Medical Necessity Expert Witnesses
Medical necessity expert witnesses and consultants listed here may be able to form expert opinions, draft expert witness reports, provide expert witness testimony at deposition and/or trial as or serve as consulting (non-testifying) experts on medical necessity. The medical necessity expert witness listings on this page are typically from fields/areas of expertise such as: Brain Injury Medicine, Chiropractic, Critical Care Medicine, Emergency Medicine, Hospice and Palliative Care, Hospital Administration, Hospitalist, Internal Medicine, Medical Billing, Medical Coding, Medical Management, Nursing Homes, Occupational Therapy, Pediatric Neurology, and Physical Therapy.
Adam Canion, MD, FAAEM, FACEP
Emergency Medicine Physician - Full Time Practice
Alabama
Emergency Medicine
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Intubation, Airway Management, Myocardial Infarction, Heart Attack, Stroke, Appendicitis, Epidural Abscess, Aortic Dissection, Pulmonary Embolism, Testicular Torsion, Ectopic Pregnancy, Medical Necessity, Pediatric Emergency, Head Trauma, Billing, Sepsis, Trauma, Envenomation, Overdose, Malpractice
Full time clinical practitioner of emergency medicine, Board Certified in Emergency Medicine by the American Board of Emergency Medicine. Has significant clinical experience at level 1 trauma centers, level 2 trauma centers, as well as associated critical access hospitals and freestanding emergency rooms. Has treated more than 30,000 patients in the emergency department. Recognized by the American Academy of Emergency Medicine as having expertise in pediatric, trauma, neurological, and cardiac resuscitation. Experience in chart review and standard of care evaluations. Undergraduate degree, Summa Cum Laude, in Health and Kinesiology. Expertise in resuscitation as well as life and limb saving emergency procedures. Serves on multiple clinical improvement committees including sepsis taskforce, national workforce committees and government relations committee. Experience in Children's Advocacy Center Medical Directorship and governor appointed Child Fatality Review Teams. Experience as c...
Paul Louis, MD
Medical Legal Consults
Alabama
Emergency Medicine
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Myocardial Infarction, Heart Attack/MI, Stroke, Epidural Abscess, Aortic Dissection, Pulmonary Embolism/PE, Testicular Torsion, Ectopic Pregnancy, Medical Necessity, Sepsis, Head trauma, EMTALA, Rape, Pyelonephritis, Veteran disability evaluator, PACT ACT, allergic reaction, suicide, psychosis
Dr. Louis is Board Certified in Emergency Medicine by the American Board of Emergency Medicine. He is a full-time practitioner of emergency medicine at a community emergency department. He has had experience in a range of practice settings from urgent care facilities and free-standing emergency rooms to trauma centers. His patient population ranges from infants to elderly nursing home patients. He has experience diagnosing and treating multiple serious conditions and also has extensive experience working locum tenens in rural/critical access hospitals. In his career, he has supervised medical students, residents, PAs, and ARNPs. He is also a trained veteran disability evaluator. In his 23 years of practice, he has seen over 100,000 patients.
Website: https://medicallegalconsults.com
Email: [email protected]
Phone: (561) 445-6674
Undergraduate Degree: University of Florida, Magna Cum Laude, in Neurobiological Sciences
Medical Degree: University of Miami.
He is lic...
Allison Weiner-Lasher, DPT, OTR/L
Allison Weiner-Lasher Therapy and Consulting Services, LLC.
Alabama
Physical Therapy, Occupational Therapy
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Nursing homes, rehab hospitals, pediatrics, geriatrics, surgical protocols, falls, sexual assault, training, orthopedics, pressure sores, transfers, restraints, fall risk assessment, supervision, ergonomics, medical necessity, billing, oncology, outpatient, neurological
Licensed physical and occupational therapist. 20+ years of clinical experience including: adults, pediatrics, nursing homes, inpatient and outpatient. Several years teaching experience. 9+ years expert witness experience. Significant supervisory experience of physical therapy and occupational therapy assistants and aides.
Pediatric Physical Therapy (PT) experience includes autism spectrum disorders, Angelman’s syndrome, Fragile X syndrome, pediatric orthopedics, pediatric surgery, Cerebral Palsy, muscular dystrophy, falls, falling off equipment.
Adult Physical Therapy (PT) experience includes patients with physical therapy deficits after oncology diagnoses and treatments, arthroscopic/arthroplasty surgeries of the shoulder, knee, hip and ankle, rotator cuff repairs, Achilles repairs, rotator cuff repairs, post-operative cervical, thoracic and lumbar spine surgeries, orthopedics, back pain syndromes, hand injuries/tendon repairs, ankle injuries/fractures, carpal tunnel repair, lum...
