HMO Expert Witnesses in North Carolina

The SEAK Expert Witness Directory contains a comprehensive list of hmo expert witnesses who testify, consult and provide litigation support on hmo and related issues. Hmo expert witnesses and consultants on this page may form expert opinions, draft expert witness reports, and provide expert witness testimony at deposition and trial. The issues and subjects these hmo expert witnesses testify regarding may include: Appeals, Documentation Standards, Helicopter Transportation, Inpatient Authorization, Ma, Managed Care, Medicare Advantage, Outpatient Authorization, Pa, Post Acute Authorization, and Prior Authorization.

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James J. McCormick, M.D., M.B.A

Medicare Advantage Prior Auth Physician Expert

Yanceyville, North Carolina
HMO, Insurance - prior authorization, PA, Medicare Advantage, MA, Outpatient authorization, Inpatient authorization, Post Acute authorization, Appeals, documentation standards, managed care, helicopter transportation
As a physician leader, I have designed and implemented systems to ensure medical recordkeeping meet legal, reimbursement, and quality benchmarks. I spearheaded the development of a multi-state governance framework for both primary and specialty care groups, ensuring peer review, credentialing, quality assurance, and utilization management processes are rigorously structured and defensible. I also led the creation of an enterprise-wide Utilization Management Committee to meet CMS mandates. The committee is empowered to critically evaluate national clinical policies before adoption—aligning frontline utilization decisions with evidence-based standards. With decades of expanding leadership across diverse healthcare sectors, I bring a fair, balanced, and meticulously documented expert perspective to every case I consider. Tradewinds Healthcare Consulting, LLC 04/2025 - Present - Consulting Expert - Testifying Expert - Clinical case review Humana, Inc. 08/2023 - 04/2024...
You can also find HMO Expert Witnesses in:
California, Florida, North Carolina, South Carolina, and Texas