME, Disability, Compensation, Personal Injury, Fitness for Duty, Inspections, Audits, Investigations, Threat Assessment & Management, Workplace Violence, Malpractice, & Evaluative Mediation.
...Psychological Autopsy Investigation (completed suicide) Correctional standard of care Audits/Reviews/Investigation of Correctional Suicide Prevention Programs Competence Evaluation Suicide Risk Assessment Post Traumatic Stress Disorder Compensation Social Security Disability Personal Injury Fitness for Duty Pre-surgery Lethal Weapon Training Act 235 SPECIALIZED TRAINING Postgraduate Certificate in Forensic Psychology National Threat Evaluation and Reporting Master Trainer (NTER) Virginia Adult Forensic Evaluator Psychological Autopsy Investigator National Certified Investigator & Inspector Training (NCIT Specialized Program) Labor & Employment Relations SERVICES Psychological & Forensic Evaluations Threat Assessment & Management Competence Evaluation Reasonable Accommodations Compensation Claims Disability Claims Files Reviews Malpractice / Liability Life Care Planning Presurgical Psychological Evaluations Mental Health Program Audits & Inspections Independent Medical...

Cliff Moser, AIA www.standard-of.care

Pennsylvania
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.
...Owner Payment Claims, Fraudulent Change Orders, Slip and Fall, Insurance and Fire Claims. Integrated Project Delivery and Lean Construction consultant. 20 years Architecture Experience -Design and Construction Administration experience in -Healthcare (Large California Hospitals and Medical Centers), Multi-family, Retail, Tenant Fit-out, K-12 Schools, NAVFAC contract administration and Office Buildings. 20+ years Owners Representative/Construction Administration experience in - multi-site K-12 school district design and construction program (including multiple prime contractor projects) and California Hospital and Healthcare portfolio management. Developed and deployed innovative practice, design, production and delivery methodologies....

David R Neiblum, MD, FACP, FACG, AGAF

West Chester, Pennsylvania
Gastroenterology - Crohn's, ulcerative colitis, polyps, colon cancer, esophageal cancer, Barrett's, gastric cancer, pancreatic cancer, endoscopy, colonoscopy, perforation, pancreatitis and fluid mgmt, diverticulitis, ulcers, bleeding, PEG tubes, hepatitis, cirrhosis, celiac, GERD, reflux, ischemic bowel, guidelines
...He has reviewed dozens of legal cases for medical malpractice, both for the plaintiff and defense, and has performed GI-focused IME exams as well for insurance claim cases.

Linda van Roosmalen, PhD LINC Design LLC

Gibsonia, Pennsylvania
Transportation, Industrial Design - wheelchair transportation, biomechanics, public transit, railcar boarding, accessible air travel, wheelchair securement, wheelchair restraint, seatbelt, crash safety, ergonomics, accessibility, paratransit, wheelchair lift, medical device, ramp, school bus, walker safety, warnings, usability, ADA
...With a strong background in Industrial Design Engineering and a decade of industry experience, Dr. van Roosmalen extends her expertise to medical device design and compliance. Her specific competencies include: • Device human factors and ergonomics, covering medical devices, injector systems, drug/device combination devices, device labeling, instructions for use, and intra-uterine devices (usability, safety, comfort, regulatory compliance). • In-depth knowledge of medical device regulations and their application to safety and effectiveness for use (IEC62366). In summary, Dr. Linda van Roosmalen is a highly qualified expert witness with a Ph.D. in rehabilitation science and technology, as well as a B.S. and M.S. in industrial design engineering. Her international publications and multiple patents on wheelchair safety technology and medical device innovation attest to her expertise....

David R. Mullaney, Esq. D. R. Mullaney P.C.

Rhode Island
Construction, Construction Defects - Construction Delays, Construction Breach Of Contract, Substandard Workmanship, Architectural Negligence, Design-Engineering Defects, Cost Dispute Analysis & Reconciliation, Building Inspection, Risk Management, Schedule Delay Responsibility, Slips, Trips & Falls, Job Site Failures
...A significant portion of the client base was comprised of private colleges and preparatory schools while also serving the medical and multi unit housing sectors. After becoming an Attorney, David dovetailed his construction expertise with the finer points of the law creating a niche as an expert witness on cases involving construction delays, cost overruns, design defects, breach of contract, incidents stemming from design negligence and faulty workmanship and other areas of construction. Attorney Mullaney’s distinguished qualifications include a BBA in Business Administration Summa Cum Laude from the Isenberg School at the University of Massachusetts at Amherst and a Juris Doctor from Massachusetts School of Law. He studied construction and civil engineering at Wentworth Institute and is a trained mediator....