Jared R. Greenholz, MD
Praxis Med Experts
Arizona
Emergency Medicine
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Emergency Physician, Emergency Medicine, ER, Medical Malpractice, Standards of Care, Trauma, Stroke, Airway Management, Central Line Placement, Heart Attack, Appendicitis, Epidural Abscess, Pulmonary Embolism, Medical Necessity, Head Trauma, Fractures, Diabetic Ketoacidosis, Cardiac Resuscitation
Dr. Jared Greenholz, MD is an Emergency Medicine Doctor, who primarily practices in Oakland and Lakeport, California. He has been practicing for over 19 years and is board certified in Emergency Medicine by the American Board of Emergency Medicine. Dr. Greenholz graduated from New York Medical College and is currently affiliated with Highland Hospital and Sutter Lakeside Hospital.
His specialties include:
Trauma, stroke, airway management, central line placement, myocardial infarction, heart attack, appendicitis, epidural abscess, aortic dissection, pulmonary embolism, testicular torsion, ectopic pregnancy, medical necessity, pediatric emergency, head trauma, emergency trauma, fractures, dislocations, rural emergency medicine, headaches, diabetic ketoacidosis, abdominal pain, medical malpractice, standard of care, and cardiac resuscitation.
Amanda Jordan, MD, FACEP
Emergency Medicine Physician
Arizona
Emergency Medicine
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trauma, assault, toxicology, stroke, MI, fracture, concussion, heart attack, pulmonary embolism, appendicitis, sepsis, pneumonia, motor vehicle collision, DKA, abdominal pain, medical necessity
I am a full time clinical practitioner of emergency medicine board certified by the American Board of Emergency Medicine. I am a fellow of the American College of Emergency Practitioners. I have been in practice for over 16 years and have extensive experience at multiple practice levels including level 1 trauma centers, teaching facilities, critical access emergency rooms and free-standing emergency rooms.
I am ACLS and PALS certified. I have actively taught and supervised medical student, residents, nurse practitioners and physician assistants throughout my 16 years of clinical and teaching practice.
I graduated cum laude with a degree in Zoology from The University of Texas, medical school at University of Texas Medical Branch and was a chief resident of the emergency medicine program at University of Texas Southwestern.
Teaching Experience
• Clinical Assistant Professor, Department of Emergency Medicine, University of Arizona College of Medicine – Phoenix
• Clinical Associate Pr...
Paul Saiz, MD, FAAOS, CIME
3 Crosses Orthopedic Spine
Arizona
Spine Surgery & Spine Care, Medical Coding
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Spine fusion, Spine tumors, Spine trauma, Laminectomy, Discectomy, Total disk replacement, Decompression, Dural tear, Pedicle screws, Independent medical examinations, IME, Causation, Medical coding, Medical billing, Medical necessity, Spinal abscess, Disability evaluation, Workers Comp, MVA
Board Certified in Orthopedic Surgery and Spine Surgery in active clinical practice. Fellowship trained in both spinal reconstructive surgery and musculoskeletal oncology and reconstruction. 20+ years clinical experience in spine surgery. Well-experienced public speaker. Special expertise in spinal care coding. New Mexico State Team Physician. Experienced expert witness, independent medical examiner, and medical necessity peer reviewer. Licensed in New Mexico, Texas and Arizona.
Shishir Shah, DO, CWS, ABPM
Top Doctor Award Winning Wound Expert
SCOTTSDALE, Arizona
Wound Care, Medical Management
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bedsores, skin injuries, surgical wounds, burns, pressure ulcers, venous ulcers, hyperbaric oxygen, infections, nursing home, medical devices, telemedicine, scar, qui tam, medical necessity, fraud, patents, medical director, decubitus ulcers, diabetic ulcers, regenerative medicine
Award-winning wound care physician in active clinical practice. Wound care clinical, safety ,and leadership experience in acute care, skilled nursing (nursing homes), rehabilitation, and home health settings. Certified Wound Specialist (CWS) with additional Board Certifications in Hyperbaric Medicine and Family Practice. Has served as the medical director of several wound programs. Over twenty years of medical necessity/utilization review and expert witness experience. Midwestern University Medical School faculty. Significant private equity, medical device, startup, and consulting experience. Undergraduate degree in aeronautical engineering, Rensselaer Polytechnic Institute.
Deposition and trial experience in multiple states. Over 85,000 wound encounters. Key roles have included medical director oversight of several level 1 hospital trauma wound programs, 5 community hospital wound programs, and over 15 SNF/LTACHs. Co-implemented one of the largest wound care/hyperbaric clinical de...
Jared R. Greenholz, MD
Praxis Med Experts
Forest Knolls, California
Emergency Medicine
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Emergency Physician, Emergency Medicine, ER, Medical Malpractice, Standards of Care, Trauma, Stroke, Airway Management, Central Line Placement, Heart Attack, Appendicitis, Epidural Abscess, Pulmonary Embolism, Medical Necessity, Head Trauma, Fractures, Diabetic Ketoacidosis, Cardiac Resuscitation
Dr. Jared Greenholz, MD is an Emergency Medicine Doctor, who primarily practices in Oakland and Lakeport, California. He has been practicing for over 19 years and is board certified in Emergency Medicine by the American Board of Emergency Medicine. Dr. Greenholz graduated from New York Medical College and is currently affiliated with Highland Hospital and Sutter Lakeside Hospital.
