Physician Credentialing Expert Witnesses

Palm Springs, California

Medical Management, Vascular Surgery - Physician Credentialing, Physician Peer Review, Negligent Credentialing, Negligent Peer Review, Patient Safety, Healthcare Quality, Performance Improvement, Fair/Judicial hearings, Medical Staff Affairs, Conflicts of Interest, Physician Integration and Alignment, Physician conduct

Dr. Smith is an independent senior healthcare consultant and a practicing vascular surgeon as a Clinical Professor of Surgery at the University of California, Irvine. He has provided expert medical testimony in cases involving medical staff affairs, peer review and credentialing/privileging. He previously served as the Chief Medical Officer with Morrisey Associates Inc/ Morcare LLC for six years and for The Hardenbergh Group0 for 2 years.. He brings 40+ years of clinical practice and hospital management experiences to his work with physicians and hospitals across the United States. He is Board Certified in Vascular Surgery and is a Fellow of the American College of Surgeons, the American College of Healthcare Executives. He is a member of the American College of Physician Executives, the Society for Vascular Surgery and the Southern California Vascular Surgical Society. Dr. Smith has an expertise in system quality and performance improvement, peer review, ongoing and focused pro...

Palm Beach Gardens, Florida

Ambulatory Surgery Centers, Hospital Administration - Physician credentialing, hospital policies/procedures, hospital standards of care, Joint Comm. Standards, alleged billing disputes, business valuations, negligent hiring, Med. Staff bylaws

Pertaining to litigation support, Mr. Podrat has more than thirty-five years of extensive involvement in complex healthcare-related litigation including, identification of breach of standards of care in the operation of hospitals, nursing homes and ambulatory care environments, physician credentialing in both hospital and managed care organizations, hospital and medical staff bylaws, interpretation of Joint Commission Standards, negligent hiring, managed care contracting, administrative and economic analysis related to enterprise value and third-party billing disputes Mr. Podrat also serves as an advisor and mentor to newly graduated MHA's through the American Collège of HealthCare Executives.

Glen Carbon, Illinois

Hospital Administration - Physician Credentialing, Provider Enrollment, Physician Licensing, Medical Staff Governance, Accreditation & Regulatory Compliance, Medical Staff Bylaws, CVO Operations, Credentialing Audits, Negligent Credentialing, Physician Quality, Enrollment Fraud, Privileging, Peer Review, Credentialing Red Flags, Provider Termination

Donna Goestenkors, CPMSM®, EMSP, CLE, is a nationally recognized expert in credentialing, privileging, provider enrollment, healthcare compliance, and medical staff governance, with over 45 years of leadership in medical services. Her expertise is sought by attorneys for cases involving credentialing policies and procedures, medical staff bylaws and governance, provider enrollment processes, licensure requirements, quality assurance, and regulatory compliance. She provides expert witness testimony and consulting in legal matters including negligent credentialing, provider enrollment compliance, regulatory violations, performance improvement, and wrongful termination. Donna supports both plaintiff and defense attorneys through case analysis, deposition testimony, and expert reporting. As founder and president of Team Med Global, Donna leads a national consulting, staffing, and education firm serving hospitals, health systems, managed care organizations, and credentials verification ...

Palmyra, Pennsylvania

Emergency Medicine, Family Medicine - Emergency Medicine, Family Medicine, Urgent Care, Family Physicians in Emergency Medicine, Rural Emergency Medicine, Emergency Medicine Workforce, Physician Credentialing, Criminal Defense Cases, Emergency Medicine Malpractice, Insurance Reviews, Peer Review

URGENT CARE, FAMILY MEDICINE, EMERGENCY MEDICINE Full time clinician and assistant clinical professor. Prompt and professional expert on the standard of care for family medicine, urgent care and emergency medicine. Reasonable rates, and expedited reviews when necessary: I'm always willing to discuss a case without obligation. Published author on family physicians in emergency medicine; workforce and credentialing issues in EM. Full-time practice of EM, part time urgent care, Family practice trained emergency physician; broad scope of practice that includes the initial management of most clinical conditions. Some Key terms for searching : sore throat, peritonsilar abscess, mastoiditis, allergic reaction, glacoma, eye injury, loss of vision, double vision, vertigo, cerebellar, anaphylaxis, airway management, failure to intubate, arrythmias, chest injury, trauma, pneumonia, pneumothorax, chest pain, heart disease, other myocardial diseases, pericardial tamponade, pulmonary ...

Pennsylvania

Ambulatory Surgery Centers, Hospital Administration - Physician credentialing, hospital policies/procedures, hospital standards of care, Joint Comm. Standards, alleged billing disputes, business valuations, negligent hiring, Med. Staff bylaws

Pertaining to litigation support, Mr. Podrat has more than thirty-five years of extensive involvement in complex healthcare-related litigation including, identification of breach of standards of care in the operation of hospitals, nursing homes and ambulatory care environments, physician credentialing in both hospital and managed care organizations, hospital and medical staff bylaws, interpretation of Joint Commission Standards, negligent hiring, managed care contracting, administrative and economic analysis related to enterprise value and third-party billing disputes Mr. Podrat also serves as an advisor and mentor to newly graduated MHA's through the American Collège of HealthCare Executives.

Bluffton, South Carolina

Hospital Administration, HMO - Managed Care, Physician Credentialing, Medical Expert, Drugs, Corporate Practice of Medicine, Healthcare Fraud, Value Based Care, Defamation, Physician Sanctions, Medical Records Review, Medical Management, Pharmacology, Health Literacy, Medical Administration, HIPPA, Patient Safety & Quality, Health Equity, Accountable Care Orgs, HMO

FRANK L BROWN, JR, MD, MBA, FCP, FACP My education has been in pharmacy, medicine, and business at Howard University, Yale University, and Virginia Commonwealth University, respectively. I have served as an Examiner for the Malcolm Baldrige National Quality Award, as well as the National Committee for Quality Assurance. Areas of expertise developed by me include: • Credentialing • Defamation • Health Disparity • Health Equity • Health Literacy • Healthcare Fraud/Qui Tam • HMO & Managed Care • Pharmacology • Pre-authorization • Value-Based Care/ACO Key metrics managed during my career include the conduct of over 5,000 physician credentialing reviews; over 5,000 medical necessity/utilization management reviews; and over 2,000 patient/physician committee and in-person grievance & appeal reviews; and the planning, organizing, development, staffing and monitoring of programs for patient quality of care, and safety. I hold patents for improved emergency patient flow system design a...