Lcd Expert Witnesses

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 ...

Houston, Texas

Wound Care, Long Term Care - Pressure Ulcers, Pressure Sores, Bedsores, Decubitus Ulcers, DME Medical Necessity, DME Billing, Medical Necessity, Fraud, Medicare B, HCPCS Billing and Coding, DMERC Appeals, Workers Comp, Skilled Nursing Facilities, Nursing Homes, Healthcare Compliance, Utilization Review, ALJ Hearings, Standard of Care, Healthcare Fraud, LCD

Bryan W. Smith, DPT, MBA, brings a rare combination of clinical training, wound care program leadership, and deep regulatory/reimbursement expertise to matters involving DME and wound care medical necessity, reimbursement compliance, and workers' compensation case review. After earning his Master of Science in Physical Therapy from Texas Woman's University, Bryan began his career providing direct patient care in inpatient and outpatient rehabilitation, long-term care, and hospice settings before transitioning to a national wound care and DME provider serving over 4,600 long-term care facilities and hospice agencies nationwide, where he spent over a decade in roles of increasing responsibility — from Clinical Wound Specialist to Quality Assurance and Performance Improvement leadership. During this time, Bryan pursued and earned his Doctor of Physical Therapy from Temple University — driven by a passion for continued learning and a desire to deepen his clinical and critical thinking ...