His specialties include:
Trauma, stroke, airway management, central line placement, myocardial infarction, heart attack, appendicitis, epidural abscess, aortic dissection, pulmonary embolism, testicular torsion, ectopic pregnancy, medical necessity, pediatric emergency, head trauma, emergency trauma, fractures, dislocations, rural emergency medicine, headaches, diabetic ketoacidosis, abdominal pain, medical malpractice, standard of care, and cardiac resuscitation.
Thomas Baird McIlraith, MD, SFHM, CLHM
Baird Medical Consulting
Davis, California
Hospitalist, Internal Medicine
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Hospitalist, Hospital Medicine, Internal Medicine, Infections, Pneumonia, Electrolyte abnormalities, Hypertension, Diabetes, Heart Disease, Sepsis, Shock, Falls, Stroke, Medical Necessity, InterQual, Milliman Care Guidelines (MCG)
Dr. McIlraith received his BS, and MD from the University of Wisconsin; and completed Internal Medicine Residency at the McGaw Medical Center of Northwestern University in 1999. In 2000, he was made the head of the hospitalist division in the South Sacramento Kaiser Permanente. He became the Chairman of Hospital Medicine at Mercy Medical Group in 2004. In the subsequent 12 years he grew the department from 12 to 84 hospitalists. He was elected to the MMG board of directors in 2009, and served as Treasurer from 2011 through 2016.
Dr. McIlraith has been providing expert opinion services to defense and plaintiff clients since 2011.
He has served on the The Doctors Company Hospital Medicine Advisory Board.
Dr. McIlraith joined NAIP (now SHM) as a charter member in 1998 and has been active ever since. He was in the inaugural FHM class in 2009, the inaugural SFHM class in 2010, and the inaugural CLHM class in 2013. He was the 2016 recipient of the SHM Award of Excellence, and is...
Paul Louis, MD
Medical Legal Consults
Miami, Florida
Emergency Medicine
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Myocardial Infarction, Heart Attack/MI, Stroke, Epidural Abscess, Aortic Dissection, Pulmonary Embolism/PE, Testicular Torsion, Ectopic Pregnancy, Medical Necessity, Sepsis, Head trauma, EMTALA, Rape, Pyelonephritis, Veteran disability evaluator, PACT ACT, allergic reaction, suicide, psychosis
Dr. Louis is Board Certified in Emergency Medicine by the American Board of Emergency Medicine. He is a full-time practitioner of emergency medicine at a community emergency department. He has had experience in a range of practice settings from urgent care facilities and free-standing emergency rooms to trauma centers. His patient population ranges from infants to elderly nursing home patients. He has experience diagnosing and treating multiple serious conditions and also has extensive experience working locum tenens in rural/critical access hospitals. In his career, he has supervised medical students, residents, PAs, and ARNPs. He is also a trained veteran disability evaluator. In his 23 years of practice, he has seen over 100,000 patients.
Website: https://medicallegalconsults.com
Email: [email protected]
Phone: (561) 445-6674
Undergraduate Degree: University of Florida, Magna Cum Laude, in Neurobiological Sciences
Medical Degree: University of Miami.
He is lic...
Allison Weiner-Lasher, DPT, OTR/L
Allison Weiner-Lasher Therapy and Consulting Services, LLC.
Florida
Physical Therapy, Occupational Therapy
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Nursing homes, rehab hospitals, pediatrics, geriatrics, surgical protocols, falls, sexual assault, training, orthopedics, pressure sores, transfers, restraints, fall risk assessment, supervision, ergonomics, medical necessity, billing, oncology, outpatient, neurological
Licensed physical and occupational therapist. 20+ years of clinical experience including: adults, pediatrics, nursing homes, inpatient and outpatient. Several years teaching experience. 9+ years expert witness experience. Significant supervisory experience of physical therapy and occupational therapy assistants and aides.
Pediatric Physical Therapy (PT) experience includes autism spectrum disorders, Angelman’s syndrome, Fragile X syndrome, pediatric orthopedics, pediatric surgery, Cerebral Palsy, muscular dystrophy, falls, falling off equipment.
Adult Physical Therapy (PT) experience includes patients with physical therapy deficits after oncology diagnoses and treatments, arthroscopic/arthroplasty surgeries of the shoulder, knee, hip and ankle, rotator cuff repairs, Achilles repairs, rotator cuff repairs, post-operative cervical, thoracic and lumbar spine surgeries, orthopedics, back pain syndromes, hand injuries/tendon repairs, ankle injuries/fractures, carpal tunnel repair, lum...
