Nationally recognized physician-attorney with extensive experience in complex government and private insurer denials, audits, and litigation related to patient status, national and local coverage determinations, and fraud.

As an integral member of the hospital’s CM/UR department; I am involved in daily  clinical documentation/medical record review for hospital admissions.  As a physician advisor I work together with CM to follow CMS guidelines in accordance with quality standards as determined by the URC and Quality/Compliance Committee. Consult with staff regarding delegated UM and disease management operations under managed care contracts while meeting all regulator-contractual/accreditation requirements associated with these functions.  Serve as…

Experienced Physician Advisor

Experienced Phy Advisor with 12 yrs of PA work-looking to help on projects