Andrew Nathanson, MD, FACEP, FAWM

Bristol, Rhode Island
Emergency Medicine, Aquatics Safety - Intubation, MI, Heart Attack, Stroke, Sepsis, Appendicitis, Epidural abscess, Aortic dissection, DVT, Pulmonary Embolism, Ischemia,Testicular Torsion, Fracture, Ectopic Pregnancy, head trauma, emergency trauma, Intracranial Hemorrhage. Wilderness medicine, Drowning, Sailing injuries, Surfing injury.
...I attended Ivy league College and am professor at an Ivy league medical school. Over my career I have been: Director of Quality Assurance, Chair of Morbidity and Mortality conference, served on the BOD, led a Medical School course, served on Peer-Review committees for insurance companies, taught hundreds of Emergency Medicine Residents, and been recipient of numerous teaching and research awards. I have been a Fellow in the American College of Emergency Medicine since 1997. I lecture nationally on Error Reduction in emergency medicine, and internationally on Wilderness Medicine topics and have been a Fellow in the Academy of Wilderness Medicine (FAWM) since 2013 . I am the author of over a dozen peer-reviewed publications, a book, and book chapters. I serve as editor for numerous peer-reviewed journals. I have a special focus of interest on Drowning, Boating/Sailing injuries, Surfing Injuries, and Ocean water sports injuries....

Frank L Brown, Jr, MD, MBA, FACP AMERICLIN FORENSIC CONSULTING

Bluffton, South Carolina
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....

Robert A. Craven, MD, SFHM, FACP, CHCQM-PHYADV Craven Medical Consulting, LLC

Murrells Inlet, South Carolina
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....

Allison E. Shipp, Ph.D., CRC Ascendant Consulting, Inc.

Germantown, Tennessee
Vocational Rehabilitation, Disability Evaluation - Vocational Expert, Vocational Consultant, Earnings Capacity, Life Care Plan, Medical Cost Projections, Personal Injury, Workers' Compensation, Labor Market Research, Reasonable Accommodations, Employment Law, Labor Law, Insurance Defense, Divorce, SSDI, Medical Malpractice, ADA Law
...Shipp’s areas of practice include Vocational Rehabilitation Evaluations, Life Care Plans, Earning Capacity, Forensic Expert Testimony, Workers’ Compensation, Labor & Employment Law, Medical Malpractice, Divorce/Family Law, Personal Injury, Insurance Defense, Assistive Technology, Reasonable Accommodations, Labor Market Research, and Medical Cost Projections.

James E Alexander, Jr., MD Healthcare Compliance Management, LLC

Fort Worth, Texas
Medical Billing, Medical Coding - Qui Tam, Health Insurance Fraud, Health Insurance Abuse, Medicare, Medicare Fraud, Medicare Abuse, Medical Policy, Medical Necessity in Medicare, Medicare LCDs, Medicare NCDs, Medicare Coding, Medicare Billing, Health Insurance Coding, Upcoding, Medical Devices, New Medical Technology
...Alexander and his partners established HCM in early 2002 and since that time he has been involved in numerous healthcare compliance consulting projects for major pharmaceutical and medical device manufacturers, large and small hospitals, cancer centers, large and small physician groups, other consulting entities as a special consultant, and legal firms (both as a consultant and as an expert witness).

Michael F Arrigo No World Borders

Texas
HIPAA, Medical Billing - Medical billing, Patents trade secrets, electronic medical records, Medicare fraud, medical billing fraud, qui tam false claims act fraud Usual Customary Reasonable (UCR), Meaningful Use Electronic Health Records, HITECH Act, Affordable Care Act, Medicare Advantage, Medicaid,insurance, CRPS, EMTALA
Writer, speaker, published peer-reviewed works as an expert in the field recent Federal court rulings as a qualified expert published in Westlaw • US COURT OF APPEALS considered expert opinions, VACATED AND REMANDED • Two DOJ retentions, $155 million settlement • Healthcare IT patents intellectual property Technical Expert, Medicare Damages Expert • Medical coding medical billing, claims, usual customary and reasonable charges in personal injury and medical malpractice cases, Lifecare plan rebuttal under ACA on the future cost of care, trauma • Electronic medical record forensics / electronic health record forensics, E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud • genetic testing, novel genetic sequencing, esoteric testing, laboratory testing • HIPAA Privacy, Security, Blockchain special studies MIT • Affordable Care Act, HITECH Act, electronic medical records, meaningful use, patents, and intellectual property in heal Health Risk...