Victoria Coraglio, MD, CWSP
Chicago, Illinois
Wound Care, Nursing Homes
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Wound Care, Pressure Ulcers, Pressure Sores, Wound Prevention, Standard of Care, Nursing Home, Skilled facilities, Assisted living, Long Term Care, Geriatrics, Diabetic Ulcer, Venous ulcer, Arterial ulcer, Surgical wound, Telemedicine, Medical Necessity, Malpractice, Fraud, Medicare B, Osteomyelits
Dr Coraglio is a current active wound care physician for 5+ years, seeing over 150 patients a week at nursing/long term and skilled nursing facilities. Her main focus is treatment of wounds as well as implementing wound care practices in these facilities. Dr Coraglio is also a peer physician medical chart auditor, where she reviews data to ensure the accuracy of the medical record and assess the quality of patient care. She is a Certified Wound Specialist Physician (CWSP) by the American Board of Wound Management (ABWM).
Glenda E Flemister, MD, FACP, FCCP
Medical Health Solutions.us
Frankfort, Illinois
Pulmonary Critical Care Medicine, Critical Care Medicine
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Medical Management, Medical Utilization & Location of Care, Fraud & Abuse, Compliance, Medical Necessity, Medical Devices, Pharmacy Management, Genomics & Personalized Health, Insurance Reviews of Plan Benefits, Insurance Clinical Policy Reviews, Long Term Acute Care & Long Term Care
Triple Board Certified physician executive/consultant, (Board Certified in Internal Medicine, Pulmonary Medicine, and Critical Care Medicine), with vast experience in medical necessity and utilization review. Over 12 years of experience in national insurance and payer companies. Has served as Medical Director for Aetna, Blue Cross Blue Shield Association, and interim CEO for Next Level Health Partners.
Consultation services to companies and manufactures in various areas, (pharmacy, genomics, medical devices, medical management, utilization, etc.), regarding healthcare medical necessity, compliance and educational issues. Fraud and Abuse. Government plans: Medicare & Medicaid. Private insurers all plans: HMO, PPO, Specialty networks. Expert reviews and medical litigation support performed. Sub-specialty medical reviews in Pulmonary and Critical Care Medicine.
Current license: Illinois; New Mexico; Oklahoma; Kentucky; New Mexico
...
Paul Louis, MD
Medical Legal Consults
Illinois
Emergency Medicine
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Myocardial Infarction, Heart Attack/MI, Stroke, Epidural Abscess, Aortic Dissection, Pulmonary Embolism/PE, Testicular Torsion, Ectopic Pregnancy, Medical Necessity, Sepsis, Head trauma, EMTALA, Rape, Pyelonephritis, Veteran disability evaluator, PACT ACT, allergic reaction, suicide, psychosis
Dr. Louis is Board Certified in Emergency Medicine by the American Board of Emergency Medicine. He is a full-time practitioner of emergency medicine at a community emergency department. He has had experience in a range of practice settings from urgent care facilities and free-standing emergency rooms to trauma centers. His patient population ranges from infants to elderly nursing home patients. He has experience diagnosing and treating multiple serious conditions and also has extensive experience working locum tenens in rural/critical access hospitals. In his career, he has supervised medical students, residents, PAs, and ARNPs. He is also a trained veteran disability evaluator. In his 23 years of practice, he has seen over 100,000 patients.
Website: https://medicallegalconsults.com
Email: [email protected]
Phone: (561) 445-6674
Undergraduate Degree: University of Florida, Magna Cum Laude, in Neurobiological Sciences
Medical Degree: University of Miami.
He is lic...
Sarita M Massey, MD, MPH, FACOG
Catalyst Health and Equity Solutions LLC
Chicago, Illinois
Public Health, Hospital Administration
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medical necessity, utilization management, Insurance clinical policy reviews, managed care, obstetrics, gynecology
Board Certified Obstetrician and Gynecologist with more than 3 decades of experience in healthcare. Experience with peer review including 10 years on State Medical Disciplinary Board. More than a decade of experience as Medical Director on provider and payor side, authoring policies and procedures, performing medical necessity review with specialization in prior authorization.
