Credentialing Expert Witnesses

Orange County, California

Internal Medicine, Hospital Administration - MEDICAL OPERATIONS, REGULATORY COMPLIANCE, MEDICARE COMPETENCE, IPA OVERSIGHT, CREDENTIALING, HOSPITAL MEDICINE, STANDARD OF CARE, HOSPITALIST, APPEALS AND GRIEVANCES, FRAUD WASTE ABUSE, CHAIR PEER REVIEW, UTILIZATION DIRECTOR, HEALTH PLAN DIRECTOR, HOSPITAL QUALITY, MODEL CONTRACTS, DATA ANALYTICS, RISK MANAGEMENT

General specialities: Internal Medicine, Hospital Medicine, Health Plan Administration, Health System Administration, Office Based Solo Practice and Group Practice Keywords: Operations Medical Director, Risk Mitigation, Medical Malpractice Hospital and Office-Based Medicine, Quality Performance, Hospital Acquired Conditions, Standard of Care, Skilled Nursing Facilities, Good Clinical Practice, Patient Management, High Reliability Organizations, Billing and Claims Review, Strategic Planning, Business Intelligence. Dr. Rydelski is a Board Certified Internal Medicine physician with 20 years experience in Medical Malpractice Peer Review for Hospitals, Malpractice Evaluation and Risk Mitigation for a Malpractice Company, Hospital Peer Review Committee and Statewide Health Plan Peer Review. Her career includes extensive experience as a Health Plan Operations Medical Director, Subject Matter Expert for Fraud, Waste , Abuse, Utilization Management Medical Director, and Hospital Physicia...

Irvine, California

Cardiovascular Disease, Interventional Cardiology - Cardiology expert witness, PCI complications, Cardiac arrest, Credentialing, Interventional cardiology expert, Myocardial infarction, Standard of care, Peer review, Cardiac catheterization, Stroke and embolic events, Causation analysis, Med mal, Coronary angiography, Anticoagulation management, Informed consent, Obesity, Vascular

Harvard fellowship-trained, triple board-certified cardiologist and interventional cardiologist providing independent, objective expert witness services for plaintiff and defense matters. Active clinical physician and hospital director with extensive experience in acute coronary syndromes, cardiac catheterization, percutaneous coronary intervention (PCI), anticoagulation management, stroke, peri-procedural complications, cardiac arrest, and peripheral vascular disease. Board certified in cardiology, interventional cardiology, internal medicine, and obesity medicine, with additional expertise in metabolic disease, obesity-related cardiovascular risk, and weight-loss pharmacotherapy. Author of peer-reviewed publications and medical book chapters, with invited presentations at professional forums. Services include medical record review, standard-of-care analysis, causation opinions, expert reports, depositions, and trial testimony. Known for clear, balanced opinions grounded in curre...

Newton Highlands, Massachusetts

Hospital Administration, Hospice and Palliative Care - Hospital Corporate Negligence, Hospital Liability, Hospital administration, Hospice care, Hospice fraud, healthcare fraud, Credentialing, Policies and procedures, Mental Health, Covid, sepsis, hemorrhage, medical billing, qui tam, medical necessity, DNR, end of life, hospital advertising

Highly experienced hospital corporate negligence, hospital credentialing and hospice expert witness. Reviewed over 800 cases and testified in 57 trials and depositions over 25 years. Trained at Dartmouth and Brown medical schools. Previous Assistant Professor appointment at Harvard Medical School. Practiced internal medicine for 24 years. Served as medical director and chief medical officer for Beth Israel Deaconess Physician Organization for 15 years in Boston. Former chief of medical services at Massachusetts Mental Health Center, Boston, MA and New England Deaconess Psychiatric unit. Former editor for Journal of the American Medical Association. Served as chief medical officer for Arcadia -- a data aggregation and analytics company providing population health services to large healthcare organizations. Currently practice in hospice for Care Dimensions hospice in Lincoln and Danvers, Mass. Experienced speaker and presenter.