Rhonda R Guitreau Medical Reimbursement Specialists

DALLAS, Texas
Medical Billing, Medical Coding - Medical Bill Review, Reasonableness of Medical Bills, Forensic Bill Review, Medical Cost Analysis, Expert Witness for Deposition/ Trial, Usual,Customary,Reasonable (UCR) fee analyses, Geographic Specific Provider market comparisons, Medicare, Medicaid, Major Insurance comps

Jamie Jacoby, CPA, MBA Abacus Analytics

Menard, Texas
Medical Billing - Medical Costs, Medical Billing, Chargemaster Analysis, Healthcare Finance
PROFESSIONAL SUMMARY 30 years experience in top level hospital management with a strong financial background WORK EXPERIENCE Regional CFO 9/2016 to 3/2020 NewLight Healthcare Austin, TX • Provide CFO services for rural hospitals • Consult with rural hospitals on financial issues Chief Financial Officer 10/2013 to 9/2016 Connally Memorial Medical Center Floresville, TX • Served as Chief Financial Officer • Worked closely with management team to ensure financial success of the hospital • Oversaw all accounting, charging, billing and coding activities Regional CFO 7/2010 to 7/2013 NewLight Healthcare Austin, TX • Provide CFO services for rural hospitals • Consult with rural hospitals on financial issues Owner 11/2007 to Present Jamie R Jacoby, CPA Menard, TX • Provide business advisement services to small and medium businesses • Prepare tax returns for businesses and individuals • Provide tax planning services Chief Financial Officer 11/2008 to 2/2010 Rural Hospital Management Associates...

Vishal Kancherla, DO Texas Orthopedics Sports and Rehabilitation

Austin, Texas
Physical Medicine & Rehab, Pain Management - Medicine - radiofrequency ablation, spinal cord stimulators, nerve blocks, EPI steroid injections, spine injections, sacroiliac injections, trigger point injections, regenerative medicine, transforaminal epidural steroid injections, ultrasound guided injections, fluoroscopic guided injections
...I have examined injured persons for insurance companies, independent review organizations, and law firms and have reviewed tens of thousands of pages of records, files, and medical charts. I have been deposed multiple times and am a persuasive and compelling expert witness with a heavy focus on objective data, image interpretation, and a meticulous focus on the details. Real-world clinical experience has been integral to my success as a medical expert witness. My legal focus lies in the causation and treatment of spine disorders related to MVA, personal injury, work-related injuries, and medical malpractice....

David Levey David S. Levey, M.D., P.A.

Austin, Texas
Diagnostic Radiology, Neuroradiology - Radiology, Radiologist, Musculoskeletal, Neuroradiology, MRI, DTI, TBI, CT Scan, X-ray, Brain Injury, Medical Malpractice, Personal Injury, Insurance Defense, Defense, Plaintiff, Free Consultation, PET Scan, Orthopedic Radiology, MSK, Pediatric & Neonatal Radiology, Spinal Injury, Medical Expert
...He provides both Insurance Defense and Plaintiff Attorney assistance as a Medical Expert, as an Expert Witness for ALL forms of Radiology and MRI studies. Dr. Levey has been in clinical practice without interruption for over three decades, and has been working as a full time Expert Witness for over 15 years. He is Board Certified, Fellowship Trained, and extensively published in the field of Radiology, including but not limited to subspecialities of Neuroradiology, Musculoskeletal, Orthopedic & Spine and others (see uploaded C/V, available below). When called upon to review a case, Dr. Levey will evaluate the complete battery of medical and surgical records as needed, including but not limited to EMS and police/accident reports, initial ER visits, urgent care records, PT logs, chiropractic and pain medicine treatments, surgical evaluation and operative treatment. Additionally, Dr....

