Cms Expert Witnesses

Napa, California

Medical Management, Risk Management - Medical Quality/Risk Management, Hospital and Medical Management, Hospital Compliance, Medical Compliance, HIPAA, Grievance and Appeals, Managed Care, Joint Commission, CMS, Utilization Review, Patient Safety, Hospital Governance

Dr. Geni Bennetts is an experienced physician executive in healthcare and a Certified Physician Executive. She has served as a hospital subspecialist and as Chair of that division. Additionally, she has chaired hospital care management and managed care compliance, as well as serving as the chair of hospital risk management. Dr. Bennetts is the founder and principal of Resolve Healthcare Consulting. She also held the roles of Vice Chair, Chair of the Asset/Liability Committee, and then Chair of a Bank Board, the last position being held for five years. She has been an examiner for the California Department of Managed Health Care and has reviewed over 40 health plans for Quality, Utilization, Grievance and Appeals, and Access and Availability. She has consulted for a number of health plans and has held positions in health plans, hospitals, and IPAs as consulting interim CMOs, Medical Directors, and Advisors. For the past 15 years, Dr. Bennetts has consulted in the following areas o...

Santa Clara, California

Mental Health, Social Work - Social Work, Triage, Lanterman Petris Short LPS, Involuntary Commitment, Suicide, Crisis Intervention, Risk Assessment, Behavioral Health, Patient Rights, Standard of Care, Severe Mental Illness (SMI), Psychosis, Schizophrenia, Bipolar, Anosognosia, Emergency Care, Joint Commission (JCACO), HEDIS, CMS, EMTALA

I am a California Licensed Clinical Social Worker (LCSW #76279) with over a decade of mental health experience across outpatient psychotherapy, acute inpatient psychiatric care, psychiatric emergency settings, and the public/community mental health system. I provide case consultation, medical-record review, and expert testimony on the mental health standard of care for both plaintiff and defense counsel. I own and operate a private psychotherapy practice, providing evidence-based individual therapy, including onsite psychotherapy on corporate campuses. I treat the full range of common mental health conditions, including depression, anxiety, trauma, and stress- and adjustment-related disorders. Drawing on this practice, I evaluate whether clinicians met the outpatient standard of care in clinical social work (LCSW and LMSW/MSW) — including clinical assessment and diagnosis, treatment planning and appropriate level of care, the therapeutic relationship, professional boundaries and in...

Houston, Texas

Hospice and Palliative Care - Hospice, Palliative, LCD, Hospice eligibility, fraud, OIG, end-of-life, terminal, medicare, medicaid, compliance, CMS, hospice malpractice, medical record review, life expectancy determination, capacity, goals of care, standard of care, wrongful death

Dr. Tiffany Richter is a Hospice and Palliative Medicine & Family Medicine board certified physician with more than 17 years of experience in hospice and palliative care. Throughout her career, she has served in clinical, administrative, and executive leadership roles, including Hospice Medical Director and Chief Medical Officer, overseeing the delivery of care to thousands of patients across multiple states and diverse healthcare settings. Dr. Richter possesses extensive expertise in Medicare hospice eligibility, prognostication, hospice documentation, regulatory compliance, quality improvement and physician oversight. She has significant experience reviewing medical records, evaluating clinical decision-making, assessing hospice eligibility determinations, and interpreting Centers for Medicare & Medicaid Services (CMS) regulations and Local Coverage Determinations (LCDs). In addition to her clinical and leadership experience, Dr. Richter has participated in administrative and ...