Utilization Expert Witnesses

New Jersey

Forensic Psychology, Psychology - disability, permanency, personal injury, risk, fitness for duty, pre-employment, corrections, workers comp, neuropsychology, civil, criminal, causality, occupational, MMI, utilization, assessment, evaluation, consultation, competency, mitigation

Licensed clinical psychologist specializing in forensic, civil, and occupational psychological evaluations, with extensive experience in workers’ compensation, disability determinations, fitness-for-duty, risk assessment, and record-based forensic opinions. Practice is primarily evaluation-focused, with secondary outpatient psychotherapy and clinical supervision in adult populations. Experienced working with public-sector agencies, correctional systems, insurers, and legal stakeholders. PSYPACT authorized.

New York, New York

Forensic Psychology, Psychology - disability, permanency, personal injury, risk, fitness for duty, pre-employment, corrections, workers comp, neuropsychology, civil, criminal, causality, occupational, MMI, utilization, assessment, evaluation, consultation, competency, mitigation

Licensed clinical psychologist specializing in forensic, civil, and occupational psychological evaluations, with extensive experience in workers’ compensation, disability determinations, fitness-for-duty, risk assessment, and record-based forensic opinions. Practice is primarily evaluation-focused, with secondary outpatient psychotherapy and clinical supervision in adult populations. Experienced working with public-sector agencies, correctional systems, insurers, and legal stakeholders. PSYPACT authorized.

Memphis , Tennessee

Hospital Administration, Legal Medicine - Negligent Credentialing, Denial of Privileges, Denial of Credentials, Suspension of Privileges, Revocation of Privileges, MedicaL Staff Bylaws, Peer Review Process, Insurance Denials /Appeals, Physician Education on Documentation, Physician Care Protocols, Case Management, Utilization, Regulatory Issues

30yr history of a Physician Executive, Board Certified in Internal Medicine. Served as the Chief Medical Officer on every level from facility to regional to corporate. I am an expert in all aspects of Physician Credentialing/Privileging. I have represented both the physician and the facility side of denials of initial privileges to suspension and revocation of privilege. Extensive experience in representing medical staffs & facilities with regards to complaints from the Regulatory Authorities regarding Negligent Credentialing. I have also worked with Plaintiff Counsel regarding Negligent Credentialing Issues. Have been key advisor to Medical Staffs on revisions of their bylaws with expertise surrounding privileges, credentialing, peer review, suspension and revocation of providers . I have successfully overturned 1, 2 and 3rd level Insurance Denials. Have extensive experience of presenting to the Administrative Judge to overturn these 3rd level denials, Served as an Appeals Revi...