Obi Osuji, MD Signature Orthopaedics

Mesquite, Texas
Orthopedic Surgery - Total Joints, Hip Arthroplasty, Knee Arthroplasty, Hip Reconstruction, Knee Reconstruction, Total Joints, Trauma, Total Joint Replacement, Joint Replacement
...Osuji believes in effective communication with patients to advise them on the optimal treatment for their conditions to fully engage them in their medical or surgical treatment. His goal is to select the treatment options that minimize pain, while restoring function and returning the patients to their active lifestyle. He completed his undergraduate premedical education at the City University of New York, graduating Summa Cum laude with a degree in Biochemistry. He obtained his medical degree from Stanford University in Palo Alto, California. After completing his orthopedic surgery residency at Howard University in Washington DC, he went on to pursue a fellowship in total joint reconstruction at the Steadman Hawkins Clinic in Greenville, South Carolina. Dr. Osuji started his orthopedic career in Connecticut, where he practiced general orthopedics including sports medicine, trauma, hand, and total joints....

Katrina P. Petrini, MS, MHA, JD, VRTWC, DVR, CRC Labor Logix Inc.

Austin , Texas
Vocational Rehabilitation, Disability Evaluation - Workers Compensation, DOL-OWCP, Federal Employment, Personal Injury, Family Law , DFEC Evaluations, SIBTF Claims, State Employment, Wage Loss Claims, Earning Capacity Evaluations, Labor Market Access Analysis, UEBTF Claims, Social Security, Transferrable Skills Analysis, Job Analysis
...Tasks included researching medical records and insurance claims in order to quantify special damages, wage loss claims and diminished future earning capacity claims in preparation for trial. Building upon her legal experience, starting in 2016 to 2021 she took a position with vocational consulting firm, The Simon Group. She was tasked with research projects, editing, proofreading, synthesizing data and writing comprehensive vocational expert reports used in workers compensation, civil tort based injury cases, medical malpractice cases, long term disability, marital dissolution and spousal/child support case matters. She also performed vocational rehabilitation forensic data analysis and vocational assessment. In early 2021 she founded Labor Logix Inc., an innovative vocational consulting firm in Santa Cruz, California. Ms....

Dean M Deluke, DDS, MBA

Richmond, Virginia
Oral Surgery, Dentist - Dental Malpractice, Failure to Diagnose, Nerve Injuries and Paresthesia, Impacted Teeth, Oral Pathology, Infection, Anesthesia and Sedation, Trauma, Dental Implants, Orthognathic Surgery, TMJ Disorders, Osteonecrosis, Patents, Plaintiff and Defense
...He completed his oral and maxillofacial surgery training at Long Island Jewish Medical Center, and a fellowship at East Grinstead Hospital in Sussex, England. Dr. DeLuke is a Diplomate of the American Board of Oral and Maxillofacial Surgery and a Fellow of the American and the International College of Dentists. He is currently Professor Emeritus, Oral and Maxillofacial Surgery at VCU School of Dentistry, where he has been the recipient of multiple teaching awards. He is also the recipient of the Daniel M. Laskin Award for Excellence in Predoctoral Education, a national award conferred by the American Association of Oral and Maxillofacial Surgeons (AAOMS). Prior to coming to Virginia Commonwealth University, he was a partner in a multispecialty group in upstate New York, and he was also Chief of Dentistry and Oral Surgery at St. Clare's Hospital. He is a past president of the New York State Society of Oral and Maxillofacial Surgeons and has served in the AAOMS House of Delegates....

Ryan T Jahn, MD Jahn Orthopedics, LLC

Yorktown, Virginia
Orthopedic Surgery, Sports Medicine - Shoulder Surgery, Knee Surgery, Shoulder Instability Repair, Labrum Repair, Arthroscopic Surgeries, ACL surgery, Rotator Cuff Repair, Shoulder Replacements, Shoulder Arthritis, Knee Arthritis, Arthroscopic Knee Surgery, Meniscal Repair , Cartilage Injuries, Meniscus Injuries, Compartment Syndrome
...Jahn is a practicing Orthopedic Surgeon at Langley AFB hospital specializing in Sports Medicine where he also serves as the the Medical Director of Orthopedics. Dr. Jahn provides Orthopedic Trauma Care at a Level 2 trauma Center. Dr Jahn testifies for both plaintiffs and defendants in Medical Malpractice cases and Liability Cases and provides peer reviews for insurance claims. Areas Of Interest - Sports medicine - Shoulder Surgery - Shoulder Replacement - Reverse Shoulder Replacement - Rotator Cuff Repairs - Shoulder Instability - Labrum Repairs - Arthroscopic Knee Surgery - ACL Surgery - Meniscus Repair - Cartilage Restoration - Patellar Instability - Compartment Syndrome - Amputations - Fracture Care - Work Place Injuries - Military Injuries - Maritime Injuries - Railway Injuries - Orthopaedic Infections - Platelet Rich Plasma (PRP) Injections

