Clinical Validation Denials Expert Witnesses

Alaska

Hospitalist, Internal Medicine - Hospital Utilization Status Review & Coding Documentation Integrity (CDI), Clinical Validation Denials, Life Expectancy, Fraud & Abuse, Medical Malpractice Standard of Care, Insurance Payor/Payee Disputes

Board-certified in Internal Medicine with over 25 years of combined clinical and administrative experience, I currently serve as a practicing hospitalist and the System Medical Director of Physician Advisory Services for Christus Health. I lead Physician Advisory Services including Utilization Review, Care Management, and Clinical Documentation Integrity (CDI) across a 30-hospital system, with daily oversight of admission status determinations, medical necessity reviews, DRG coding validations, and Payor-Provider disputes. My background includes extensive leadership roles as Chief Medical Officer and Medical Director in multiple healthcare systems across New Mexico, Alaska, Ohio, and Indiana. Through my consulting firm, Doctor2Review, I provide expert witness services in medical malpractice, life expectancy estimation, clinical validation audits, fraud and abuse investigations, and regulatory compliance. I have testified in court and delivered detailed written reports supported by ...

Hawaii

Hospitalist, Internal Medicine - Hospital Utilization Status Review & Coding Documentation Integrity (CDI), Clinical Validation Denials, Life Expectancy, Fraud & Abuse, Medical Malpractice Standard of Care, Insurance Payor/Payee Disputes

Board-certified in Internal Medicine with over 25 years of combined clinical and administrative experience, I currently serve as a practicing hospitalist and the System Medical Director of Physician Advisory Services for Christus Health. I lead Physician Advisory Services including Utilization Review, Care Management, and Clinical Documentation Integrity (CDI) across a 30-hospital system, with daily oversight of admission status determinations, medical necessity reviews, DRG coding validations, and Payor-Provider disputes. My background includes extensive leadership roles as Chief Medical Officer and Medical Director in multiple healthcare systems across New Mexico, Alaska, Ohio, and Indiana. Through my consulting firm, Doctor2Review, I provide expert witness services in medical malpractice, life expectancy estimation, clinical validation audits, fraud and abuse investigations, and regulatory compliance. I have testified in court and delivered detailed written reports supported by ...

Indiana

Hospitalist, Internal Medicine - Hospital Utilization Status Review & Coding Documentation Integrity (CDI), Clinical Validation Denials, Life Expectancy, Fraud & Abuse, Medical Malpractice Standard of Care, Insurance Payor/Payee Disputes

Board-certified in Internal Medicine with over 25 years of combined clinical and administrative experience, I currently serve as a practicing hospitalist and the System Medical Director of Physician Advisory Services for Christus Health. I lead Physician Advisory Services including Utilization Review, Care Management, and Clinical Documentation Integrity (CDI) across a 30-hospital system, with daily oversight of admission status determinations, medical necessity reviews, DRG coding validations, and Payor-Provider disputes. My background includes extensive leadership roles as Chief Medical Officer and Medical Director in multiple healthcare systems across New Mexico, Alaska, Ohio, and Indiana. Through my consulting firm, Doctor2Review, I provide expert witness services in medical malpractice, life expectancy estimation, clinical validation audits, fraud and abuse investigations, and regulatory compliance. I have testified in court and delivered detailed written reports supported by ...

Santa Fe, New Mexico

Hospitalist, Internal Medicine - Hospital Utilization Status Review & Coding Documentation Integrity (CDI), Clinical Validation Denials, Life Expectancy, Fraud & Abuse, Medical Malpractice Standard of Care, Insurance Payor/Payee Disputes

Board-certified in Internal Medicine with over 25 years of combined clinical and administrative experience, I currently serve as a practicing hospitalist and the System Medical Director of Physician Advisory Services for Christus Health. I lead Physician Advisory Services including Utilization Review, Care Management, and Clinical Documentation Integrity (CDI) across a 30-hospital system, with daily oversight of admission status determinations, medical necessity reviews, DRG coding validations, and Payor-Provider disputes. My background includes extensive leadership roles as Chief Medical Officer and Medical Director in multiple healthcare systems across New Mexico, Alaska, Ohio, and Indiana. Through my consulting firm, Doctor2Review, I provide expert witness services in medical malpractice, life expectancy estimation, clinical validation audits, fraud and abuse investigations, and regulatory compliance. I have testified in court and delivered detailed written reports supported by ...

Ohio

Hospitalist, Internal Medicine - Hospital Utilization Status Review & Coding Documentation Integrity (CDI), Clinical Validation Denials, Life Expectancy, Fraud & Abuse, Medical Malpractice Standard of Care, Insurance Payor/Payee Disputes

Board-certified in Internal Medicine with over 25 years of combined clinical and administrative experience, I currently serve as a practicing hospitalist and the System Medical Director of Physician Advisory Services for Christus Health. I lead Physician Advisory Services including Utilization Review, Care Management, and Clinical Documentation Integrity (CDI) across a 30-hospital system, with daily oversight of admission status determinations, medical necessity reviews, DRG coding validations, and Payor-Provider disputes. My background includes extensive leadership roles as Chief Medical Officer and Medical Director in multiple healthcare systems across New Mexico, Alaska, Ohio, and Indiana. Through my consulting firm, Doctor2Review, I provide expert witness services in medical malpractice, life expectancy estimation, clinical validation audits, fraud and abuse investigations, and regulatory compliance. I have testified in court and delivered detailed written reports supported by ...

Texas

Hospitalist, Internal Medicine - Hospital Utilization Status Review & Coding Documentation Integrity (CDI), Clinical Validation Denials, Life Expectancy, Fraud & Abuse, Medical Malpractice Standard of Care, Insurance Payor/Payee Disputes

Board-certified in Internal Medicine with over 25 years of combined clinical and administrative experience, I currently serve as a practicing hospitalist and the System Medical Director of Physician Advisory Services for Christus Health. I lead Physician Advisory Services including Utilization Review, Care Management, and Clinical Documentation Integrity (CDI) across a 30-hospital system, with daily oversight of admission status determinations, medical necessity reviews, DRG coding validations, and Payor-Provider disputes. My background includes extensive leadership roles as Chief Medical Officer and Medical Director in multiple healthcare systems across New Mexico, Alaska, Ohio, and Indiana. Through my consulting firm, Doctor2Review, I provide expert witness services in medical malpractice, life expectancy estimation, clinical validation audits, fraud and abuse investigations, and regulatory compliance. I have testified in court and delivered detailed written reports supported by ...