Seth P Womack, MD, FAAEM
Emergency Medicine Physician - Highly Experienced
Clinical Assistant Professor of Emergency Medicine
Louisiana
Emergency Medicine, Medical Management
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Airway Management, Central Line Placement, Myocardial Infarction, Heart Attack, Stroke, Appendicitis, epidural abscess, aortic dissection, Pulmonary Embolism, Testicular Torsion, Ectopic Pregnancy, Medical Necessity, pediatric emergency, head trauma, billing, cost analysis, emergency trauma, trauma
Board Certified in Emergency Medicine by the American Board of Emergency Medicine. Clinical Assistant Professor of Emergency Medicine and Active Practitioner of Emergency Medicine. Has work experience at a level 1 trauma center and its associated freestanding emergency room. Recognized by the American Academy of Emergency Medicine as having expertise in pediatric, trauma, neurological, and cardiac resuscitation. ATLS, ACLS, BLS, and PALS certified. ATLS course instructor. Completion of The Difficult Airway Course: Emergency™. Undergraduate Degree, Magna Cum Laude, in biomedical engineering. Licensed in Louisiana and Texas. Completed multiple SEAK expert witness training courses. Experienced flight physician. Skilled in utilization of video laryngoscopy for emergency airway management and in bedside ultrasound procedures.
Richard A Parker, MD
Hospital Corporate Negligence
Care Dimensions hospice
Newton Highlands, Massachusetts
Hospital Administration, Hospice and Palliative Care
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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 48 trials and depositions over 23 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, Mass. Experienced speaker and presenter.
Brian Woodruff, MD
East Grand Rapids, Michigan
Pediatric Neurology, Brain Injury Medicine
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Child Neurology, Hypoxic ischemic encephalopathy, HIE, cerebral palsy, stroke, hypoxic brain injury, seizures, life expectancy, medical necessity, timing of injury, perinatal/birth asphyxia, concussions, headaches, intracranial hemorrhage, epilepsy, head trauma, developmental delay
Board-certified pediatric neurologist in active clinical practice. Michigan and Wisconsin trained. Award-winning teacher. Michigan State University – College of Human Medicine school faculty. Extensive expert witness experience – testified in over 100 cases.
Amanda Jordan, MD, FACEP
Emergency Medicine Physician
Henderson, Nevada
Emergency Medicine
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trauma, assault, toxicology, stroke, MI, fracture, concussion, heart attack, pulmonary embolism, appendicitis, sepsis, pneumonia, motor vehicle collision, DKA, abdominal pain, medical necessity
I am a full time clinical practitioner of emergency medicine board certified by the American Board of Emergency Medicine. I am a fellow of the American College of Emergency Practitioners. I have been in practice for over 16 years and have extensive experience at multiple practice levels including level 1 trauma centers, teaching facilities, critical access emergency rooms and free-standing emergency rooms.
I am ACLS and PALS certified. I have actively taught and supervised medical student, residents, nurse practitioners and physician assistants throughout my 16 years of clinical and teaching practice.
I graduated cum laude with a degree in Zoology from The University of Texas, medical school at University of Texas Medical Branch and was a chief resident of the emergency medicine program at University of Texas Southwestern.
Teaching Experience
• Clinical Assistant Professor, Department of Emergency Medicine, University of Arizona College of Medicine – Phoenix
• Clinical Associate Pr...
Mark L Friedman, MD, FACEP, FACP
Medical billing and coding expertise
Medical Directions LLC
Newbury, New Hampshire
Medical Billing, Medical Coding
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ALL STATES, Medical Billing, Coding, Usual and customary, reasonable and customary, DRG, CPT, ICD-10, ICD-9, medical necessity, fees, fee schedule, billing
Mark L Friedman MD FACEP FACP is currently Chief Medical Officer Emeritus of First Stop Health. He is an emergency physician emeritus at St Vincent’s Hospital in Bridgeport, CT. He was formerly Associate Professor of Emergency Medicine at the Frank Netter School of Medicine, Chief of Emergency Medicine at St Elizabeth's Hospital of Boston, Assistant Professor of Medicine at Tufts University School of Medicine, Assistant Clinical Professor of Emergency Medicine at the University of Illinois, and Adjunct Professor of Public Health at Benedictine University.
Dr. Friedman is an expert in DRG claims analysis and medical cost containment. He has helped design programs to prevent medical errors as well as malpractice litigation. He has served as an advisor to government on medical billing fraud and abuse and developed two companies that perform audits for the Medicare RAC. Dr. Friedman is the author of articles and books on medically related topics. Dr Friedman specializes in expert op...
Allison Weiner-Lasher, DPT, OTR/L
Allison Weiner-Lasher Therapy and Consulting Services, LLC.
Glen Rock , New Jersey
Physical Therapy, Occupational Therapy
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Nursing homes, rehab hospitals, pediatrics, geriatrics, surgical protocols, falls, sexual assault, training, orthopedics, pressure sores, transfers, restraints, fall risk assessment, supervision, ergonomics, medical necessity, billing, oncology, outpatient, neurological
Licensed physical and occupational therapist. 20+ years of clinical experience including: adults, pediatrics, nursing homes, inpatient and outpatient. Several years teaching experience. 9+ years expert witness experience. Significant supervisory experience of physical therapy and occupational therapy assistants and aides.
Pediatric Physical Therapy (PT) experience includes autism spectrum disorders, Angelman’s syndrome, Fragile X syndrome, pediatric orthopedics, pediatric surgery, Cerebral Palsy, muscular dystrophy, falls, falling off equipment.
