Health Equity, Credentialing, Managed Care, HIPPA

Specialties & Experience of this Expert Witness

Additional Information

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 and improved effectiveness for patient engagement in obesity, cholesterol, high blood pressure, and diabetes management. With current licensure in Kentucky, North Carolina, Pennsylvania & Virginia, I am board certified in emergency medicine and internal medicine. As an experienced public speaker, I serve as Founding Chief Medical Correspondent at station WVGB-FM in Beaufort, South Carolina. My consulting hourly rate is $375 and my testifying hourly rate is $575. OTHER AREAS OF EXPERIENCE: Appeals & Grievances Case Management Corporate Practice of Medicine Disease Management Health Equity Healthcare Disparity Integrative Medicine Medical Insurance Medical Necessity Patient Grievances and Appeals Patient Safety Pharmacology Physician Grievances & Appeals Physician Quality of Care Physician Sanctions Population Health Management Telemedicine Utilization Review