Aasta R Pedersen ARC Orthopaedics LLC

Norfolk, Virginia
Orthopedic Surgery, Sports Medicine - Arthroscopy, Shoulder surgery, Labrum tear, Rotator cuff tear, Knee Surgery, ACL, Meniscus tear, Cartilage, Hip Surgery, Hip impingement, FAI, Bursitis, Compartment syndrome, Amputation, Sports Injury, Military Injury, Overuse Injury, Nonsurgical, PRP, Injection
...Pedersen is currently the Chief of Orthopaedics at McDonald Army Medical Center. She testifies for both plaintiffs and defendants in Medical Malpractice cases and Liability Cases. Provides peer reviews for insurance claims. Areas Of Interest - Sports medicine - Shoulder Surgery – Shoulder Instability - Rotator Cuff Repairs - Shoulder Labrum Repairs - Arthroscopic Knee Surgery - ACL Surgery - Meniscus Repair - Cartilage Restoration - Patellar Instability - Hip Arthroscopy - Hip Impingement - Hip Labrum Tear Repairs - Hip Bursitis - Compartment Syndrome - Amputations - Fracture Care - Stress Fractures - Work Place Injuries - Sports Injuries - Military Injuries - Deployment Injuries - Overuse Injuries - Orthopaedic Infections - Orthopaedic Injections

Michael F Arrigo No World Borders

Washington
HIPAA, Medical Billing - Medical billing, Patents trade secrets, electronic medical records, Medicare fraud, medical billing fraud, qui tam false claims act fraud Usual Customary Reasonable (UCR), Meaningful Use Electronic Health Records, HITECH Act, Affordable Care Act, Medicare Advantage, Medicaid,insurance, CRPS, EMTALA
Writer, speaker, published peer-reviewed works as an expert in the field recent Federal court rulings as a qualified expert published in Westlaw • US COURT OF APPEALS considered expert opinions, VACATED AND REMANDED • Two DOJ retentions, $155 million settlement • Healthcare IT patents intellectual property Technical Expert, Medicare Damages Expert • Medical coding medical billing, claims, usual customary and reasonable charges in personal injury and medical malpractice cases, Lifecare plan rebuttal under ACA on the future cost of care, trauma • Electronic medical record forensics / electronic health record forensics, E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud • genetic testing, novel genetic sequencing, esoteric testing, laboratory testing • HIPAA Privacy, Security, Blockchain special studies MIT • Affordable Care Act, HITECH Act, electronic medical records, meaningful use, patents, and intellectual property in heal Health Risk...

David Boll, DC CPC PES Expert Opinions / Comprehensive Chiropractic Services

Adell, Wisconsin
Chiropractic, Medical Coding - Sports Medicine, Malpractice, motor vehicle accidents, motor vehicle collisions, independent medical examinations, legal medicine, physical therapy, coding, standard of care, scope of practice, insurance fraud, benefits
...Boll assists numerous entities (law enforcement, law firms, insurance carriers, TPAs) as an Expert Witness, Consulting Witness, CPT and diagnostic coding issues, File Review, and Independent Medical Examinations, along with internal educational programs. He is a Certified Professional Coder (CPC) from AAPC and a Performance Enhancement Specialist (PES) from NASM. Dr. Boll has active licenses in both Wisconsin and Michigan. He continues to practice within his athletic training and conditioning facility, serving two school districts and consulting with professional racing sanctioning bodies regarding race weekend injury concerns. Dr. Boll was a former Chiropractic Services Director for an insurance company, where he assisted in writing guidelines, sitting on appeals panels, and establishing internal review and claims processing measures. He is a current Board Advisor for the American College of Chiropractic Consultants (ACCC). Dr....

Sarah A Martin Froedtert and Medical College of Wisconsin

Monona, Wisconsin
Emergency Medicine, Emergency Medical Services - Toxiciology, Acute Care, Critical Care, Airway Management, Urgent Care, Vetrans Care, Ultrasound, Telemedicine
...Educating residents and medical students as well as advance practitioners and scribes is also part of my daily practice. I am a life longer learner and enjoy the rigors of keeping up to date on current practices. Part of every practice is EMR, which I am well versed in and interface with multiple systems. 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....