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)

Board Certified (ABEM) Emergency Physician with over 30 years of post-graduate clinical experience working in a Level I Trauma Center. Transitioned out of the clinical arena in January 2025 but continues to maintain Board Certification in Emergency Medicine. Expert witness (for both plaintiff and defendant) in strangulation/erotic asphyxiation, credentialing and medical malpractice cases. Has completed MCOLES (Michigan Commission on Law Enforcement Standards) training. Clinical Assistant Professor, Department of Emergency Medicine at The University of Michigan, for twenty years. Oral Board Examiner (ABEM) for eight years. Credentialing Chair for thirteen years, as well as Quality Assurance Chair for fifteen years at Hurley Hospital, Flint, Michigan. Current Physician Advisor for Utilization Review, Hurley Hospital, reviewing over 1,000 cases per year. Authored medical education book chapters , as well as numerous journal articles. Previous Medical Director for a commun...

Reno, Nevada

Emergency Medical Services, Emergency Preparedness - Prehospital standards of care, EMS operations, Ambulance transport protocols, EMS documentation practices, EMS scope of practice, Regulatory compliance, Medical direction, Credentialing, Medical disaster response, Emergency preparedness, Hospital Transfers, 911

Professional Summary Steve Tafoya is a practicing Critical Care Paramedic, EMS instructor, former State EMS Program Manager for Nevada, and former U.S. Coast Guard Health Services Technician with over 25 years of experience in emergency medical services, regulatory compliance, healthcare operations, and disaster response. He holds advanced graduate degrees in Healthcare Management (MBA) and Legal Studies (MLS), providing a unique ability to bridge clinical realities with operational standards and regulatory frameworks. He has authored public health legislation, directed interfacility transport programs, led mass-casualty preparedness, and conducted internal audits of credentialing and regulatory enforcement. Steve has overseen statewide EMS compliance for over 60 permitted EMS agencies, along with trauma centers designations, he has deployed nationally with the Disaster Medical Assistance Team (DMAT) under Health and Human Services and taught 70 college-level EMS credits hours at t...

Tulsa, Oklahoma

Hospital Administration, Medical Management - Healthcare Administration, Safety, Quality, Reliability, Executive Leadership, Credentialing, Medical Staff, EMS, Performance Improvement, Emergency Medicine, Management, EMTALA, Peer Review

Dr. Kevin Joseph is a physician executive with experience in academic and community hospital settings as both a physician and a healthcare executive. His unique and diverse background combines operational and clinical experience with degrees in business and engineering to solve problems, develop efficient operations, and lead complex organizations. Dr. Joseph currently serves as a Market Chief Clinical Officer of one of the largest healthcare systems in the country and has served as a system Chief Medical Officer where he created the Insitute for Safety, Reliability, and Performance Improvement. For more than 15 years, he has been intimately involved in safety, quality, physician credentialing, and hospital accreditation. Previously, he served as a senior vice-president of a system responsible for the operations and clinical outcomes of its three hospitals. This was preceded by a tenure as a hospital President & CEO, where he led the executive team in driving the hospital to top...

READING, Pennsylvania

General Surgery, Trauma Surgery - Trauma surgery, general surgery of bowel, appendix, obstruction, gallbladder and biliary, wounds, hernia, colon, abdomen, soft tissue infection, shock, critical illness, sepsis, surgical critical Care, organ failure, surgical ethics, credentialing, quality, standards, team dynamics in healthcare

Shannon Marie Foster MD FACS is an active acute care surgeon - performing trauma, critical care, and emergency general surgery in daily practice and certified by the American Board of Surgery in both General Surgery and Surgical Critical Care. She is a leader in the surgical community and holds multiple positions in the professional organizations responsible for setting the standards of care. Heavily involved in policy creation, surgical quality and performance review - she is highly skilled at not only reviewing complex cases, but providing education regarding best practice to patients, learners and those without primary medical backgrounds. Dr. Foster has invested time and effort to better understand the many aspects of the business of medicine, intentionally working and consulting in varying practice types from rural to urban, community to academic, small to large hospitals and across systems to ensure an understanding of the complex aspects of care delivery in a variety of h...