Adult Physical Therapy (PT) experience includes patients with physical therapy deficits after oncology diagnoses and treatments, arthroscopic/arthroplasty surgeries of the shoulder, knee, hip and ankle, rotator cuff repairs, Achilles repairs, rotator cuff repairs, post-operative cervical, thoracic and lumbar spine surgeries, orthopedics, back pain syndromes, hand injuries/tendon repairs, ankle injuries/fractures, carpal tunnel repair, lum...
Paul Saiz, MD, FAAOS, CIME
3 Crosses Orthopedic Spine
Las Cruces, New Mexico
Spine Surgery & Spine Care, Medical Coding
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Spine fusion, Spine tumors, Spine trauma, Laminectomy, Discectomy, Total disk replacement, Decompression, Dural tear, Pedicle screws, Independent medical examinations, IME, Causation, Medical coding, Medical billing, Medical necessity, Spinal abscess, Disability evaluation, Workers Comp, MVA
Board Certified in Orthopedic Surgery and Spine Surgery in active clinical practice. Fellowship trained in both spinal reconstructive surgery and musculoskeletal oncology and reconstruction. 20+ years clinical experience in spine surgery. Well-experienced public speaker. Special expertise in spinal care coding. New Mexico State Team Physician. Experienced expert witness, independent medical examiner, and medical necessity peer reviewer. Licensed in New Mexico, Texas and Arizona.
Dinesh John, MD, MMM, FACP
Jamesville, New York
Hospitalist, Medical Management
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hospital negligence, hospital liability, sepsis, infection, internal medicine, medication errors, pneumonia, hypertension, stroke, medical necessity, diabetes, cardiac arrest, chest pain, congestive heart failure, pulmonary embolism, PE, patient handoff, respiratory failure, pressure sores, falls
Award-winning, Board-certified hospitalist in active clinical practice. Former Chief Quality Officer and Assistant Vice-President of Quality at SUNY-Upstate University Healthcare System, with responsibility for overall quality of care and patient safety for a large healthcare organization serving over 1.8 million people in Upstate New York. Former Medical Staff President of an academic tertiary care hospital. SUNY Faculty. Experienced public speaker.
Holds a Master of Medical Management (MMM) degree from Carnegie Mellon University. Certified Physician Advisor (CHCQM-PHYADV), and Distinguished Toastmaster (DTM). Have taken multiple SEAK courses on expert witness practice management.
Allison Weiner-Lasher, DPT, OTR/L
Allison Weiner-Lasher Therapy and Consulting Services, LLC.
New York
Physical Therapy, Occupational Therapy
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Nursing homes, rehab hospitals, pediatrics, geriatrics, surgical protocols, falls, sexual assault, training, orthopedics, pressure sores, transfers, restraints, fall risk assessment, supervision, ergonomics, medical necessity, billing, oncology, outpatient, neurological
Licensed physical and occupational therapist. 20+ years of clinical experience including: adults, pediatrics, nursing homes, inpatient and outpatient. Several years teaching experience. 9+ years expert witness experience. Significant supervisory experience of physical therapy and occupational therapy assistants and aides.
Pediatric Physical Therapy (PT) experience includes autism spectrum disorders, Angelman’s syndrome, Fragile X syndrome, pediatric orthopedics, pediatric surgery, Cerebral Palsy, muscular dystrophy, falls, falling off equipment.
Adult Physical Therapy (PT) experience includes patients with physical therapy deficits after oncology diagnoses and treatments, arthroscopic/arthroplasty surgeries of the shoulder, knee, hip and ankle, rotator cuff repairs, Achilles repairs, rotator cuff repairs, post-operative cervical, thoracic and lumbar spine surgeries, orthopedics, back pain syndromes, hand injuries/tendon repairs, ankle injuries/fractures, carpal tunnel repair, lum...
Paul Louis, MD
Medical Legal Consults
Pennsylvania
Emergency Medicine
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Myocardial Infarction, Heart Attack/MI, Stroke, Epidural Abscess, Aortic Dissection, Pulmonary Embolism/PE, Testicular Torsion, Ectopic Pregnancy, Medical Necessity, Sepsis, Head trauma, EMTALA, Rape, Pyelonephritis, Veteran disability evaluator, PACT ACT, allergic reaction, suicide, psychosis
Dr. Louis is Board Certified in Emergency Medicine by the American Board of Emergency Medicine. He is a full-time practitioner of emergency medicine at a community emergency department. He has had experience in a range of practice settings from urgent care facilities and free-standing emergency rooms to trauma centers. His patient population ranges from infants to elderly nursing home patients. He has experience diagnosing and treating multiple serious conditions and also has extensive experience working locum tenens in rural/critical access hospitals. In his career, he has supervised medical students, residents, PAs, and ARNPs. He is also a trained veteran disability evaluator. In his 23 years of practice, he has seen over 100,000 patients.
