Regulatory Issues Expert Witnesses

Santee, California

Chiropractic, Chiropractic Neurology - 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, Criminal Case Chiropractic, Personal Injury

Past President, California Chiropractic Association Past Chair, Council on Chiropractic Guidelines and Practice Parameters Fellow, International Academy of Chiropractic Neurology Fellow, International College of Chiropractors Qualified Medical Evaluator Reviewed hundreds of files though peer review in PI cases, continuing education provider for the California Board of Chiropractic Examiners and the Division of Workers Compensation, on topics including documentation, disability evaluation and treatment guidelines. Co-author of peer reviewed published treatment guidelines for chiropractic care of low back injuries; Expert Consultant for the Board of Examiners since 2008.

Memphis , Tennessee

Hospital Administration, Legal Medicine - Negligent Credentialing, Denial of Privileges, Denial of Credentials, Suspension of Privileges, Revocation of Privileges, MedicaL Staff Bylaws, Peer Review Process, Insurance Denials /Appeals, Physician Education on Documentation, Physician Care Protocols, Case Management, Utilization, Regulatory Issues

30yr history of a Physician Executive, Board Certified in Internal Medicine. Served as the Chief Medical Officer on every level from facility to regional to corporate. I am an expert in all aspects of Physician Credentialing/Privileging. I have represented both the physician and the facility side of denials of initial privileges to suspension and revocation of privilege. Extensive experience in representing medical staffs & facilities with regards to complaints from the Regulatory Authorities regarding Negligent Credentialing. I have also worked with Plaintiff Counsel regarding Negligent Credentialing Issues. Have been key advisor to Medical Staffs on revisions of their bylaws with expertise surrounding privileges, credentialing, peer review, suspension and revocation of providers . I have successfully overturned 1, 2 and 3rd level Insurance Denials. Have extensive experience of presenting to the Administrative Judge to overturn these 3rd level denials, Served as an Appeals Revi...