Website: https://medicallegalconsults.com
Email: [email protected]
Phone: (561) 445-6674
Undergraduate Degree: University of Florida, Magna Cum Laude, in Neurobiological Sciences
Medical Degree: University of Miami.
He is lic...
Adam Canion, MD, FAAEM, FACEP
Emergency Medicine Physician - Full Time Practice
Tyler, Texas
Emergency Medicine
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Intubation, Airway Management, Myocardial Infarction, Heart Attack, Stroke, Appendicitis, Epidural Abscess, Aortic Dissection, Pulmonary Embolism, Testicular Torsion, Ectopic Pregnancy, Medical Necessity, Pediatric Emergency, Head Trauma, Billing, Sepsis, Trauma, Envenomation, Overdose, Malpractice
Full time clinical practitioner of emergency medicine, Board Certified in Emergency Medicine by the American Board of Emergency Medicine. Has significant clinical experience at level 1 trauma centers, level 2 trauma centers, as well as associated critical access hospitals and freestanding emergency rooms. Has treated more than 30,000 patients in the emergency department. Recognized by the American Academy of Emergency Medicine as having expertise in pediatric, trauma, neurological, and cardiac resuscitation. Experience in chart review and standard of care evaluations. Undergraduate degree, Summa Cum Laude, in Health and Kinesiology. Expertise in resuscitation as well as life and limb saving emergency procedures. Serves on multiple clinical improvement committees including sepsis taskforce, national workforce committees and government relations committee. Experience in Children's Advocacy Center Medical Directorship and governor appointed Child Fatality Review Teams. Experience as c...
Amanda Jordan, MD, FACEP
Emergency Medicine Physician
Texas
Emergency Medicine
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trauma, assault, toxicology, stroke, MI, fracture, concussion, heart attack, pulmonary embolism, appendicitis, sepsis, pneumonia, motor vehicle collision, DKA, abdominal pain, medical necessity
I am a full time clinical practitioner of emergency medicine board certified by the American Board of Emergency Medicine. I am a fellow of the American College of Emergency Practitioners. I have been in practice for over 16 years and have extensive experience at multiple practice levels including level 1 trauma centers, teaching facilities, critical access emergency rooms and free-standing emergency rooms.
I am ACLS and PALS certified. I have actively taught and supervised medical student, residents, nurse practitioners and physician assistants throughout my 16 years of clinical and teaching practice.
I graduated cum laude with a degree in Zoology from The University of Texas, medical school at University of Texas Medical Branch and was a chief resident of the emergency medicine program at University of Texas Southwestern.
Teaching Experience
• Clinical Assistant Professor, Department of Emergency Medicine, University of Arizona College of Medicine – Phoenix
• Clinical Associate Pr...
Paul Saiz, MD, FAAOS, CIME
3 Crosses Orthopedic Spine
Texas
Spine Surgery & Spine Care, Medical Coding
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Spine fusion, Spine tumors, Spine trauma, Laminectomy, Discectomy, Total disk replacement, Decompression, Dural tear, Pedicle screws, Independent medical examinations, IME, Causation, Medical coding, Medical billing, Medical necessity, Spinal abscess, Disability evaluation, Workers Comp, MVA
Board Certified in Orthopedic Surgery and Spine Surgery in active clinical practice. Fellowship trained in both spinal reconstructive surgery and musculoskeletal oncology and reconstruction. 20+ years clinical experience in spine surgery. Well-experienced public speaker. Special expertise in spinal care coding. New Mexico State Team Physician. Experienced expert witness, independent medical examiner, and medical necessity peer reviewer. Licensed in New Mexico, Texas and Arizona.
Seth P Womack, MD, FAAEM
Emergency Medicine Physician - Highly Experienced
Clinical Assistant Professor of Emergency Medicine
Tyler, Texas
Emergency Medicine, Medical Management
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Airway Management, Central Line Placement, Myocardial Infarction, Heart Attack, Stroke, Appendicitis, epidural abscess, aortic dissection, Pulmonary Embolism, Testicular Torsion, Ectopic Pregnancy, Medical Necessity, pediatric emergency, head trauma, billing, cost analysis, emergency trauma, trauma
Board Certified in Emergency Medicine by the American Board of Emergency Medicine. Clinical Assistant Professor of Emergency Medicine and Active Practitioner of Emergency Medicine. Has work experience at a level 1 trauma center and its associated freestanding emergency room. Recognized by the American Academy of Emergency Medicine as having expertise in pediatric, trauma, neurological, and cardiac resuscitation. ATLS, ACLS, BLS, and PALS certified. ATLS course instructor. Completion of The Difficult Airway Course: Emergency™. Undergraduate Degree, Magna Cum Laude, in biomedical engineering. Licensed in Louisiana and Texas. Completed multiple SEAK expert witness training courses. Experienced flight physician. Skilled in utilization of video laryngoscopy for emergency airway management and in bedside ultrasound procedures.
Karla Lacayo, MD FACEP
Vienna, Virginia
Emergency Medicine
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Heart Attack, Stroke, Sepsis, Airway Management, Abdominal Aortic Aneurysm, Pulmonary Embolism, Aortic Dissection, Ectopic Pregnancy, Ovarian Torsion, Testicular Torsion, Appendicitis, Orthopedic Injuries, Medical Necessity, EMTALA, Medical Malpractice, Risk Management
Board Certified in Emergency Medicine by the American Board of Emergency Medicine (ABEM). Fellow of the American College of Emergency Physicians (FACEP). 16 years of experience in Adult and Pediatric Emergency Medicine. Practices full-time in a mid-sized community hospital, and supervises physician extenders. Worked as the sole provider in free-standing Emergency Department. Expert in standard of care in Emergency Medicine. Can assist with case review, expert witness testimony, opinions on medical malpractice and negligence. Medical Director for the Emergency Department, Chief of Staff for the Hospital. Serves on Credentials Committee, Quality Committee, and Peer Review Committee. Graduated cum laude from Dartmouth College, completed medical school at Northwestern University, and Emergency Medicine Residency at George Washington University. Licensed in Virginia. Fluent in Spanish.
Morgan R. Price, DC
West Coast Chiropractic Experts
Seattle, Washington
Chiropractic
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Standard of Care, Chiropractic Peer Review, Slip and Fall, Billing Reviews, Causation, Personal Injury, Chiropractic Case Review, Medical Necessity, Apportionment, Whiplash, Medical Record Review, Motor Vehicle, Practice Guidelines, Trauma, Auto Accident, Traumatic Injury, Chart Review
Dr. Morgan Price is a residency-trained, hospital-based chiropractor in active clinical practice. She is intimately familiar with musculoskeletal diagnosis, treatment, medical necessity, imaging referral, and medical co-management. She has written and contributed to peer-reviewed, published research in areas such as medical co-management, musculoskeletal assessment and diagnosis, and best practice guidelines. She serves on a variety of advisory boards and committees with prominent professional associations and enjoys educating medical and chiropractic trainees as an attending in her clinic.
Kelly Carter, MD, FACEP
HealthAdvise
Verona, Wisconsin
Emergency Medicine
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Airway Management, Central Line Placement, Myocardial Infarction, Heart Attack, Stroke, Appendicitis, epidural abscess, aortic dissection, Pulmonary Embolism, Testicular Torsion, Ectopic Pregnancy, Medical Necessity, pediatric emergency, Head Trauma, Billing, Cost Analysis, Emergency trauma
Kelly Carter graduated in the top third of her class from the University of Wisconsin-Madison Medical School. She completed her Emergency Medicine Residency at the Pitt County Memorial Hospital/Brody School of Medicine and was Chief Resident for one year. She is board certified by the American Board of Emergency Medicine.
Kelly has been an emergency medicine physician for 16 years. She also has experience as a telemedicine physician, and was Co-Founder and CEO of Brily Innovations, a company using technology to create products that improved patient care, reduce financial loss and improve efficiency in the emergency department.
In her current role Kelly is assisting in charting efficiency through improving EPIC and Cerner templates, phrases, and lists, and gives individual coaching to improve documentation and reimbursement. She has over five years of experience in EPIC, Cerner, and Medhost, and has completed the EPIC Power User Course. She is serving her fourth year on the ...
Seth P Womack, MD, FAAEM
Emergency Medicine Physician - Highly Experienced
Clinical Assistant Professor of Emergency Medicine
Wisconsin
Emergency Medicine, Medical Management
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Airway Management, Central Line Placement, Myocardial Infarction, Heart Attack, Stroke, Appendicitis, epidural abscess, aortic dissection, Pulmonary Embolism, Testicular Torsion, Ectopic Pregnancy, Medical Necessity, pediatric emergency, head trauma, billing, cost analysis, emergency trauma, trauma
Board Certified in Emergency Medicine by the American Board of Emergency Medicine. Clinical Assistant Professor of Emergency Medicine and Active Practitioner of Emergency Medicine. Has work experience at a level 1 trauma center and its associated freestanding emergency room. Recognized by the American Academy of Emergency Medicine as having expertise in pediatric, trauma, neurological, and cardiac resuscitation. ATLS, ACLS, BLS, and PALS certified. ATLS course instructor. Completion of The Difficult Airway Course: Emergency™. Undergraduate Degree, Magna Cum Laude, in biomedical engineering. Licensed in Louisiana and Texas. Completed multiple SEAK expert witness training courses. Experienced flight physician. Skilled in utilization of video laryngoscopy for emergency airway management and in bedside ultrasound procedures.
